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evac_category
string
Required
II - severe
battle_roster_number
string
Required
87654
patient_info
object
Required
name
object
Required
last
string
Required
Scanner
first
string
Required
Hand
last_4
string
0007
date
string
Required
01-JAN-24
unit
string
Required
#5678
time
string
03:00
allergies
string
-NA-
mechanism_of_injury
object
Mechanisms of injury (checkboxes) with boolean values if selected and free-text for 'other'.
artillery
boolean
burn
boolean
true
fall
boolean
true
grenade
boolean
landmine
boolean
mvc
boolean
rpg
boolean
other
string
Sad
injuries
array[object]
| body_location | injury_type | time |
|---|---|---|
| R Arm | Burn | 02:34 |
| L Arm | Burn | 02:34 |
| R Leg | Fall | 02:46 |
| L Leg | Fall | 02:46 |
| Head | Fall | 02:46 |
body_location
string
injury_type
string
time
string
vital_signs
array[object]
| measurement_time | pulse | blood_pressure | respiratory_rate | pulse_ox | pain_scale |
|---|---|---|---|---|---|
| 03:14 | 120/70 | 23 | 90% | 7 | |
| 03:29 | 144/55 | 19 | 97% | 5 |
measurement_time
string
pulse
object
rate
number
Required
location
string
blood_pressure
string
respiratory_rate
number
pulse_ox
string
avpu
string
pain_scale
number
treatments
object
Treatments and interventions provided.
tactical_interventions
object
Tactical quick interventions and dressings.
extremity_tq
boolean
junctional_tq
boolean
pressure_dressing
boolean
true
hemostatic_dressing
boolean
true
dressing_type
string
airway_interventions
object
Airway management options.
intact
boolean
true
unpa
boolean
cric
boolean
et_tube
boolean
sga
boolean
fluids
array[object]
| name | volume | route | time |
|---|---|---|---|
| Matcha Tea | 50 mL | Alpha | 03:10 |
name
string
Required
volume
string
Required
route
string
time
string
blood_products
array[object]
| name | volume | route | time |
|---|---|---|---|
| Double Red | 1 unit | Arm | 03:20 |
name
string
Required
volume
string
Required
route
string
time
string
medications
array[object]
| category | name | dose | route | time |
|---|---|---|---|---|
| Analgesic | Morphine | 10 mg | Arm | 03:04 |
category
string
Required
name
string
Required
dose
string
Required
route
string
time
string
other_treatments
string
notes
string
Patient recovering from essentially excessive Scanning of documents causing severe hand burns, after which they passed out and fell very hard.
first_responder
object
Information about the first responder completing the form.
name
object
last
string
Required
Second
first
string
Required
Param
date
string
last_4
string
0002