SAMPLE

LETTERCATEGORYKEY QUESTIONS
SSigns & SymptomsWhat can you see? What do they feel?
AAllergiesAre they allergic to meds, food, or latex?
MMedicationsDo they take prescriptions or insulin?
PPast Medical HistoryAny heart issues, seizures, or asthma?
LLast Oral IntakeWhen did they last eat or drink?
EEvents Leading UpWhat happened right before the incident?