Patient Context
Time-Critical Screen
Tap once to mark NEGATIVE (clear). Tap again to mark PRESENT (red flag). Any item marked present should prompt reconsideration of conveyance to ED.
Vital Signs / NEWS2
Enter all vitals to calculate NEWS2
Enter blood glucose to interpret
12-Lead ECG
A — Airway
B — Breathing
Auscultation Findings
Equal air entry, clear (normal)
Wheeze
Crackles / Crepitations
Reduced air entry
C — Circulation
D — Disability
E — Exposure
Optional top-to-toe secondary survey for trauma presentations. Nothing here is required — tap only what you examine; anything left untapped is simply omitted from the summary, same as the rest of the tool.
Head & Scalp
Face
C-Spine & Neck
Chest Wall
Abdomen & Pelvis
Back & Spine (Log Roll)
Left Upper Limb
Right Upper Limb
Left Lower Limb
Right Lower Limb
High-Risk Medications
No high-risk medications reported
DOAC (apixaban, rivaroxaban, dabigatran, edoxaban)
Warfarin
DAPT — dual antiplatelet therapy
Single antiplatelet (aspirin/clopidogrel alone)
Insulin / oral hypoglycaemics
Long-term steroids / immunosuppressants
Regular opioid analgesia
Cardiovascular
Respiratory
Neurological
Atraumatic Back Pain — Red Flags
Other Serious Spinal Pathology Red Flags
Abdominal / GI
Genitourinary / Gynae
General / Functional Status
Dehydration Signs
MSK / Skin
Mental Health / Safeguarding
Baseline / Functional & Social Status
Based on the Clutter Image Rating scale (Frost, Steketee & Tolin) — rated per room, 1 (no clutter) to 9 (extreme). A rating of 4+ in any room is the threshold associated with significant impact on daily life. Descriptors below are a text approximation for field use; the validated tool uses reference photographs.
Social / Frailty
Capacity & Safety Netting
Safety Netting Given
Worsening symptoms advice given
Clear timeframe for reassessment given
Emergency contact number given (111/999)
Follow-up appointment/referral arranged
Written/verbal information left with patient
Overall Status
Generate summary to see overall status
Documentation Checklist
PCR fully completed
Safety netting advice documented
Follow-up/referral documented
Third party contact documented
Capacity statement documented