| Triage Level | Assign a triage level | |
| Chief Complaint | Enter the chief complaint | |
| TPR | Record temperature, pulse, respiration | |
| Urine Output | Note urine production | |
| Lactate | Lactate level in blood | |
| Oxygen Status | Current oxygen status | |
| Weight (kg) | Patient's weight in kilograms | |
| ECG | Electrocardiogram results | |
| PCV/TS | Packed cell volume/total solids | |
| Abdominal Palpation | Note abdominal findings | |
| MM Color | Mucous membrane color | |
| CRT | Capillary refill time | |
| Blood Pressure | Record blood pressure | |
| BG | Blood glucose level | |
| Neurological Exam | Record neuro exam findings | |
| Mentation | Note patient's mentation | |
| Medications | List current medications | |
| Allergies | List any known allergies | |
| IV Fluids | Fluids administered | |
| Pain Score | Note the patient's pain score | |
| Initial Vitals | Record initial vitals | |
| Presenting Problem | Note the presenting problem | |