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bu2chlc

multiselect form

Sep 27th, 2019
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  1. <div class="form-group">
  2.         Observed Symptoms BEFORE treatment: (hold CTRL and click to select multiple symptoms)
  3.         <select multiple class="form-control" name="indications[]" id="indications" multiple="multiple">
  4.       <option value="breathing">Breathing irregular, less than 8 breaths per minute, or absent </option>
  5.       <option value="skincolor ">Pale or Blue Skin</option>
  6.       <option value="slowpulse ">Slow Pulse</option>
  7.       <option value="nopain ">No Response to pain</option>
  8.       <option value="pupils ">Pinpoint or non-reactive pupils </option>
  9.       <option value="nopulse ">NO Pulse</option>
  10.       <option value="skinpatch ">Medication skin patch </option>
  11.       <option value="prescription opioids found ">Prescription opioids found at scene </option>
  12.       <option value="illicit opioids found ">Illicit opioids / drug paraphernalia found at scene </option>
  13.       </select>
  14.       </div>
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