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Sample Flow Sheets are on the following pages.

Sample Trauma Flow Sheet

2 SampleTraumaFlowSheet

Used with permission from Legacy Trauma Services, Legacy Emanuel Hospital & Health Care Center, Portland, Oregon.

Advanced Trauma Life Support for DoctorsStudent Course Manual, 8eAmerican College of SurgeonsFigure# AppendixD.1Dragonfly Media Group12/11/07

SampleTraumaFlowSheet 3

Advanced Trauma Life Support for DoctorsStudent Course Manual, 8eAmerican College of SurgeonsFigure# AppendixD.2Dragonfly Media Group12/11/07

4 SampleTraumaFlowSheet

Advanced Trauma Life Support for DoctorsStudent Course Manual, 8eAmerican College of SurgeonsFigure# AppendixD.3Dragonfly Media Group12/11/07

NOTE: This flow sheet is only an example of information that may be required. All institutions that receive trauma patients should develop a form that meets the needs of the institution.