SAMPLE History

Question 1

S in SAMPLE

Answer 1

signs/symptoms(how do you feel? Do you hurt anywhere?)

how do you feel? do you hurt anywhere? If patient is unresponsive, ask bystanders if they were complaining of anything before loosing conciousness

Question 2

A in SAMPLE

Answer 2

allergies (do you have any allergies? are you allergic to any medications?

Question 3

M in SAMPLE

Answer 3

Medications (are you currently taking any medications?)

Question 4

P in SAMPLE

Answer 4

Pertinent Past Medical History (have you had any RECENT illnesses? have you been seeing a doctor for any conditions?)

have you had any recent illnesses? have you been seeing a doctor for any conditions? have you had surgery lately? INSPECT NECK FOR MEDICAL ID TAG

Question 5

L in SAMPLE

Answer 5

last oral intake (when did you last eat/drink anything?)

Question 6

E in SAMPLE

Answer 6

Events leading up to injury/illness (How did the incident happen?)