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Emergency Medicine Physician
15-20 minutes

Emergency Department Triage: Ambulance Handover Template

The 'Ambulance Handover in ED Triage' template by s10.ai is an indispensable resource for Emergency Medicine Specialists, designed to enhance communication during patient transitions from ambulance personnel to emergency department teams. This template meticulously records critical data, including the chief complaint, history of the presenting issue, related symptoms, past medical history, and prehospital observations. It also details interventions administered and the patient's response, ensuring emergency teams have a thorough understanding of the patient's status upon arrival. This tool is essential for effective triage and prompt care in emergency environments, encouraging clinicians to adopt and integrate it into their practice for improved patient outcomes.

2,927 uses
4.5/5.0
D
Dr. Emily Chen
Template Structure

Organized sections for comprehensive clinical documentation

1. Ambulance Team Details:
CAD [CAD Crew Number] (only include CAD Crew Number if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
PIN Number: [PIN Number] (only include PIN Number if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
CREW [CREW number] (only include Crew Number if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
2. Primary Complaint:
[Brief description of the main complaint] (only include Brief description of the main complaint if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
3. History of Presenting Issue:
[Detailed account of the presenting issue, including onset, duration, characteristics, and any relevant context] (only include Detailed account of the presenting issue, including onset, duration, characteristics, and any relevant context if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
4. Related Symptoms:
[List of associated symptoms] (only include List of associated symptoms if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
5. Previous Medical History:
[Relevant past medical history] (only include Relevant past medical history if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
6. Medication Background:
Current Medications: [List medications] (only include List medications if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
Allergies: [List known allergies] (only include List known allergies if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
7. Prehospital Assessments:
Temperature: [°C] (only include °C if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
Heart Rate: [bpm] (only include bpm if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
Respiratory Rate: [breaths/min] (only include breaths/min if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
Blood Pressure: [mmHg] (only include mmHg if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
Oxygen Saturation: [%] (only include % if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
Blood Glucose (if applicable): [mg/dL] (only include mg/dL if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
8. Examination Results:
[Brief summary of physical examination findings] (only include Brief summary of physical examination findings if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
9. Provided Interventions:
[List any treatments or interventions performed by the ambulance crew] (only include List any treatments or interventions performed by the ambulance crew if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
10. Patient's Reaction:
[Patient's response to interventions] (only include Patient's response to interventions if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
11. Transport Information:
Transport Time: [Duration of transport] (only include Duration of transport if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
Transport Mode: [e.g., ambulance, helicopter] (only include e.g., ambulance, helicopter if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
12. Additional Details:
[Any other relevant information or concerns] (only include Any other relevant information or concerns if it has been explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit completely.)
Sample Clinical Note

Example of completed documentation using this template

1. Ambulance Crew Information:
CAD  12345  
PIN Number: 67890  
CREW 12  
2. Chief Complaint:
Intense chest pain  
3. History of Presenting Complaint:
The patient, a 58-year-old male, started experiencing intense chest pain about 2 hours ago. The pain is described as a crushing feeling, extending to the left arm and jaw. The patient mentions shortness of breath and nausea accompanying the pain.  
4. Associated Symptoms:
Shortness of breath, nausea, sweating  
5. Past Medical History:
High blood pressure, high cholesterol  
6. Medication History:
Current Medications: Lisinopril, Atorvastatin  
Allergies: Penicillin  
7. Prehospital Observations:
Temperature: 37.2°C  
Heart Rate: 110 bpm  
Respiratory Rate: 22 breaths/min  
Blood Pressure: 150/90 mmHg  
Oxygen Saturation: 92%  
Blood Glucose: 120 mg/dL  
8. Examination Findings:
The patient appears sweaty and in distress. There is tenderness when the chest is palpated.  
9. Interventions Provided:
Oxygen therapy, aspirin administration, nitroglycerin sublingual  
10. Patient Response:
The patient reported slight relief in chest pain after nitroglycerin was given.  
11. Transport Details:
Transport Time: 30 minutes  
Transport Mode: Ambulance  
12. Additional Information:
The patient has a family history of coronary artery disease.
Clinical Benefits

Key advantages of using this template in clinical practice

  • The Ambulance Crew Information template is an essential tool for emergency medical services, designed to streamline the documentation process and enhance patient care efficiency. This comprehensive template allows clinicians to accurately capture critical data such as the chief complaint, detailed history of the presenting issue, associated symptoms, and past medical history. It also includes sections for medication history, prehospital observations, examination findings, and interventions provided, ensuring a thorough record of the patient's condition and the care administered. By adopting this template, healthcare professionals can improve communication, facilitate continuity of care, and ensure compliance with clinical documentation standards. Explore this template to optimize your emergency response documentation and enhance patient outcomes.
Frequently Asked Questions

Common questions about this template and its usage

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