Scenario
Adult male walking at a bus-vs-car collision, talking in full sentences, scalp laceration with controlled bleeding.
Bystanders report he was the restrained driver. No airbag deployment. He denies loss of consciousness.
Report statements
Drag each sentence into the correct SOAP section, or into the trash if it does not belong in the chart.
Patient states he was a restrained driver and self-extricated.
Bandage, transport for evaluation.
Alert, ambulatory, scalp lac 6 cm with controlled bleeding.
BP 128/80, pulse 84, RR 16, SpO₂ 99%.
Minor trauma without life threat.
Crew discussed where to get lunch after the call.
Complains of scalp pain rated 4/10.
Patient mentioned his favorite sports team lost last night.
Trash — not charted
0Drop useless or irrelevant statements here
S — Subjective
0Drop statements here
O — Objective
0Drop statements here
A — Assessment
0Drop statements here
P — Plan
0Drop statements here