Demographic of health problem (information on person who has problem) I have filled out this health survey before (material should include information since prior survey) Yes
No
How many prior cruising health surveys 1-5 6-10 11-15 16-20 21-25 More than 25 Can't remember
Age
Gender of person with problem Male
Female
Height (feet) 3 4 5 6 7
Height (inches) 1 2 3 4 5 6 7 8 9 10 11
Weight (lbs)
What did you experience? An Illness An Injury
What was your illness? Abdominal cramping (may require emergency treatment) Allergic reaction mild local skin reaction Allergic reaction severe body-wide compromised breathing (requires emergency treatment) Allergic Rhinitis (Hay fever) Angina chest pain (new onset) (may require emergency treatment) Arthritis Asthma (wheezing) Bladder Infection Blindness Partial (one eye) (may require emergency treatment) Blindness Total (one eye) (may require emergency treatment) Chest Pain Pleuritic (breathing in) Common Cold (head cold) Constipation Cough (bronchitis) Depression (new onset) Diabetes Diarrhea Dizziness - vertigo Ear Ache (internal - otitis media) Fever (unknown cause) Floaters, flashing light in vision Gastric Reflux (heartburn) Gout Gum Infection Hangover Headache (migraine) Headache (non-migraine) Heart Attack (does require emergency treatment) Heat Stroke (may require emergency treatment) Hemorrhoids Hernia Indigestion Indigestion Chest pain (may require emergency treatment) Influenza (flu) Insomnia Kidney Infection Kidney Stone Lyme's Diease Motion Sickness Nausea and vomiting Nose Bleed Pneumonia (may require emergency treatment) Rectal bleeding (non-hemorrhoid) (may require emergency treatment) Sciatic Nerve (Sciatica) Skin Cancer Skin Infection Sleep Apnea Smoke Inhalation (may require emergency treatment) Sore Throat Stomach Ache (may require emergency treatment) Stroke-brain attack (does require emergency treatment) Sunburn Thrombophlebitis Toothache Transient Ischemic Attack (TIA) - brain attack (may require emergency treatment) Urine Retention Vaginal Bleeding Other illness not listed above, please specify
What was your "other " illness?
Treatment - Other Illness
Skin infection - Location Abdomen
Arm
Back
Face
Finger
Foot
Hand
Leg
Neck
Toe
Treatment - Skin Infection Clean wound with water and soup
Astringent
Topical Antibiotic
Hydrogen Peroxide
Oral Antibiotic
No treatment, observation only
Other
Other treatment - Skin Infection
Treatment - Allergic reaction mild Anti-histamine (e.g. Benadryl)
Steroid cream
Calamine lotion
No treatment, observation only
Other
Other Treatment - Allergic reaction mild
Treatment - Allergic reaction severe Anti-histamine (e.g. Benadryl)
Epinephrine (Adrenaline)
Epinephrine auto-inject (E.Z Pen)
Sit up for breathing (not in shock)
No treatment, observation only
Other
Other Treatment - Allergic reaction severe
Treatment - Allergic Rhinitis (Hay fever) Avoid the allergen
Saline nose irrigation
Antihistamine (Benadryl, Claritin, Zyrtec)
Astelin antihistamine nose spray
Decongestants (Sudafed, Contac Non-Drowsy)
Corticosteroid nose sprays (prescription)
No treatment, observation only
Other
Other Treatment - Allergic Rhinitis (Hay fever)
Treatment - Arthritis abatacept (Orencia), rituximab (Rituxan), golimumab (Simponi), certolizumab (Cimzia), and tocilizumab (Actemra) by prescription
Acetaminophen (Tylenol)
Aspirin
Capsaicin cream application
Celecoxib (Celebrex) - (prescription)
corticosteroids (prescription)
etanercept (Enbrel), infliximab (Remicade), adalimumab (Humira), administered by injection and prescription
Exercises (low-impact aerobic, range of motion, strength training)
Glucosamine and chondroitin
Heat or cold therapy
Ibuprofen (Advil, Motrin IB) or naproxen (nonsteroidal anti-inflammatory drugs - NSAIDS)
Orthotic device
Physical therapist guided therapy
Rest of disuse of affected site
Splint
Transcutaneous nerve stimulation (TENS)
Ultrasonic massage
No treatment, observation only
Other
Other Treatment - Arthritis
Treatment - Asthma Inhaler
Epinephrine (Adrenaline)
Corticosteroids (e.g., prednisone)
No treatment, observation only
Other
Other treatment - Asthma
Treatment - Chest Pain Non-steroidal analgesics (Ibuprofen, Naproxen, etc.)
Aspirin
No treatment, observation only
Other
Other Treatment - Chest Pain
Treatment - Common cold Fluids
Bed rest
Aspirin
Antibiotics
No treatment, observation only
Other
Other treatment - Common cold
Treatment - Cough Fluids
Cough expectorants
Cough suppressants with Codeine, (over the counter, eg. Nyquil)
Cough suppressants prescription drug
Antibiotics
No treatment, observation only
Other
Other Treatment - Cough
Treatment - Diabetes Changes in diet
Oral medications to lower blood sugar
Insulin injections to lower blood sugar
Oral sugar to raise blood sugar
Hospitalization
No treatment, observation only
Other
Other Treatment - Diabetes
Treatment - Hernia Observation
Hernia Truss
Surgery
Brace
No treatment, observation only
Other
Other Treatment - Hernia
Treatment - Lyme's Disease Oral antibiotics
Intravenous antibiotics
No treatment, observation only
Other
Other Treatment - Lyme's Disease
Treatment - Thrombophlebitis Support stockings or wraps
Apply warm compresses
Elevate the affected area
Analgesics or nonsteroidal anti-inflammatory drugs (NSAIDS)
Antibiotics (if infection is present)
Anticoagulants (blood thinners) to prevent new clots
No treatment, observation only
Other
Other Treatment - Thrombophlebitis
Treatment - Fever Aspirin
Non-steroidal analgesic (ibuprofen, Naproxen, etc.)
Cool compresses
Cold shower
Fan
Oral fluids
Antibiotics
No treatment, observation only
Other
Other Treatment - Fever
Treatment - Heat stroke Cool bathing
Cool compresses
Ice packs
Supine position (lying on the back, face or front upward)
Cool fluids
Cool enema
Fan
No treatment, observation only
Other
Other Treatment - Heat Stroke
Treatment - Gout Avoid alcohol, anchovies, sardines, oils, herring, organ meat (liver, kidney, and sweetbreads), legumes (dried beans and peas), gravies, mushrooms, spinach, asparagus, cauliflower, consommé, and baking or brewer's yeast
Ibuprofen (Advil, Motrin IB), naproxen, indomethacin (nonsteroidal anti-inflammatory drugs - NSAIDS)
Codeine, hydrocodone, or oxycodone (prescription)
Colchicine (prescription)
Allopurinol or probenecid (prescription)
No treatment, observation only
Other
Other Treatment - Gout
Treatment - Influenza Aspirin
Non-steroidal analgesic (ibuprofen, Naproxen, etc.)
Fluids
Rest
Anitbiotic
Over the counter flu medications
Prescription flu medications
No treatment, observation only
Other
Other treatment - Influenza
Treatment - Pneumonia Rest
Fluids
Aspirin
Non-steroidal analgesic (ibuprofen, Naproxen, etc.)
Antibiotics
Inhalers for bronchospasm
Cough medicine (over the counter)
Cough suppressant prescription (to decrease cough)
Expectorant (to increase cough)
No treatment, observation only
Other
Other Treatment - Pneumonia
Treatment - Smoke Inhalation Fluids
Bronchodilators
Antibiotics
Oxygen
No treatment, observation only
Other
Other Treatment - Smoke Inhalation
Treatment - Sunburn Non-steroidal analgesics (ibuprofen, Naproxen, etc.)
Over the counter ointments
Prescription ointments
Lidocaine ointment
No treatment, observation only
Other
Other Treatment - Sunburn
Treatment - Vaginal Bleeding Pads - noting degree of bleeding
Tampons - noting degree of bleeding
Change hormonal therapy
No treatment, observation only
Other
Other Treatment - Vaginal Bleeding
Treatment - Urine Retention Urinary catheterization
Prescription medicines
No treatment, observation only
Other
Other Treatment - Urine Retention
Treatment - Kidney Stone Fluids
Aspirin
Non-steroidal analgesic (ibuprofen, Naproxen, etc.)
Antibiotics
Prescription analgesic
Prescription diuretic
No treatment, observation only
Other
Other Treatment - Kidney Stone
Treatment - Kidney Infection Fluids
Aspirin
Non-steroidal analgesic (ibuprofen, Naproxen, etc.)
Antibiotics
No treatment, observation only
Other
Other Treatment - Kidney Infection
Treatment - Bladder Infection Antibiotics (Septra, Bactrim, etc.)
Pyridium
Aspirin
No treatment, observation only
Other
Other Treatment - Bladder Infection
Treatment - Diarrhea Fluids
Supine Position (lying on the back, face or front upward)
Aspirin for fever
Non-steroidal analgesics (ibuprofen, Naproxen, etc.) for fever, discomfort
Imodium, Lomotil
Pepto-Bismol, Kaopectate
Antibiotics
No treatment, observation only
Other
Other Treatment - Diarrhea
Treatment - Stomach Ache Antacid
Mineral oil
Pepto-Bismal
Aspirin
Non-steroidal analgesic (ibuprofen, Naproxen, etc.)
No treatment, observation only
Other
Other Treatment - Stomach Ache
Treatment - Rectal Bleeding Diet change
Fluids
No treatment, observation only
Other
Other Treatment - Rectal Bleeding
Treatment - Indigestion Change diet
Antacid
Over the counter indigestion medications (e.g. Tums, Amphogel, Maalox, Mylanta, Rolaids, etc.)
Prescription indigestion medication (e.g. Cimetidien, Ranitidine, Prilosec, Zoton)
No treatment, observation only
Other
Other treatment - Indigestion
Treatment - Hemorrhoids Sitz bath
Preparation H
Corticosteroid ointment
Hemorrhoid creams with lidocaine
Witch hazel cotton swabs
Fluids
High fiber diet
No treatment, observation only
Other
Other treatment - Hemorrhoids
Treatment - Gastric Reflux Antacids
Prescription drugs
Sit or stand
Sleep/rest with head and chest elevated
No treatment, observation only
Other
Other treatment - Gastric Reflux
Treatment - Indigestion Chest Pain Mylanta or other antacids
Sit up if reclined
No treatment, observation only
Other
Other treatment - Indigestion Chest Pain
Treatment - Constipation Stool softener
Laxative
Enema
Manual extraction (gloved finger)
No treatment, observation only
Other
Other treatment - Constipation
Treatment - Abdominal Cramping Laxative
Stool softener
Aspirin
Non-steroidal Analgesic (ibuprofen, Naproxene, etc.)
Imodium, Lomotil
No treatment, observation only
Other
Other treatment - Abdominal Cramping
Treatment - Heart Attack Rest in supine position (lying on the back, face or front upward)
Elevate legs while supine (lying on the back, face or front upward)
Cardiopulmonary resuscitation (mouth-to-mouth)
Epinephrine (Adrenaline)
Evacuation to hospital
No treatment, observation only
Other
Other treatment - Heart Attack
Treatment - Angina Chest Pain Nitroglycerin
Rest
No treatment, observation only
Other
Other treatment - Angina Chest Pain
Treatment - Transient Ischemic Attack (TIA) - Brain Attack Supine Position (lying on the back, face or front upward)
Observe for an increase or decrease in symptoms
No treatment, observation only
Other
Other treatment - Transient Ischemic Attack (TIA) - Brain Attack
Treatment - Toothache Non-steroidal analgesics (ibuprofen, Naproxene, etc.)
Aspirin
Cotton soaked with oil of cloves
Antibiotics
No treatment, observation only
Other
Other treatment - Toothache
Treatment - Stroke Positioned supine (lying on the back, face or front upward)
Observe for an increase or decrease in symptoms
No treatment, observation only
Other
Other treatment - Stroke - Brain Attack
Treatment - Sore Throat Aspirin
Non-steroidal analgesics (ibuprofen, Naproxene, etc.)
Fluids
Antibiotics
No treatment, observation only
Other
Other treatment - Sore Throat
Treatment - Sciatic Nerve (Sciatica) Position change (e.g. pillow or rolled towel under knees while sleeping)
Cold (ice) then heat on painful area
Aspirin
Acetaminophen (Tylenol)
Ibuprofen (Advil, Motrin IB)
Physical therapy program
Injections in back (performed and prescribed by physician)
No treatment, observation only
Other
Other treatment - Sciatic Nerve (Sciatica)
Treatment - Nose Bleed Pinch nose for 20-30 min
Use tongue blade splint for 30 min
No treatment, observation only
Other
Other treatment - Nose Bleed
Treatment - Motion Sickness Ginger
Scopolamine patch
Benadryl
Dramamine
Prescription medicine
Fluids oral
Fluids enema
No treatment, observation only
Other
Other treatment - Motion Sickness
Treatment - Nausea and Vomiting Small portions of food
Fluids
Benadryl
Dramamine
Prescription medications
No treatment, observation only
Other
Other Treatment - Nausea and Vomiting
Treatment - Sleep Apnea Avoid alcohol or sedatives at bedtime
Avoid sleeping on back
Lose weight
Continuous positive airway pressure (CPAP)
Use of dental device that keeps jaw forward
No treatment, observation only
Other
Other Treatment - Sleep Apnea
Treatment - Skin Cancer Protective clothing
Stay out of sun during 10:00 to 16:00
Sunscreen SPF at least 30 during day (including winter)
Fluorouracil topical (prescription)
Imiquimod topical (prescription)
Surgical removal
No treatment, observation only
Other
Other Treatment - Skin Cancer
Treatment - Insomnia Warm milk before bed
Get up after 30 minutes, return to bed later
Over the counter sleep aid medicine
Prescription sleep aid medicine
No treatment, observation only
Other
Other treatment - Insomnia
Treatment - Headache (migraine) Aspirin
Non-steroidal analgesics (ibuprofen, Naproxene, etc.)
Caffeine
Excedrine
Prescription drugs
Rest
No treatment, observation only
Other
Other treatment - Headache (migraine)
Treatment - Headache (non-migraine) Aspirin
Non-steroidal analgesics (ibuprofen, Naproxene, etc.)
Rest
No treatment, observation only
Other
Other treatment - Headache (non-migraine)
Treatment - Hangover Aspirin
Non-steroidal analgesics (ibuprofen, Naproxene, etc.)
Fluids
Rest
More alcohol
No treatment, observation only
Other
Other treatment - Hangover
Treatment - Gum Infection Mouthwash (e.g. Listerine)
Vigorous dental flossing
Antibiotics
No treatment, observation only
Other
Other treatment - Gum Infection
Treatment - Floaters, flashing light in vision Ophthalmologist visit
Emergency room visit
No treatment, observation only
Other
Other treatment - Floaters, flashing light in vision
Treatment - Partial Blindness Ophthalmologist visit
Emergency room visit
No treatment, observation only
Other
Other treatment - Partial Blindness
Treatment - Total Blindness Ophthalmologist visit
Emergency room visit
No treatment, observation only
Other
Other treatment - Total Blindness
Treatment - Ear Ache Decongestant (e.g. Sudafed)
Antibiotic (e.g. amoxicillin)
No treatment, observation only
Other
Other treatment - Ear Ache
Treatment - Vertigo Antihistamines (benadryl, Dramamine)
Anticholinergic medicine (scopolamine)
Benzodiazepines (valium, lorazepam, etc.)
Antibiotics
No treatment, observation only
Other
Other treatment - Dizziness - Vertigo
Treatment - Depression Exercise
Counseling (with spouse and or friends)
Counseling (professional)
Anti-depressants (prescribed)
No treatment, observation only
Other
Other treatment - Depression
What was the outcome of your illness? Resolved with my treatment Required doctor office visit Required emergency room visit Required hospitalization Other Unresolved
What was the "other" outcome of your illness?
What was your injury? Abrasion and contusion ("skinned") Blister Broken Bone (does require emergency treatment) Broken or lost tooth Bruise (contusion) Burn - chemical or heat (may require emergency treatment) Concussion (loss of consciousness from head blow) Crush Injury Dislocation (may require emergency treatment) Drowning (may require emergency treatment) Eye Chemical Burn Eye Detached Retina Eye Foreign Body Eye Penetrating injury Fishhook impalement Hernia Hypothermia (immersion) (may require emergency treatment) Laceration (cut) (may require emergency treatment) Meniscus Tear Mouth Gums Cut Rotator Cuff Splinter Sprain (ligament injury) Stings and bites Strain (muscle or tendon injury) Tendon Rupture Tendonitis (fasciitis) Other injury not listed above, please specify
Treatment - Hernia Observation
Hernia Truss
Surgery
Brace
No treatment, observation only
Other
Other Treatment - Hernia
Location - Tendonitis Ankle
Arm
Back
Elbow
Finger
Foot
Hand
Hip
Knee
Leg
Neck
Shoulder
Toe
Wrist
Location - Sprain Ankle
Arm
Back (spine)
Elbow
Face
Finger
Foot
Knee
Hand
Hip
Leg
Neck
Shoulder
Toe
Wrist
Broken bone location Ankle
Arm
Coccyx (tailbone)
Face
Finger
Foot
Hand
Hip
Leg
Pelvis
Sacrum
Spine (Back)
Thigh
Toe
Wrist
Location - Dislocation Ankle
Elbow
Finger
Foot
Hip
Knee
Kneecap (patella)
Leg
Shoulder
Toe
Wrist
Skin - Laceration - Location Abdomen
Arm
Back
Face
Finger
Foot
Hand
Leg
Neck
Toe
Skin - Burn - Location Arm
Back
Chest
Face
Finger
Foot
Hand
Leg
Neck
Stomach
Toe
Skin - Bruise - Location Arm
Back (Spine)
Chest (Sternum)
Face
Finger
Foot
Hand
Hip/Buttock
Leg
Neck
Rib
Thigh
Toe
Skin - Blister - Location Arm
Face
Finger
Foot
Hand
Leg
Toe
Skin - Abrasion and contusion - location Abdomen
Arm
Back
Face
Finger
Foot
Hand
Leg
Neck
Toe
What was your "other" injury?
Treatment - Other injury
Treatment - Hypothermia Remove from cold
Cover with blankets or windproof material
Heat packs to groins, arm pits, neck
Nothing by mouth
No treatment, observation only
Other
Other treatment - Hypothermia
Treatment - Drowning Mouth to mouth resuscitation
Cardiopulmonary resuscitation (CPR)
Treat hypothermia (Cover with blankets or windproof material
No treatment, observation only
Other
Other treatment - Drowning
Treatment - Tendonitis Brace
Ice compress
Heat compress
Injection
Non-steroidal analgesics (ibuprofen, Naproxen, acetaminophen etc.)
Physical Therapy
Prescription medicine
Rest and disuse
No treatment, observation only
Other
Other treatment - Tendinitis
Treatment - Sprain Brace/Cast
Crutches
Elevation
Ice compress
Heat compress
Non-steroidal Analgesics (ibuprofen, Naproxen, acetaminophen etc.)
Rest
Physical Therapy
Prescription medicine
Splint before transport
No treatment, observation only
Other
Other treatment - Sprain
Treatment - Strain Elevation
Heat compress
Ice compress
Non-steroidal Analgesics (ibuprofen, Naproxen, acetaminophen etc.)
Rest
No treatment, observation only
Other
Other treatment - Strain
Treatment - Dislocation Stop bleeding with pressure
Pad for comfort
Straighten if pulse loss
Splint before transport
Non-steroidal Analgesics (ibuprofen, Naproxen, acetaminophen etc.)
Did attempt to reduce
Did not attempt to reduce
No treatment, observation only
Other
Other treatment - Dislocation
Treatment - Broken bone Analgesics (prescription)
Cast/Splint
Non-steroidal Analgesics (ibuprofen, Naproxen, acetaminophen etc.)
Pad for comfort
Splint before transport
Stop bleeding with pressure
Straighten if pulse loss
Surgery (Pins, rods, nails, screws, plates, external fixators)
No treatment, observation only
Other
Other treatment - Broken bone
Treatment - Mouth Gums Cut Irrigate with clean water or saliva
Apple pressure to stop bleeding
Antibiotics
No treatment, observationonly
Other
Treatment - Crush Injury Clean area with saline or water
Stabilize and wrap with padding or absorbent material (gauze, clean cloths, sheets, etc)
No treatment, observation only
Other
Other Treatment - Crush Injury
Treatment - Eye Detached Retina Eye rest
Patch eye
Eye taped to block light and further injury
Surgery
No treatment, observation only
Other
Other Treatment - Eye Detached Retina
Treatment - Meniscus Tear Prescription pain medication
Over-the-counter pain medication
Applying a pressure wrapping
Apply heat or cold pad
Surgery
No treatment, observation only
Other
Other Treatment - Meniscus Tear
Treatment - Rotator Cuff Rest
Ice compress
Heat compress
Range-of-motion exercises of affected shoulder
Non-steroidal anti-inflammatory medications
No treatment, observation only
Other
Other Treatment - Rotator Cuff
Treatment - Tendon Rupture Rest
Splint
Ice compression
Heat compression
compression bandages
Over-the-counter pain medication
No treatment, observation only
Other
Other Treatment - Tendon Rupture
Other Treatment - Mouth Gums Cut
Treatment - Broken or lost tooth Retrieve the tooth or tooth fragment
Clean site with clean water or saliva
Replace displaced tooth in socket
Placed tooth in milk for transport
No treatment, observation only
Other
Other Treatment - Broken or lost tooth
Treatment - Eye Chemical Burn Prompt irrigation with copious amount clean water
Mineral oil and gauze
No treatment, observation only
Other
Other Treatment - Eye Chemical Burn
Treatment - Eye Penetrating Injury Patch both eyes
Patch one eye
Eye taped to block light and further injury
No treatment, observation only
Other
Other Treatment - Eye Penetrating Injury
Treatment - Eye Foreign Body Rinse eye with saline or clean water
Remove object with Q tip
Unable to remove foreign object
Patch both eyes
Patch one eye
Eye taped to block light and further injury
No treatment, observation only
Other
Other Treatment - Eye Foreign Body
Treatment - Concussion Position sitting or lying down
Check orientation and consciousness
Check blood pressure and heart rate
Treat associated injuries
Evacuate
No treatment, observation only
Other
Other treatment - Concussion
Treatment - Stings and bites Immersion in very warm (hot water) ~ 110 F (45-60 min)
Cleansing with fresh water and soap
Vaseline or other non-antibiotic ointment dressing
Antihistamine (Benadryl)
Aspirin
Non-steroidal analgesic (ibuprofen, Naproxen, acetaminophen etc.)
No treatment, observation only
Other
Other treatment - Stings and bites
Treatment - Splinter Cleansing with fresh water and soap
Cleansing with astringent (e.g. tincture of benzoin, rubbing alcohol, witch hazel, calamine lotion, alum)
Removed the foreign object with needle
Removed object with tweezers
Topical ointment with antibiotic
Vaseline or other non-antibiotic ointment dressing
Nonadherent dressing (e.g. Telfa, xeroform, Spenco 2nd skin)
No treatment, observation only
Other
Other Treatment - Splinter
Treatment - Laceration Pressure to stop bleeding
Clean wound with clean water and soap
Clean with astringent (e.g. tincture of benzoin, rubbing alcohol, witch hazel)
Approximate edges of cut (e.g. with tape, steri strips, duct tape - holes in it, Superglue)
Topical ointment with antibiotic
Vaseline or other non-antibiotic ointment dressing
Nonadherent dressing (e.g. Telfa, xeroform, Spenco 2nd skin)
Dress with gauze (small cut)
Dress with menstrual pads (large cut)
No treatment, observation only
Other
Other Treatment - Laceration
Treatment - Fishhook Impalement Cleanse with fresh water and soap
Cleanse with astringent (e.g. tincture of benzoin, rubbing alcohol, witch hazel, calamine lotion, alum)
Bandage with gauze - to immobilize the hook
Topical ointment with antibiotic
Vaseline or other non-antibiotic ointment dressing
Did not try to remove hook
Did try to remove the hook
No treatment, observation only
Other
Other Treatment - Fishhook Impalement
Treatment - Bruise Rest
Elevation
Iced compress
Narcotic analgesic
Nonsteroidal anti-inflammatory drugs (NSAID)
No treatment, observation only
Other
Other Treatment - Bruise
Treatment - Burn Remove clothing at site
Cool with cool water
Clean with cool fresh water and soap
Aloa vera gel ointment
Vaseline ointment
Non-steroidal analgesics (ibuprofen, Naproxen, etc.)
Nonadherent dressing (e.g. Telfa, xeroform, Spenco 2nd skin)
No treatment, observation only
Other
Other Treatment - Burn
Treatment - Blister Tincture of benzoin
Topical ointment with antibiotic
Vaseline or other non-antibiotic ointment dressing
No treatment, observation only
Other
Other Treatment - Blister
Treatment - Abrasion and Contusion Pressure to stop bleeding
Cleansing with fresh water and soap
Cleansing with astringent (e.g. tincture of benzoin, rubbing alcohol, witch hazel, calamine lotion, alum)
Bandage with gauze
Topical ointment with antibiotic
Vaseline or other non-antibiotic ointment dressing
Nonadherent dressing (e.g. Telfa, xeroform, Spenco 2nd skin)
No treatment, observation only
Other
Other Treatment - Abrasion and Contusion
What was the outcome of your injury? Resolved with my treatment Required doctor office visit Required emergency room visit Required hospitalization Other Unresolved
What was the "other" outcome of your injury?
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