What should be included in the Online Medical Control (OLMC) report?

• A. The I-SBAR mnemonic: Identify, Situation, Background, Assessment, Rx(reatment)/Response/Request.
• B. Only the patient's vital signs.
• C. A narrative description of scene safety.
• D. A copy of the EMS crew's certification.

Answer: (A)

Structured, concise communication is essential when contacting Online Medical Control. Using a consistent format helps the physician quickly grasp the patient’s status and what you need, so the best report includes the I-SBAR framework: Identify who you are and the patient, Situation what’s happening now, Background relevant history, Assessment what you find on exam and in vitals, and Rx/Recommendation what you’ve done or what you’re asking the physician to order or advise. This approach ensures you cover key information in a logical order, including patient identifiers, chief complaint, presenting signs, vital signs, treatments given and patient response, and any specific requests or instructions.

That’s why this choice is the best: it provides a complete, organized snapshot for OLMC, reducing ambiguity and helping the physician guide care. The other options fall short because they omit critical elements: relying only on vital signs misses context and interventions; a scene-safety narrative is not the core of the medical handoff; and a copy of the crew’s certification doesn’t pertain to the patient’s care or what the physician needs to direct treatment.