04-09-2004, 12:44
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#1
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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SOAP Notes Rite in the Rain
I think I like this.
Cool Medic Stuff
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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NousDefionsDoc is offline
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04-09-2004, 13:25
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#2
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Quiet Professional
Join Date: Jan 2004
Location: Wherever my ruck finds itself
Posts: 2,972
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SOAP...uggggg.
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"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
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Surgicalcric is offline
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04-09-2004, 15:05
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#3
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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You got something better?
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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04-09-2004, 16:33
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#4
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Quiet Professional
Join Date: Jan 2004
Location: Wherever my ruck finds itself
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I have something better for EMS specific calls. I do not have one that is a 'one-size fits-all' system similar to that of the SOAP method.
If you are interested I could share it here.
__________________
"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
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Surgicalcric is offline
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04-09-2004, 16:40
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#5
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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Go ahead.
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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04-09-2004, 16:56
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#6
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Guerrilla
Join Date: Jan 2004
Location: Southern US
Posts: 160
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I would be interested in the EMS specific one myself.
Side Note:
In Medic class today we went over about 10 weeks of Anatomy and Physiology in about 6 hrs. My brain is on overload. I am glad I took that A/P class last quarter to get ready for Medic school. Studying at least 2-3 hrs a night will be a common practice at my house from here on out.
Best Regards,
Jason
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" they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint."
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shadowflyer is offline
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04-09-2004, 18:51
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#7
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Quiet Professional
Join Date: Jan 2004
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DX: This section is to tell general details about the patient (age, sex,), why EMS summoned and what PT is being treated/transported for.
1º: Primary Survey - how patient found; A,B,C, & D.
2º: Secondary Survey- Physical findings both Pos & Neg as they relate to complaint; pupils, lung sounds, DCAP/BTLS, EKG, SAO2, ETCO2, etc...
TX: Treatment rendered, facility transported to, personnel PT care transferred to.
Δ: Changes in patient condition pos & neg.
HX: past pertinent medical history, MEDS, allergies, MD’s
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Sample from a recent call
DX: EMS summoned to residence of 54 y/o/w/♂ c/o chest pain w/o relief after SL NTG x 2.
1º: PT found seated upright; A,B,C+; A&O to person, place, time, events.
2º: PT c/o crushing type pain over mediastinum which began while mowing lawn, pain rediating down L arm, Pain 8 on 10 scale, non-reproducible on palm or respiration and began ≈30 min PTA EMS. Pain has not been relieved with ↑self TX. PT also c/o assoc severe SOB. B/P-80/54, Pulse-50/irreg, Resp-24/labored. PERRL, L/S-Rhonchi bilaterally w/ = mvmt, SAO2-88% on RA, ETCO2-32mmHg. LP-12 showing SB @ 48-54 BPM with frequent PVC’s non-perfusing. 12-lead showing acute inferio-septal MI.
TX: O2 NRB at 15-lpm, IV L hand/18ga NS KVO, IV R hand/18ga NS @ KVO. NTG .04mg SL(RPT x2@ 5min intervals), MS 5mg IVP (RPTx1 @ 10 min), Lasix 100mg IVP, Dopamine drip titrated @ 400mcg/min, T-PA 10mg IVP over 2min/ drip at 50mg/hr, –>F/W–>M-106. T-port Code3 to GMH ER. Oral report enroute to MCD-12. Transferred to bed CC#4 and left ICO RN and MD @ bedside after report given.
Δ: SAO2-↑94% with O2, B/P-↑98/64, Pt states no relief of pain but some relief of SOB, no change w/ follow on 12-lead.
HX: MD-Cano, NKDA, MEDS: NTG, PMH: Angina.
__________________
"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
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Surgicalcric is offline
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04-09-2004, 18:55
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#8
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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Crip, that's a SOAP note without the easy to remember pnuemonic.
DX1o2oTXAHX doesn't spell anything.
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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04-09-2004, 18:58
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#9
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Quiet Professional
Join Date: Jan 2004
Location: Wherever my ruck finds itself
Posts: 2,972
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SOAP just repeats itself...
I did not say our method here was a nifty acronym. I like the CHART method as well.
Now, if you will excuse me I need to take a few pics of my FUGLY mk-III on my Marauder for posting purposes. 
__________________
"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
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Surgicalcric is offline
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04-09-2004, 18:59
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#10
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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What do you mean repeats itself?
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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04-09-2004, 19:07
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#11
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Quiet Professional
Join Date: Jan 2004
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I find most people cant tell the difference between the S and O. They tend to repeat themsleves.
There is also an Evaluate on the end now.
Did you learn the SOAP method as a part of your MOS training?
__________________
"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
Last edited by Surgicalcric; 04-09-2004 at 19:10.
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Surgicalcric is offline
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04-09-2004, 19:09
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#12
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Quiet Professional
Join Date: Jan 2004
Location: LA
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Well, not being able to write them correctly hardly invalidates the system.
What's CHART?
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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04-09-2004, 19:34
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#13
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Quiet Professional
Join Date: Jan 2004
Location: Tampa
Posts: 2,524
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Quote:
Originally posted by NousDefionsDoc
Well, not being able to write them correctly hardly invalidates the system.
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I was waiting for that..
Tee Hee Hee
Eagle
__________________
Primum non Nocere
"I have hung out in dangerous places a lot over the years, from combat zones to biker bars, and it is the weak, the unaware, or those looking for it, that usually find trouble.
Ain't no one getting out of this world alive. All you can do is try to have some choice in the way you go. Prepare yourself (and your affairs), and when your number is up, die on your feet fighting rather than on your knees. And make the SOBs pay dearly."
The Reaper-3 Sep 04
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Eagle5US is offline
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04-09-2004, 20:05
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#14
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Quiet Professional
Join Date: Jan 2004
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Posts: 2,972
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I did not say the system was invalid did I?
__________________
"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
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Surgicalcric is offline
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04-09-2004, 21:52
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#15
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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Quote:
Originally posted by Surgicalcric
I did not say the system was invalid did I?
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No, no you didn't.
Quote:
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SOAP just repeats itself...
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My bad, sorry. Carry on. At ease, all that Army stuff.
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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