The National Resource Center on Advancing Emergency Preparedness for Culturally Diverse Communities
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Mass Casualty Patient Self-Assessment Form

Organization(s):Health Information Translations
Year: 2007
Available at:http://healthinfotranslations.com/mass_casualty_patient_selfassessment_f...   (report broken link)
Description:

This self-assessment form is used to gather important information on individuals after a mass casualty event. The form inquires about patient history, injuries, diseases, and other related issues. This resource is available in multiple languages.

Language(s):English; Arabic; Chinese Simplified; Chinese Traditional; French; Hindi; Japanese; Korean; Russian; Somali; Spanish; Vietnamese
Translation(s):English; Arabic; Chinese Simplified; Chinese Traditional; French; Hindi; Japanese; Korean; Russian; Somali; Spanish; Vietnamese
Communities:General; Somali; Vietnamese; Hispanic or Latino; Asian or Pacific Islander; Korean; Japanese; Chinese; Arab; French; Indian; Russian
Subtopic:
Phase 6 - Response
Phase 4 - Physical Impact
Natural Disasters
Mass Casualties
Target Audience:First Responders; Emergency Planners & Managers; Healthcare Providers; Hospitals
Resource Type:
Assessment Tool