ACCIDENT REPORT FORM (SIDE ONE)FIRST: STAY CALM, check: ABC, Airway, Breathing, Circulation (PULSE)CHECK FOR URGENT INJURIES: SEVERE BLEEDING, SUCKING CHEST WOUNDS. IF VICTIM IS CONSCIOUS, OR IF THERE IS A WITNESS, ASK WHAT HAPPENED:   ASK WHERE IT HURTS:          COMFORT THE VICTIMTAKE PULSE AND RESPIRATION (RECORD ON THE OTHER SIDE)WHILE WATCHING FOR REACTION FROM PATIENT, AND NOTE PAIN, OR ANYTHING UNUSUAL SCAN VICTIM: HEAD: CHECK FOR WOUNDS: FLUIDS FROM EYES, EARS, NOSE  (ok)  PUPILS: SAME SIZE? RESPONSIVE TO LIGHT? NORMAL COLOR? (OK)      NECK: ( CHECK FOR WOUNDS, OR NOT SYMMETRICAL       (OK)CHEST: CHECK FOR NORMAL MOVEMENT WITH BREATHING, UNUSUAL SHAPE    (OK)ABDOMEN: CHECK FOR WOUNDS, TIGHTNESS (OK)PELVIS:  CHECK FOR SYMMETRY, NORMAL STABILITY  (OK)ARMS, LEGS: CHECK FOR WOUNDS, DEFORMITY, MOVEMENT,       SENSATION, PULSE AND COLOR BELOW  INJURIES (RECORD) (OK)BACK: CHECK FOR WOUNDS, OR DEFORMITY, IS VICTIM BLEEDING UNDERNEATH, OUT OF SIGHT? (OK)SKIN: CHECK FOR COLOR, TEMPERATURE, MOISTNESS (PINK) (BLUE) (WARM) (COLD) (DRY)    IS VICTIM CONSCIOUS? COOPERATIVE? LAYING STILL?  VICTIMS NAME: NOTIFY:  NUMBER:     RELATIONSHIP:RESCUERS NAME:  DATE:       DAY OF WEEK:       TIME:           TIME OF INCIDENT:      DATE:           DAY OF WEEK:WHAT TYPE OF PROBLEM:FALL (   )  FALLING ROCK (   )   AVALANCHE (   )   HEART (   )  ILLNESS (   )  COLD (   )   HEAT (   ) SEVERITY: DON'T KNOW(   )  CRITICAL(    )   SERIOUS(    ) VICTIM STABILE(   ) VICTIM COMFORTABLE (CAN STAY NIGHT) (   )   RESCUE CONDITIONS: DOWN A HOLE (CREVASSE) (   )   MOUNTAINOUS (   )  WOODED (   ) SWAMP (   )  PINNED (   )MINE SHAFT (   )   IS BACKBOARD  NEEDED? (   )  CAN DRIVE CLOSE (   ) 4WD (   )  CARRY OUT (   )HELICOPTER LANDING SIGHT AVAILABLE (   ) (BE SURE TO MARK  CIRCLE VISIBLE FROM SKY BEFORE LEAVING, "X"  MEANS  NOT HERE)MAP AVAILABLE?:  MARK VICTIM'S LOCATION,  LANDMARKSEQUIPMENT ON SITE:ROPES (   )  MOUNTAIN CLIMBING EQUIPMENT SIGNALING DEVICE (MIRROR, FLARE, TWO WAY RADIO, LOUD RADIO) (COMPASS)OTHER ONSITE NEEDS:WATER(   )  FOOD(  ) TENT(   )  HEAT(   )   FOR HOW MANY? (       )     RECORD VITAL SIGNS:TIME|   BREATHING      |  PULSE     |  PUPILS | SKIN RATE  INJURY