- Subjective data: further new complaints and a subjective assessment of the change in the severity and conditions of existing complaints such as pain score
- Objective data: continued vital signs and clinical monitoring for deterioration
- Assessment: a periodic appraisal of the status of the patient
- Plan: a detailed periodic management plan for ongoing and additional care requirements
Saturday, 27 April 2013
Continuous management of the wilderness emergency medicine patient whilst awaiting evacuation
The best way to probably monitor and record the care of the wilderness emergency medicine patient whilst awaiting evacuation is to use a SOAP NOTE. The SOAP note is a detailed periodic documentation of the continued care of the patient. It comprises the following elements:
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