Facebook logo Follow us on Twitter

COUNTY OF MONTEREY

HEALTH DEPARTMENT

Nationally Accredited for Providing Quality Health Services

HOW DO I?


 

Calendar Grid 825226

May 2020

May 2020

Calendar Grid 825226
S M T W T F S
26 27 28 29 30 1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28 29 30
31 1 2 3 4 5 6

Public Access AED Use

Print
Press Enter to show all options, press Tab go to next option

Published on April 07, 2020. Last modified on May 19, 2020

Public Access Defibrillator Usage


Please correct the field(s) marked in red below:

1
Name of Organization 
2
Address Where the Defibrillator Was Used:
 *
Address Where the Defibrillator Was Used:
3
Name of Person Using Defibrillator
4
Phone Number
 *
5
Email
 *
6
Date the Defibrillator Was Used 
 *
7
Time of Usage
 *
8
Patient Gender
 *
9
Patient Age (approximate)
 *
10
Was collapse of Patient Witnessed?
 *
11
Was CPR Performed Before the Defibrillator Arrived?
 *
12
Did the AED Shock the patient?
13
Number of Times a Shock Was Delivered
 *
14
Person Completing the Report
 *
15
Phone Number of Person Completing the Report
 *
16
Email of Person Completing the Report
 *
17
Comments:
  1. To receive a copy of your submission, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code