History Taking and Reporting (3 hours, Basic, Intermediate and Paramedic levels)

___________________________________________________________________________________________

1. Environmental Observations (20 min)
   1. Empty medication bottles
   2. Tidy vs untidy dwelling
   3. Evidence of alcohol consumption
   4. Mechanism of injury if trauma related
   5. Position of patient
   6. Patient's posture, dress, facial expressions, attitudes, pain or discomfort  
2. Chief Complaint (10 min)
   1. Reason you were called
   2. Characterized by pain, abnormal function,change from a normal state
     
3. History of Present Illness or Injury (25 min)
   1. Location
   2. Quality
   3. Intensity
   4. Quantity
   5. Chronology
   6. Setting
   7. Scenario of the first symptom
   8. Aggravation and alleviation
   9. Associated complaints
   10. attempts to modify symptoms
     
4. Past Medical History (20 min)
   1. Major underling medical problems
   2. Medications (regularly)
   3. Allergies
   4. Particular doctor or particular hospital
     
5. Physical Examination (20 min)
   1. Primary survey
   2. Secondary survey
   3. Vital signs
   4. Pertinent findings (head to toe)
   5. Pertinent negative findings
     
6. Treatment (20 min)
   1. Oxygen Therapy
      1. Mask used and why
      2. Liter Flow and Why
      3. Effect & How tolerated etc.
   2. Immobilization
   3. Advance Treatments  
7. Condition During Transport (20 min)
   1. Position transported
      1. Tolerance to position
      2. Any Statements made during transport (exact words)
   2. Any changes in vital signs or other aspects of patient’s condition  
8. Presenting Medical Information Using Protocols(15 min)  
9. Scenarios (Putting the training to use)(20 min)  
10. Question/Answers (10 min)