M

Mechanism of injury. Include all mechanisms of injury, a description of all blunt mechanisms as well as penetrating injuries and time the injury was sustained.

I

Injuries identified or injuries suspected. Paramedics usually describe, in addition to obviously identified injuries, areas where the patient has complained of pain or soreness.

V

Vital signs including level of consciousness. If vital signs are stable throughout transport one set of vital signs will be reported and the paramedic will state that they remained stable. If VS are unstable state the lowest blood pressure and the most recent blood pressure.  It is very important for the paramedic to state level of consciousness and if possible, Glasgow Coma Score. If the level of consciousness has waxed and waned, or decreased in any way, it is important to make note of this. It is also at this point that the paramedic should note unequal or fixed and dilated pupils, if he is aware of them.

T

Treatment or therapies and response to therapies. Examples may include: if the patient had low blood pressure and received a fluid challenge of crystalloid to which his blood pressure responded, it should be noted here. If the patient had lack of a distal pulse prior to hare traction splint application which did not reappear or did reappear after application of the splint, it should be noted here.