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From page 211... ...
3. Check which of the following, if any, are routinely used in emergency room operative work.
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4. Is a professional fee, separate from other charges, charged by the hospital for house staff Services?
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GENERAL INFORMATION Yes No 1. Are changes contemplated in your institution in any of the following areas of emergency care?
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ne following table please record the number of emergency room visits in the categories requested for one current week. SUMMARY OF EMERGENCY ROOM VISITS FOR ONE WEEK (Enter numbers of patients)
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APPENDIX B Form II Audit of Trauma Deaths Within 24 hours by Committee on Trauma American College of Surgeons 102
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AUDIT TRAUMA DEATHS WITHIN 24 HOURS Hospital he purpose of the Audit is to provide an informative review EVALUATION RATING or staff conference discussion and a general rating of ef- (Adequacy-Timing-Record) iciency of the diagnosis and treatment of injuries with A-Excellent articular reference to the Emergency Department.
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DIAGNOSES Major _.. -- s -- «* :« Minor Cause of Death Evaluation A B C D_ Reasonable EATMENT: AIRWAY RESUSCITATION Oxy gen Tracheostomy Intubation Suction When When Close chest wound Intrathoracic Suction CARDIAC RESUSCITATION Method Evaluation A B C D Adequate?
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APPENDIX B Form III Survey of Management of Trauma Conducted by Cornell University Medical College Department of Public Health & Preventive Medicine Division of Epidemiological Research 105
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CORNELL UNIVERSITY MEDICAL COLLEGE DEPARTMENT OF PUBLIC HEALTH AND PREVENTIVE MEDICINE DIVISION OF EPIDEMIOLOGIC RESEARCH Survey of the Management of Trauma Hospital: City and State: General Information 1. Name of Patient: Hospital # Floor 2.
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F. Transfers To Your Hospital 1.
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APPENDIX B Form IV Proposed Form for Assessment of First Aid by J Cuthbert Owens, M
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