After the required first aid service is provided, according to the condition of the casualty and degree of the injury referral should be considered. During the referral of the casualty, a written document (Figure 43, below) is mandatory to enable the health care providers to provide quick and comprehensive management. 

The handoff report should contain:

• Age and sex.
• Chief complaint.
• Airway and breathing status.
• Circulation status.
• Responsiveness.
• Physical findings.
• SAMPLE history.
• Interventions provided.