You have been called for a 2-year-old female with an arm injury. The child presents with deformity and bruising to her left forearm. When asked, the mother states that the child fell from the bed, but the father states that his daughter fell down the stairs. Given the inconsistent stories, you are suspicious of child abuse. Which narrative would be most appropriate when documenting this situation?

Emergency Medical Services (EMS) documentation is important for patient care and legal matters. Documentation can include the patient's demographics, vital signs, assessment, and interventions performed. The documentation serves as a data repository that can be used to create bills, facilitate communication, and guide quality initiatives.