Patient Context
Condition-Specific Pathway (Optional)
Layers a condition-specific findings/red-flag/safety-net checklist on top of the general A-E assessment. Pick "None" to run the general assessment only.
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.
On Arrival
Vital Signs / NEWS2
Enter all vitals to calculate NEWS2
Enter blood glucose to interpret
Pain Score (0-10)
Tap a score to record — tap again to clear.
12-Lead ECG
A — Airway
Airway Management
Self-maintained, patent airway
Head-tilt/chin-lift performed
Jaw thrust performed
Suction performed
OPA (Guedel) inserted
NPA inserted
iGel / supraglottic airway inserted
ETT — advanced/definitive airway in situ
Placed in recovery position
B — Breathing
Auscultation — Quick Statement
For a fast, general impression when zone-by-zone detail isn't needed. Use alongside or instead of the zone grid below.
Bilateral equal air entry, clear (normal)
Wheeze
Crackles / Crepitations
Reduced air entry
Auscultation — By Zone (Anterior & Posterior)
Tap a finding per zone, including posterior upper (interscapular) and posterior lower (bases) — don't forget to listen posteriorly, especially the bases. Tap the same finding again to clear. Where left/right differ at the same level, a comparison note is generated automatically.
Oxygen / Ventilatory Support
Air — no supplemental oxygen
Nasal cannula
Simple face mask
Venturi mask (fixed %)
Non-rebreathe mask
Bag-valve-mask ventilation
CPAP applied
Needle decompression performed
Chest seal applied
C — Circulation
Chest Pain Character (if present)
Heavy
Tight
Sharp
Burning
Chest Pain Location / Radiation (if present)
Central
Left-sided
Right-sided
Epigastric
Radiating to back
Radiating to left arm
Radiating to right arm
Radiating to jaw
Radiating to neck
Chest Pain Pattern / Modifiers (if present)
Constant
Intermittent
Worse on respiration
Worse on movement
Worse on palpation
Bilateral Blood Pressure
Enter systolic for both arms to compare.
IV Access & Fluids
IV cannula sited
IO access sited
IV fluids given
Blood products given
Haemorrhage Control
Direct pressure applied
Haemostatic dressing applied
Tourniquet applied (document time)
Pelvic binder applied
D — Disability
GCS Breakdown
Select E, V and M to calculate GCS.
Pupils
Select both pupils to compare.
Analgesia Given
Entonox
IV/oral paracetamol
IV morphine
Intranasal/IV fentanyl
Ketamine
No analgesia required/given
E — Exposure
Wound / Injury Management
Simple dressing applied
Wound closure (steri-strips/glue)
Splint applied
Burns cooling / dressing applied
No wound management required
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.
Canadian C-Spine Rule
For alert (GCS 15), haemodynamically stable trauma patients where C-spine injury is a concern. Not validated for age <16, non-trauma, penetrating injury, known vertebral disease, prior C-spine surgery, or GCS <15.
1. Any High-Risk Factor? (mandates imaging — do not proceed)
2. Any Low-Risk Factor Allowing Safe ROM Assessment?
3. Able to Actively Rotate Neck 45° Left & Right?
Complete steps above for a recommendation.
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
Common Injury Patterns / Mechanism Reference
Quick-reference only — not tappable flags. Tap "Insert" on a relevant mechanism to add it to the trauma notes below as a prompt for what to specifically examine/document.
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Findings / Presentation
Red Flags — Convey to ED
Safety-Net Criteria — Self-Care / SDEC
Pathway Recommendation
Keep building the picture — recommendation updates live.
Pathway Clinical Reasoning / Notes
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
Palpation — 9-Region Assessment
Tap any combination of findings per region (e.g. soft but tender) — patient's right/left as anatomically correct, not as viewed. Tap a selected finding again to remove it.
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.
Rockwood Clinical Frailty Scale
Select a score for a description and clinical context.
Social / Frailty
Long Lie Assessment
A long lie (typically taken as ≥1 hour on the floor/ground) carries increased risk of rhabdomyolysis, acute kidney injury, hypothermia, pressure injury and hypostatic pneumonia — even in the absence of a fracture. Have a lower threshold for conveyance/further assessment (bloods, ECG) where downtime is prolonged or unknown.
Capacity, LPA (Health & Welfare) & Life-Sustaining Treatment
An LPA for Health & Welfare does NOT automatically grant authority to consent to or refuse life-sustaining treatment — this must be explicitly stated on the LPA form itself. Where this authority is not confirmed, or capacity is lacking and no valid LPA/advance decision applies, treat in the patient's best interests under the Mental Capacity Act 2005 and seek senior/clinical advice if uncertain. DNACPR/ReSPECT status is captured separately in Medical History.
FrIP — Frail Injured Patient Pathway
FrIP sits beneath the NWAS Major Trauma Pathfinder for frail/older "pathfinder-negative" patients (i.e. do not meet Major Trauma Pathfinder criteria) where clinical concern remains — e.g. low-energy mechanism falls (fall from standing, rolled out of bed) or "found on floor" presentations, where frailty can mask or delay signs of significant occult injury. Contact the 24/7 Trauma Cell to discuss with a Senior Paramedic, who will advise whether a FrIP amber pre-alert to the nearest hospital is appropriate — this supports early recognition, early senior review and timely diagnostics (e.g. CT). This is a pre-alert/escalation pathway, not a non-conveyance pathway. Confirm current local criteria and contact routes before relying on this reference.
Consider FrIP Discussion If:
Aged 65+ or clinically frail
Low-energy mechanism or "found on floor" presentation
Pathfinder-negative (does not meet Major Trauma Pathfinder criteria)
Clinical concern remains despite not meeting major trauma criteria
Medical History
Common Conditions (tap to add to PMH)
Clinical Impression & Differentials
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 documentation to see overall status
1 — Presenting Complaint
2 — History of Presenting Complaint
3 — Social & Housing
4 — Examination
5 — Medical History
6 — Impression, Differentials & Disposition
Documentation Checklist
PCR fully completed
Safety netting advice documented
Follow-up/referral documented
Third party contact documented
Capacity statement documented