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Emergencies >> Extravasation

Please document the patient:
Last name (will not be saved)
First name (will not be saved)
Date of birth (will not be saved)
Venous line:
Place of puncture (e. g. ri. lower arm)
Cytostatic drug in extravasation:
Other substances:
Extravasation volume:
Infusion: administered completely was stopped
Aspiration possible: yes no
Contacted surgeon? yes no
Documenting physician:

Important notice: This software is in a beta-stage (test version) and MUST NOT be used for patient care! It is only suitable for academic or research (theoretic) purposes.

PLEASE NOTE: This staging system can contain errors (as every computer software)!
It cannot replace your hematological expertise and should be confirmed by current literature.
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