Triage Assessment Form
Voice Observation
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Patient Information
Patient Name
Age
Gender
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Male
Female
Other
ABCDE Assessment
Airway Status
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Clear
Obstructed
Partially Obstructed
Breathing Status
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Normal
Labored
Not Breathing
Circulation Status
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Normal
Weak
Absent
Disability (Neurological)
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Alert
Responds to Verbal Stimuli
Responds to Pain
Unresponsive
Exposure
Triage Classification
Triage Category
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Red (Immediate)
Yellow (Delayed)
Green (Minor)
Black (Expectant/Deceased)
Additional Comments
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