ÐÏࡱá>þÿ 68þÿÿÿ5ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥ÁS ð¿y!bjbj®® A(vÄtivÄtiï <ÿÿÿÿÿÿ·ÌÌ^^^^^ÿÿÿÿrrr8ª,Örûtòò(bbb2444444$o¶%`X]^bbbbbX^^HµÚÚÚbF^^2Úb2ÚÚÚÿÿÿÿ€É5<,Úÿÿÿÿ¨jÚË0ûÚ…¬…Ú…^ÚDbbÚbbbbbXX¾bbbûbbbbÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ…bbbbbbbbbÌX $: Confidential Appendix A - AED Post-Incident Report Confidential Incident Details Date: ______________________________________ Time of Incident: _____________________________ Location (Building/Room): _________________________________________________________________ Activity engaged in when incident occurred: ___________________________________________________ Personnel responding (list): ________________________________________________________________ _______________________________________________________________________________________ Witnesses (list): __________________________________________________________________________ 911 called? ÀÛÜ Yes ÀÛÜ No Estimated time: _________________________________ Rescue breathing performed? ÀÛÜ Yes ÀÛÜ No Estimated start time: _______________________ CPR performed? ÀÛÜ Yes ÀÛÜ No Estimated start time: _____________________________ AED used? ÀÛÜ Yes ÀÛÜ No Estimated start time: _____________________________ Shocks delivered: ÀÛÜ Yes ÀÛÜ No AED Make/Model: _____________________________________________ Result: _________________________________________________________________________________ _______________________________________________________________________________________ Any additional injuries: ____________________________________________________________________ Other equipment utilized: __________________________________________________________________ Patient Details: This information is to remain confidential except for purposes of completing this report. Last Name: ___________________ First Name: ______________________Middle____________________ ÀÛÜ Faculty ÀÛÜ Staff ÀÛÜ Student ÀÛÜ Visitor Event Details Lead responder: __________________________________________________________________________ EMS scene arrival: ______________________ Patient transported to: _______________________________ Comments: _____________________________________________________________________________ _______________________________________________________________________________________ If the caregiver was exposed to blood or other infectious materials, immediately notify 91ÊÓÆµ Pembroke Environmental Health and Safety and seek medical care. 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