1. This is the EMSI Carbon Monoxide Reporting Form. Please read the following:

Please complete this form for each activation of your CO Alarm "Gas Alert Clip 3 Extreme" that was distributed by EMSI. We are collecting data on not only if the CO Alarm was beneficial to the EMS providers safety, but we are also evaluating the condition and care of any patients associated with the activation.

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20% of survey complete.

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