SAMPLER and PQRSTA are your patient assessment criteria. MIST is your immediate handover information, followed up by history not covered. ie MIST

This is John

M Front seat unrestrained passenger in a car that hit a tree at 40 MPH. Intrusion into the passenger compartment

I Injuries top to toe - Laceration above R eyebrow. # L Clavicle, R sided Tension Pneumotorax, Eviscerated Testicle, #ankle

S Signs and Symptoms. Reduced conciousness, difficulty in breathing, pain 9/10. Pale, Tachycardic, Tachypnoe

T Treatment. Immobilised, O2, Pain relief O2, Decmpressed chest.


Hand over

Speak to hand over nurse

Signs and Symptoms - as reported

Allergies - Penicillin, Halothane anaesthesia gas

Medications - Viagra, Statins, Atenolol

PMH - Hypertention, high cholsterol, impotence

Last Meal - KFC

Events leading up to - trashed car into tree

Risk factors - fat, old, smokes, drinks, has alcohol in his blood.

Your patient, can I assist or may I go

I have found different hospitals/ ambulance services all seem to want different things from a handover.



I am not even sure if it is the actual NHS trust that seem to veary or just the staff though.



I can understand if I just happen to come across an accident and the crew don't know me from Adam, but that shouldn't apply when working, but sadly it does sometimes.

I use both SAMPLE & MIST when teaching first aid.  Sadly, on many occasions when I have been in a position to be giving first aid in the street and have been trying to hand over to an ambulance crew I have found them unwilling to listen and treating me like all the other "wilderbeasts" as they call members of the public, so neither has mattered! Only once have I been complimented on my handover.

May be "wilderbeast" is just a North West Ambulance thing then.  I have just done a 5 day Advanced First Aid course with them and the paramedic instructor referred to members of the public as Wilderbeasts for the whole 5 days. May be it is just him!



Sorry if I generalised too much Deek.