EMS documentation is vital in the continued treatment of patients once they arrive at the ER.  EMS providers give a brief turn over report to the receiving facility but this is only a verbal handoff of information.  By having the written report available there is additional information that can be retrieved from it that was not passed on in the verbal handoff.  Critical information is pulled off of the written report left at the receiving facility by a lot of hospital staff that did not receive the initial report from the EMS provider.  It is imperative that the report be completed and left at the facility at the time of transport.  This will only hinder or complicate the appropriate care that the patient needs to receive at the receiving facility.