When a patient is transported to a hospital via ambulance, emergency room doctors are expected to jump into action immediately. Much of the patient information can be communicated verbally as rescue workers roll the patient into the operating room, but doctors shouldn't be expected to remember everything they are told. A thorough, Emergency Medical Service run report is crucial to the patient's care and may be the difference between life and death. Emergency respondents should develop a system for writing reports so the run sheets are thorough but concise every time.
Gather information on the medical emergency, noting what type of incident caused the injury, the estimated age and sex of the victim, and his condition at the scene. Note whether the patient is conscious and breathing, bleeding, and whether he sustained apparent head injuries or broken limbs, Also note in the report whether he has visible wounds or contusions upon arrival.
Document the patient's vital signs -- heartbeat and pulse -- write down what treatment was provided at the scene, along with any drugs were administered and whether a defibrillator was used. Note the time of the call and the response time.
Add personal information, including the patient's name, address, phone number, next of kin, allergies and available medical history. If the patient is conscious and breathing and the call is for an unknown or suspected illness, any information you gather about the events leading up to the emergency call can help determine treatment at the hospital.
In some states, emergency respondents are required to note suspicion of child neglect or abuse.