Kingdom of Drachenwald

Event Report Form

 

This to be filled in by Chirurgeon-in-Charge (if only one chirurgeon is present, he/she is considered in charge)

Contact Information about the Chirurgeon:   
Chirurgeon's modern name:
Chirurgeon's SCA name:
Chirurgeon's e-mail:
   
 Event Name:
 Event Date:
 SCA Group:
Other Chirurgeon's present:
 Number of participants:
Activities:
Minor incidents:
(like band-aids and painkillers)
just include the number and the circumstances, 
if they seem important to mention.
Medium incidents:
(people who needed more care, 
but were not sent on to seek further medical care)
describe the incident(s) and the treatment/advise you gave..
Major incidents:
(people who had to seek further medical care)
Describe the incident, the treatment/advise you gave, the
findings from doctor or hospital and the name of the patient.
Remarks: (Any special remarks about this event)