Vitals are entered as one or more sets, each with its own timestamp. Add a new set every time you reassess the patient.
Add a vital set
- On the Timeline tab, tap Add Vitals.
- The vitals modal opens. The current time fills in for you. Change it if needed.
- Enter the readings you took.
- Tap Save.
What is in a vital set
- Blood pressure (systolic and diastolic) and the method used.
- Heart rate, the rhythm, and the method.
- Respiratory rate, effort, and any supplemental oxygen.
- Oxygen saturation (SpO2) and the percent.
- End-tidal CO2 (EtCO2) for capnography.
- Temperature and the method (oral, rectal, tympanic, etc.).
- Blood glucose.
- Glasgow Coma Score — eye, verbal, motor (the total auto-calculates).
- Pain scale and the type used (Wong-Baker, NRS, FLACC).
- Cardiac rhythm interpretation.
- Stroke scale results, if you used one.
How many sets do I need
For most transports, NEMSIS expects at least two complete sets — one initial and one immediately before patient transfer at the destination. Critical patients should have more frequent reassessment. Your state may have its own minimum.
An example
You respond to a syncope call. On scene you take a full set of vitals: BP 90/60, HR 108, RR 18, SpO2 96% on room air, BGL 145, GCS 15, pain 0/10, sinus tachycardia on the monitor. You add this set to the Timeline. You start an IV and give 500 mL of saline. Ten minutes later you reassess: BP 110/70, HR 92. You add a second set with just the values that changed. Right before you arrive at the hospital, you take a final set and add it.
Tip: You do not have to fill in every field on every set. The first set should be complete. Follow-up sets only need the values that changed or the values your state requires on every set.