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CARDIAC ARREST

- Please complete following a response to a cardiac arrest.

- Please try to be as accurate as possible with timings to ensure quality of audit.

- If you have made a mistake or wish to amend the submission, please contact webmaster@medserve.wales 

Responders

Date

Callsign

Timings

call

tasked

mobile

scene

patient

left

at ED

CLEAR

1st on scene

Case

incident number

PCR number

age

gender

history

Clinical 

A

B

C

suspected aetiology

Result

ROLE

ROSC

time

Post-ROSC observations

Post-ROSC management considerations

Post-ROSC medications given

Transport

Select File
Select File

max. upload of 2 images

speed camera activations?

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