MADISON COUNTY EMERGENCY MEDICAL SERVICES

A clearer path to your narrative.

Capture the encounter. Keep your focus on the details.

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PATIENT ENCOUNTER

Dispatch

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Start with your unit, response, and the patient’s basic details.

Dispatch

Start the narrative with unit response, incident type, and scene location details.

Unit Response Type Incident Type Location

Arrival

Document how the patient was found and their presentation on arrival.

Patient Position Location Found Orientation Level GCS GCS Qualifier Patient Appearance

Chief Complaint

Capture the patient story, complaint, transfer reason, or scene context in the patient’s own workflow.

Chief Complaint

Pain (toggle)

Open only when pain assessment details are needed for the generated narrative.

History

Past Pertinent History

Initial Assessment

Record baseline orientation, ABCs, and skin findings from the initial assessment.

Patient Orientation Airway Status Breathing Circulation Skin Condition

Warm

Pink

Dry

Pale

Cool

Diaphoretic

Clammy

Cold

Hot

Mottled

Lividity

Jaundiced

Reassessment

Capture patient response to care and the repeat assessment before final disposition.

Patient's Status Patient Orientation Airway Status Breathing Circulation Skin Condition

Warm

Pink

Dry

Pale

Cool

Diaphoretic

Clammy

Cold

Hot

Mottled

Lividity

Jaundiced

Treatment

Select interventions and open detail popups for IV, IO, ECG, and medication administration.

Airway & Breathing Management

Oropharyngeal Airway (OPA)

Nasopharyngeal Airway (NPA)

Suctioning

Bag-Valve-Mask Ventilation

Endotracheal Intubation

Nasotracheal Intubation

Ventilator

King Airway

Cricothyrotomy

Continuous Positive Airway Pressure (CPAP)

BiPAP

Oxygen Administration

Nebulizer Treatment

Chest Needle Decompression

Circulation Management

Intravenous (IV) Cannulation

Intraosseous (IO) Access

Manual CPR

Mechanical CPR

Defibrillation

AED

Cardioversion

External Pacing

Hemorrhage Control

Blood Glucose Monitoring

4-lead ECG Monitoring

12-Lead ECG Monitoring

Medications

Medications Administered

IV/IOs Added

Saved IV and IO access entries appear here immediately after they are committed.

0 entered

No IV or IO entries have been entered yet.

Administered Medications

Saved medication entries appear here immediately after they are committed.

0 entered

No medications have been entered yet.

Trauma Care

Wound Irrigation

Bandaging

Splinting

Spinal Immobilization

Cervical Spinal Immobilization

Pelvic Binder

Traction Splint

Monitoring

Vital Signs Monitoring (BP, HR, RR, SpO2)

Continuous Cardiac Monitoring

Capnography

Other Treatments

Positioning (Recovery Position, Fowler’s Position)

Heat Therapy - Trauma

Heat Therapy - Hypothermia

Cold Therapy - Hyperthermia

Cold Therapy - Trauma

Patient Reassurance

Other

Transport (toggle)

Open for destination, transfer, movement, and medical necessity documentation.

Transport Destination Reason for Facility Movement Method

Movement Reason

Describe why assistance, equipment, or additional help was needed for movement to the transport surface.

Movement Destination Transport Status Reason for Lights and Sirens Transport Lights Destination Transfer Method

Transfer Reason

Describe why assistance, equipment, or additional help was needed for transfer at destination.

Draw Sheet Narrative

Document the draw sheet need as a natural charting sentence. This can cover either movement area or both.

Patient required transfer via draw sheet due to not yet documented.

Transfer of Care to

Refusal (toggle)

Open for AMA capacity checks, refused components, and required refusal documentation.

Medical Necessity

Medical Necessity Statement

Exceptions

Checklist

Did you remember to fill out your forms on ESO (Spinal, ACS, MVC, Stroke, etc.)?

A clearer path to your narrative.

Dispatch

Dispatch

Arrival

Chief Complaint

History

Initial Assessment

Reassessment

Treatment

Airway & Breathing Management

Circulation Management

Medications

IV/IOs Added

Administered Medications

Trauma Care

Monitoring

Other Treatments

Eligibility & Capacity

Refused Components

Details Discussed

Medical Necessity

Exceptions

Checklist