Printable Team Member Medical Form

SARAID Team Member Medical Assessment

1. Assessment Information

Assessment Type *

Priority Level *

Search Team Members

Team Member *

Assessing Medic *

Assisting Team Member

Select if another team member assisted with vitals, support, etc.

Location

Chief Complaint

Pain Scale (0-10)

Follow-up required

2. Vital Signs

Pulse (bpm)

Blood Pressure (Systolic)

Blood Pressure (Diastolic)

MAP (mmHg)

N/A

Temperature (°C)

Oxygen Saturation (%)

Respiratory Rate (breaths/min)

Blood Sugar (mmol/L)

Urine Colour

ECG Rhythm

Peak Flow (L/min)

Auscultation Findings

3. Assessment & Decision

Assessment & Clinical Notes

Treatment Given

Health & Wellbeing Notes

Bowels Last Opened

Hours of Sleep (Last 24h)

Eating regularly

Nausea or vomiting

Diarrhoea

Handwritten Notes & Sketches

Additional Notes, Diagrams, or Sketches

Color:

Size:2px

• Use stylus, finger, or mouse to write/draw notes

• Press harder for thicker lines (pressure-sensitive devices)

• Use eraser mode to remove mistakes

• Notes are saved as images with the record

Medical Decision (Required) *

This decision determines the member's fitness for continued deployment or operational duties.

SARAID Form: TM-Med v1.0