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SAFETY
Equipment Used |
Document
the use or non-use of safety equipment by your patient if applicable.
Mark all responses that apply. |
CARDIAC
ARREST WITNESSED |
Mark
Yes if the signs and/or symptoms of cardiac arrest were
witnessed at the onset.
Mark
No if the signs and/or symptoms of cardiac arrest
were not witnessed at onset. |
CPR
STARTED
BY |
If CPR
is initiated, identify the EMS training level of the individual providing
care. In cases where multiple individuals administered CPR procedures,
record the training level of the highest certified individual. You
should note the time CPR was initiated in the blank space provided
at the bottom of the form. |
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Seniors
