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Discipline

: Emergency

Sub Discipline

: Emergency

Document Title

: ETD Procedure Note

Procedure Name

Performing Staff

Location

Consent

YesNo

Date And Time Started

Date And Time Ended

Type Of Analgesia

Type Of Sedation

Type Of Procedure

Endotracheal intubation

Site

Chest Tube

Tube Size (F)

Intraosseous

Needle Size

TCP

Heart Rate

Pelvic Immobilization

Type

Closed Reduction Of Joint Dislocation

Joint dislocated

Central Vein Cannulation

Location

Internal JugularSubclavianBasilicFemoral

Nasal Packing

Type

Thoracocentesis

Tube Size (F)

Cardioversion/Defibrillation

Number of Attempt

Ultrasound (Bedside)

Findings

Others, specify

Description

Post Procedure Instruction

Complications

SIGNATURES

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