D: Medic 1 was dispatched to a Walmart parking lot for a traffic accident involving a prius vs. pedestrian. Medic 1 responded with lights and sirens.
C/C: "He jacked up my knee!"
Hx: EMS arrived on scene after the fire department. Upon arrival on scene, a firefighter informed EMS that they would handle the driver's refusal of medical care, but requested that EMS take over medical care for the bystander, as she wishes to be transported to the hospital. EMS went to assess the vehicle involved and noted that there was not any vehicle damage and the airbags did not deploy. No broken windows were noted and all lights were in tact. EMS noticed that the patient was sitting on the asphalt in the Walmart approximately 15 yards away from the prius that was involved in the accident. The patient was sitting up right hugging her right knee to her chest and crying. Upon introduction, EMS discovered that the patient is a 21-year-old female. The patient explained that about 10 minutes prior to EMS arrival, she was returning her cart to the cart station and the prius backed up abruptly, striking the outside of her right leg. She then describes being shoved to the ground but had to use her hurt leg to scoot away so she wasn't run over by the car. The patient denies any allergies to medications, medications taken, or medical history. The patient denies any interventions taken prior to EMS arrival.
Assessment: Patient is AxOx4 to person, place, time, and event with a GCS of 15. Patient has a patent airway and can speak to EMS in full sentences. Patient's breathing is adequate and lung sounds are clear and equal bilaterally. Heart tones are normal. Patient has bilateral radial pulses. Patient skin is pink, warm, and dry. No external bleeding noted by EMS. EMS checked the patient's C-Spine for DCAP-BTLS due to MOI and no abnormal findings were noted on the posterior. EMS noted that the patient's CSM is intact on right leg. EMS did not note abdominal rigidity on palpation. Abdominal sounds are normal in all four quadrants. Patient rates her pain a 10/10. The patient reports that the pain feels worse when she moves it at all from the position she's holding it in. EMS asked if her pain radiated anywhere else and the patient reported that she also had a sharp pain shooting to her hip. The patient is unable to straighten her leg without increased pain. When she tried, EMS noted shortening and flexion of her right leg and she could not return it to her original position. EMS checked her right leg for DCAP-BTLS and noted an obvious deformity to her right upper leg/hip region.
Rx: EMS administered Drug X to the patient via 18 g IV to the left AC. EMS initiated rapid transport of the patient in a position of comfort, head slightly raised and her right leg was padded with two pillows for support. Patient vital signs were monitored throughout transport. Initial vital signs on scene were: BP 150/86, PR 98, RR 18 unlabored, SPO2 98% on room air. Secondary vital signs upon arrival at destination were: BP 148/76, PR 92, RR 18 unlabored, SPO2 97% on room air. Patient condition remained stable and unchanged throughout transport, though her pain decreased within five minutes of treatment now rating a 7/10.
Transport: Patient was moved from ground to stretcher via extremity left x2. Patient was secured to stretcher with all appropriate straps and loaded into the ambulance. Patient was transported to Hospital ER without incident. Patient was moved from stretcher to Hospital ER bed 7 via draw sheet pull x3. Radio report was given to receiving facility during transport. Report was given to the receiving RN upon arrival. All required signatures obtained by EMS.
I: Possible hip fracture or fracture to high femur
Student Name EMTB
Texas EMS School
April 17, 2026
Disclaimer: Everyone writes PCRs a little differently. As long as your information is placed in a section that makes sense, is documented in DCHARTI format, and you obtained all pertinent information, that is acceptable. PCRs should tell a story. If your PCR is subpoenaed one day, you should be able to remember that patient based on your report. If it isn't documented, it did not happen. Additionally, please ensure you follow all procedures for checking in to your shift, log all patient encounters before checking out, and complete all end-of-shift requirements prior to leaving the site.