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Discipline

: Emergency

Sub Discipline

: Emergency

Document Title

: ETD Resuscitation Note

Procedure Name

Performing Staff

Type Of Case

MedicalTraumaUnknownOthers, specify

Type Of Arrest

CPR

Please Update Method

Brief Pre-Event History

Team Leader

Emergency PhysicianSpecialistMedical OfficerHouse-OfficerStaff-NurseAssistant Medical OfficerOthers, specify

Number Of Resuscitation Team Member

1234> 4

Airway Management

Head tilt chin lift

Chin lift

Jaw thrust

Removal of foreign body

Suction

Bag-Mask

Oropharyngeal airway

Endotracheal tube

Tracheostomy

Needle cricothyroidotomy

Surgical cricothyroidotomy

Supraglottic Airway

Laryngeal mask

LMA fasttrack

Laryngeal tube

Cobra PLA

SLIPA

Others, specify

Others, specify

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

Nasal Packing

Type

Thoracocentesis

Tube Size (F)

Defibrillation

Ultrasound (Bedside)

Findings

Others, specify

Administration Of Resuscitation Drugs

Please Update Method

Comments

Outcome

Response to active resuscitation (Survive)Others, specify

SIGNATURES

Notes Component

SIGNATURES

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