CASE REPORT SURVEY

In order for us to continually improve in the care of the patients entrusted to us, we ask that you answer the questions below as best you can.

Sincere thanks
Your Speed Care Mineral GmbH

    Anticoagulant use

    Anatomical region of injury

    Type of bleeding

    Type of injury

    Complementary hemostatic measure

    Could the bleeding be controlled with SpeedM®?

    Wie How many products were used on this patient?

    Was

    Were there any unexpected reactions?

    Have the instructions for use been looked at before use?

    Evaluate the opening of the package:

    Further comments