EMTResource.com » » Documentation

Military Time Conversion

EMTResource.com — Sun, 27 Apr 2014 19:49:50 +0000

The medical field uses military time (24 hour time) for all forms of documentation and communication. Use the military time conversion chart below to convert from 12 hour to 24 hour time.

Time (12 hour)	Military Time (24 hour)	Time (12 hour)	Military Time (24 hour)
Midnight	0000 or 2400 hours	Noon	1200 hours
1:00 a.m.	0100 hours	1:00 p.m.	1300 hours
2:00 a.m.	0200 hours	2:00 p.m.	1400 hours
3:00 a.m.	0300 hours	3:00 p.m.	1500 hours
4:00 a.m.	0400 hours	4:00 p.m.	1600 hours
5:00 a.m.	0500 hours	5:00 p.m.	1700 hours
6:00 a.m.	0600 hours	6:00 p.m.	1800 hours
7:00 a.m.	0700 hours	7:00 p.m.	1900 hours
8:00 a.m.	0800 hours	8:00 p.m.	2000 hours
9:00 a.m.	0900 hours	9:00 p.m.	2100 hours
10:00 a.m.	1000 hours	10:00 p.m.	2200 hours
11:00 a.m.	1100 hours	11:00 p.m.	2300 hours

SOAPM

EMTResource.com — Sun, 27 Apr 2014 19:48:14 +0000

ICHART is used for EMS documentation.

S	Subjective Patient’s age, gender and chief complaint Events that transpired prior to EMS arrival SAMPLE and OPQRST
O	Objective How the patient was found in terms of location and position AVPU Vital signs
A	Assessment Overall impression of the patient
P	Plan List of treatment in chronological order Important findings and results of physical exam Where the patient was transported and if any changes were noted en route
M	Medical Necessity Why the patient required transportation by ambulance

SOAPM Example

(Sx) 65 Y/O M C/O of tightness in Cx and SOB. Pt’s spouse states, “John was mowing the lawn when he started to clutch his Cx and complain of not being able to breathe.” Pt states, “The pain is getting better, but my Cx feels tight and I can’t seem to catch my breath.” Pt also states, “I felt a sharp pain in my Cx and couldn’t breathe, so I stopped what I was doing and came inside to sit down.” Pt C/O Cx tightness and SOB. (-) to any numbness or tingling. Not taking any Rx other than OTC multivitamins qdx1. Allergic to Penicillin. Pt has no previous medical Hx and last oral intake was 2 hours ago. The pain started when pt was mowing the lawn and feels sharper when pt breathes in. Pain is otherwise dull and radiates out to entire Cx. Pain is 6/10 and started at appx. 1315.

(Ox) U/A we found pt sitting upright in a chair with spouse next to him. Pt A/Ox4. Appx. 1330, B/P 140/100, P 72, RR 23. Skin is pale, cool and diaphoretic. HEENT: C/O dizziness, (-) ear, neck, throat or eye pain. No evidence of trauma. Cx has equal rise/fall, L/S clear bilaterally, C/O dull chest pain. Abd is soft, non-tender and no masses. Pelvis is intact and no pain.

(Ax) Pt has a possible MI with onsent during physical activity.

(Px) Appx. 1331, pt placed on 02 @ 15lpm via NRB and IV 18G to L AC. Administered ASA 162mg chewable PO, NTG 0.4mg SL, and NTG ointment 1″ to L Cx. ECG Sinus tach @ 101 and stable. Pt transferred from couch to gurney with assistance and Tx to ACME Medical Center. Pt’s spouse followed in POV. Contacted ACME Medical Center to notify them of pt’s arrival and condition. No changes to pt’s condition en route. Pt care was transferred to Jane Doe, RN at ACME Medical Center at appx. 1358.

(Mx) Emergency Tx was necessary because pt is suspected to have a possible MI.

ICHART

EMTResource.com — Sun, 27 Apr 2014 19:40:44 +0000

ICHART is used for EMS documentation.

I	Incident Brief details of the incident including location and reason for dispatch Time on scene and location of patient How the patient was found
C	Chief Complaint (Cx) Patient’s age, gender and chief complaint Document sources of information from family members, friends or bystanders with quotation marks Reason EMS was called
H	History (Hx) Brief history of events leading to incident Mechanism of injury (MOI), if applicable SAMPLE
A	Assessment (Ax) AVPU and OPQRST Important findings and results of physical exam Vital signs
R	Treatment (Rx) List of treatment in chronological order
T	Transportation (Tx) Why the patient required transportation by ambulance Where the patient was transported and if any changes were noted en route

ICHART Example

(Ix) M9312 Dispatched to a private residence for a medical aid. U/A at 1325, pt sitting on the couch in a tripod position. Pt’s spouse standing next to him.

(Cx) 65 Y/O M C/O of tightness in Cx and SOB. Pt’s spouse states, “John was mowing the lawn when he started to clutch his Cx and complain of not being able to breathe.” Pt states, “The pain is getting better, but my Cx feels tight and I can’t seem to catch my breath.”

(Hx) Pt states, “I felt a sharp pain in my Cx and couldn’t breathe, so I stopped what I was doing and came inside to sit down.” Pt C/O Cx tightness and SOB. (-) to any numbness or tingling. Not taking any Rx other than OTC multivitamins qdx1. Allergic to Penicillin.

(Ax) Appx. 1330, B/P 140/100, P 72, RR 23. Skin is pale, cool and diaphoretic. HEENT: C/O dizziness, (-) ear, neck, throat or eye pain. No evidence of trauma. Cx has equal rise/fall, L/S clear bilaterally, C/O dull chest pain. The pain started when pt was mowing the lawn and feels sharper when pt breathes in. Pain is otherwise dull and radiates out to entire Cx. Pain is 6/10 and started at appx. 1315. Abd is soft, non-tender and no masses. Pelvis is intact and no pain.

(Rx) Appx. 1331, pt placed on 02 @ 15lpm via NRB and IV 18G to L AC. Administered ASA 162mg chewable PO, NTG 0.4mg SL, and NTG ointment 1″ to L Cx. ECG Sinus tach @ 101 and stable. Pt transferred from couch to gurney with assistance and Tx to ACME Medical Center. Pt’s spouse followed in POV.

(Tx) Emergency Tx was necessary because pt is suspected to have a possible MI. Contacted ACME Medical Center to notify them of pt’s arrival and condition. No changes to pt’s condition en route. Pt care was transferred to Jane Doe, RN at ACME Medical Center at appx. 1358.