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A <br />APEX <br />FIRST AID ASSESSMENT FORM <br />Date: <br />Victim's Name: <br />Company Name: <br />First Aid Responder's Name: <br />Vitals <br />TIME <br />PULSE <br />Normal: 60-100 <br />BREATHING <br />Listen — Look <br />BLOOD <br />Fingernail color return <br />test <br />SKIN <br />Temperature / Color <br />Interview "P-Q-R-S-T" <br />Provoke: <br />Quality (sharp/dull/pressure): <br />Region / Radiates: <br />Severity (1 [low] to 10 [high]): Allergies: <br />Time (how long?): Medical History: <br />What did victim last eat and when: <br />Head to Toe Check <br />Head (Skull, Ears, Eyes, Mouth): <br />Neck (Hand squeeze test — Foot press test): Stabilize neck immediately if test fails. <br />Chest: <br />Arms/Legs: