| |
Abdominal Pain / Problems |
|
| |
1 |
| D |
1 |
Not Alert |
|
|
|
| C |
1
2
3
4
5
6 |
SUSPECTED aortic aneurysm
(tearing/ripping pain > 50
Known aortic aneurysm
Fainting or near fainting > 50
Females with faiting or near fainting 12-50
Males with pain above navel > 35
Females with pain above navel > 45 |
| |
|
|
| A |
1 |
Abdominal pain |
|
|
| |
Allergies (Reactions) / Envenomations (Stings, Bites) |
|
| |
2 |
| E |
1 |
Ineffective Breathing |
| |
|
|
| D |
1
2
3
4 |
Not alert
DIFFICULTY SPEAKING BETWEEN BREATHS
Swarming Attack (bee, wasp, hornet)
Snakebite |
|
| |
|
|
| C |
1
2 |
Difficulty breathing or seallowing
History of severe allergic reaction |
| |
|
|
| B |
1 |
Unknown status |
| |
|
|
| A |
1
2
|
No difficulty breathing or swallowing (rash, hives, or itching may be present)
Spider bite
|
|
|
| |
Animal Bites / Attacks |
|
| |
3 |
| D |
1
2
3
4
5
6
7 |
Unconscious or Arrest
Not alert
Chest or Neck injury (with difficulty breathing)
Dangerous body area
Large animal
Exotic animal
Attack or multiple animals |
|
| |
|
|
| B |
1
2
3 |
Possibly Dangerous body area
Serious hemorrhage
Unknown status |
| |
|
|
| A |
1
2
3 |
Not Dangerous body area
Non-recent injuries (> 6hrs)
Superficial bites |
|
|
| |
Assault / Sexual Assault |
|
| |
4 |
| D |
1
2
3
4 |
Unconscious or Arrest
Not alert
Chest or Neck injury (with difficulty breathing)
Multiple victims |
|
| |
|
|
| B |
1
2
3 |
Possibly Dangerous body area
Serious hemorrhage
Unknown status |
| |
|
|
| A |
1
2 |
Not Dangerous body area
Non-recent injuries (> 6hrs) |
|
|
| |
Back Pain (Non-Traumatic or Non-Recent Trauma) |
|
| |
5 |
| D |
1 |
Not alert |
|
| |
|
|
| C |
1
2
3 |
SUSPECTED aortic aneurysm
(tearing/ripping pain > 50)
Known aortic aneurysm
Fainting or near fainting
|
| |
|
|
| A |
1
2 |
Non-traumatic back pain
Non-recent traumatic back pain (> 6hrs) |
|
|
| |
Breathing Problems |
|
| |
6 |
| E |
1 |
Ineffective Breathing |
| |
|
|
| D |
1
2
3
4 |
Not alert
DIFFICULTY SPEAKING BETWEEN BREATHS
CHANGING COLOR
Clammy |
| |
|
|
| C |
1 |
Abnormal breathing |
|
|
| |
Burns (Scalds) / Explosion (Blast) |
|
| |
7 |
| D |
1
2
3
4 |
Multiple victims
Unconscious or Arrest
Not alert
DIFFICULTY SPEAKING BETWEEN BREATHS |
| |
|
|
| C |
1
2
3
4 |
Building fire with persons reported inside
Unconscious or Arrest
Burns > 18% body area
SIGNIFICANT FACIAL burns |
| |
|
|
| B |
1
2 |
Blast injuries (without priority symptoms)
Unknown status |
| |
|
|
| A |
1
2
3 |
Burns < 18% body area
Fire alarm (unknown situation)
Sunburn or Minor burns (< hand size) |
|
|
| |
Carbon Monoxide / Inhalation / Hazmat |
|
| |
8 |
| D |
1
2
3
4
5 |
Unconscious or Arrest
Not alert
DIFFICULTY SPEAKING BETWEEN BREATHS
Multiple victims
Unknown status |
| |
|
|
| C |
1 |
Alert with difficulty breathing
|
| |
|
|
| B |
1 |
Alert without difficulty breathing |
| |
|
|
| Ω |
1 |
Carbon monoxide detector alarm (without priority symptoms)
|
|
|
| |
Cardiac or Respiratory Arrest / Death |
|
| |
9 |
| E |
Suspected Workable Arrest (Not Breathing/Ineffective Breathing): |
| |
1
2
3
4
5
6 |
Not breathing at all
Breathing uncertain (Agonal)
Hanging
Strangulation
Suffocation
Underwater |
| |
|
|
| D |
1 |
Ineffective Breathing
|
| |
|
|
| B |
1 |
Obvious Death (unquestionable) (a through i)
| a |
- |
Cold and stiff in a warm environment |
| b |
- |
Decapitation |
| c |
- |
Decomposition |
| d |
- |
Incineration |
| e |
- |
NON-RECENT death |
| f |
- |
Severe injuries obviously incompatible with life |
| g |
- |
Submersion (> 6hrs) |
| h |
- |
___________________________________ |
| i |
- |
___________________________________ |
|
| |
|
|
| Ω |
1 |
Expected Death (unquestionable)
| x |
- |
Terminal illness |
| y |
- |
DNR (Do Not Resuscitate) Order |
| z |
- |
___________________________________ |
|
|
|
| |
Chest Pain (Non-Traumatic) |
|
| |
10 |
| D |
1
2
3
4
|
Not alert
DIFFICULTY SPEAKING BETWEEN BREATHS
CHANGING COLOR
Clammy |
|
| |
|
|
| C |
1
2
3
4 |
Abnormal breathing
Heart attack or angina history
Cocaine
Breathing normally > 35 |
| |
|
|
| A |
1 |
Breathing normally < 35
|
|
|
| |
Choking |
|
| |
11 |
| E |
1 |
COMPLETE obstruction/INEFFECTIVE BREATHING |
|
| |
|
|
| D |
1
2 |
Abnormal breathing (PARTIAL obstruction)
Not alert |
| |
|
|
| A |
1 |
Not choking now (can talk or cry, is alert and breathing normally)
|
|
|
| |
Convulsions / Seizures |
|
| |
12 |
| D |
1
2
3
4 |
Not breathing
Continuous or Multiple seizures
AGONAL/INEFFECTIVE BREATHING
Effective breathing not verified > 35 |
|
| |
|
|
| C |
1
2
3 |
FOCAL seizure (not alert)
Pregnancy
Diabetic
|
| |
|
|
| B |
1 |
Effective breathing not verified < 35 |
| |
|
|
| A |
1
2
3
|
Not seizing now and breathing effectively (verified)
FOCAL sezure (alert)
Impending seizure (aura) |
|
|
| |
Diabetic Problems |
|
| |
13 |
| D |
1 |
Unconscious |
|
| |
|
|
| C |
1
2
3 |
Not alert
Abnormal behavior
Abnormal breathing
|
| |
|
|
| A |
1 |
Alert and behaving normally
|
|
|
| |
Drowning (Near) / Diving / Scuba Accident |
|
| |
14 |
| D |
1
2
3
4 |
Unconscious or Arrest
Not alert
DIVING or suspected neck injury
SCUBA accident
|
|
| |
|
|
| C |
1 |
Alert with abnormal breathing
|
| |
|
|
| B |
1
2 |
Alert and breathing normally (injuries or in water)
Unknown status |
| |
|
|
| A |
1 |
Alert and breathing normally (no injuries and out of water)
|
|
|
| |
Electrocution / Lightning |
|
| |
15 |
| E |
1 |
NOT BREATHING/INEFFECTIVE BREATHING |
|
| |
|
|
| D |
1
2
3
4
5
6
7
8 |
Unconscious
Not disconnected from power
Power not off or hazard present
EXREME FALL (> 30ft/10m)
LONG FALL
Not alert
Abnormal breathing
Unknown status
|
| |
|
|
| C |
1 |
Alert and breathing normally |
|
|
| |
Eye Problems / Injuries |
|
| |
16 |
| D |
1 |
Not alert |
|
| |
|
|
| B |
1 |
Severe eye injuries |
| |
|
|
| A |
1
2
3 |
MODERATE eye injuries
MINOR eye injuries
MEDICAL eye problems |
|
|
| |
Falls |
|
| |
17 |
| D |
1
2
3
4
5 |
EXREME FALL (> 30ft/10m)
Unconscious or Not alert
Not alert
Chest or Neck injury (with difficulty breathing)
LONG FALL |
| |
|
|
| B |
1
2
3 |
POSSIBLY DANGEROUS body area
Serious hemorrhage
Unknown status
|
| |
|
|
| A |
1
2
3 |
NOT DANGEROUS body area
NON-RECENT(> 6hrs) injuries
(without priority symptoms)
Public Assist (no injuries and no priority symptoms) |
|
|
| |
Headache |
|
| |
18 |
| C |
1
2
3
4
5
6
7 |
Not alert
Abnormal breathing
Speech problems
Sudden onset of severe pain
Numbness
Paralysis
Change in behavior (> 3hrs) |
|
| |
|
|
| B |
1 |
Unknown status (3rd party caller)
|
| |
|
|
| A |
1 |
Breathing normally
|
|
|
| |
Heart Problems / A.I.C.D. |
|
| |
19 |
| D |
1
2
3 |
Severe Respiratory Distress
Not alert
Clammy
|
| |
|
|
| C |
1
2
3
4
5
6 |
Firing of A.I.C.D.
Abnormal breathing
Chest pain > 35
Cardiac history
Cocaine
Heart rate < 50 bpm or > 130 bpm (without priority symptoms)
|
| |
|
|
| B |
1 |
Unknown status (3rd party caller) |
| |
|
|
| A |
1
2 |
Heart rate > 50 bpm and < 130 bpm (without priority symptoms)
Chest pain < 35 (without priority symptoms)
|
|
|
| |
Heat / Cold Exposure |
|
| |
20 |
| D |
1
2 |
Not alert
Multiple victims (with priority symptoms)
|
| |
|
|
| C |
1 |
Cardiac history
|
| |
|
|
| B |
1
2 |
Change in skin color
Unknown status (3rd party caller) |
| |
|
|
| A |
1 |
Alert
|
|
|
| |
Hemorrhage / Lacerations |
|
| |
21 |
| D |
1
2
3 |
Dangerous hemorrhage
Not alert
Abnormal breathing
|
| |
|
|
| C |
1 |
Hemorrhage through tubes
|
| |
|
|
| B |
1
2
3 |
Possibly Dangerous hemorrhage
Serious hemorrhage
Bleeding disorder or blood thinners |
| |
|
|
| A |
1
2 |
Not Dangerous hemorrhage
Minor hemorrhage
|
|
|
| |
Inaccessible Incident / Other Entrapments (Non-Vehicle) |
|
| |
22 |
| D |
1
2
3
4
5
6 |
Mechanical/Machinery ENTRAPMENT
Trench Collapse
Structure collapse
Confined space ENTRAPMENT
Inaccessible terrain situation
Mudslide/Avalanche |
|
| |
|
|
| B |
1
2
3 |
No longer trapped (unknown injuries)
PERIPHERAL ENTRAPMENT only
Unknown status (investigation) |
| |
|
|
| A |
1 |
No longer trapped (no injuries)
|
|
|
| |
Overdose / Poisoning (Ingestion) |
|
| |
23 |
| D |
1
2 |
Unconscious
CHANGING COLOR
|
| |
|
|
| C |
1
2
3
4
5
6
7
8 |
Not alert
Abnormal breathing
Antidepressants (tricyclic)
Cocaine, methamphetamine (or derivative)
Narcotics (heroin)
Acid or alkali (lye)
Unknown status
Poison Control request for response
|
| |
|
|
| B |
1 |
Overdose (without priority symptoms) |
| |
|
|
| Ω |
1 |
Poisoning (without priority symptoms)
|
|
|
| |
Pregnancy / Childbirth / Miscarriage |
|
| |
24 |
| D |
1
2
3
4
5
6
7 |
Breech or Cord
Head visible/out
Imminent delivery (> 5 months/20 weeks)
3rd Trimester hemorrhage
High Risk complications
Baby born (complication with baby)
Baby born (complications with mother) |
| |
|
|
| C |
1
2
3 |
2nd Trimester hemorrhage or Miscarriage
1st Trimester Serious hemorrhage
Baby born (no complications) |
| |
|
|
| B |
1
2 |
Labor (delivery not imminent, > 5 months/20 weeks)
Unknown status
|
| |
|
|
| A |
1 |
1st Trimester hemorrhage or Miscarriage |
| |
|
|
| Ω |
1 |
Waters broken (no contractions or presenting parts)
|
|
|
| |
Psychiatric / Abnormal Behavior / Suicide Attempt |
|
| |
25 |
| D |
1
2 |
Not alert
Dangerous hemorrhage |
|
| |
|
|
| B |
1
2
3
4
5
6 |
Serious hemorrhage
Non-Serious or Minor hemorrhage
Threatening Suicide
Jumper (threatening)
Near hanging, strangulation, or suffocation (alert)
Unknown status
|
| |
|
|
| A |
1
2 |
Non-suicidal and alert
Suicidal (not threatening) and alert
|
|
|
| |
Sick Person (Specific Diagnosis) |
|
| |
26 |
| D |
1 |
Not alert
|
| |
|
|
| C |
1
2
3
|
ALTERED LEVEL OF CONSCIOUSNESS
Abnormal breathing
Sickle cell crisis/Thalassemia
|
| |
|
|
| B |
1 |
Unknown status |
| |
|
|
| A |
1
2
3
4
5
6
7
8
9
10
11
|
No priority symptoms
(complaint conditions 2-28 not identified)
2-11 - Non-Priority Complaints:
Blood pressure abnormality (asymptomatic)
Dizzines/vertigo
Fever/chills
General weakness
Nausea
New onset of immobility
Other pain
Transportation only
Unwell/ill
Vomiting
|
| |
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28 |
This code is not in use
2-28 NON-PRIORITY Complaints
Boils
Bumps (non-traumatic)
Can't sleep
Can't urinate (without abdominal pain)
Catheter (in/out without hemorrhaging)
Constipation
Cramps/spasms/joint pain (in extremities and non-traumatic)
Cut-off ring request
Deafness
Defecation/diarrhea
Earache
Enema
Gout
Hemorrhoids/piles
Hepatitis
Hiccups
Itching
Nervous
Object stuck (nose, ear, vagina, rectum, penis)
Object swallowed (without choking or difficulty breathing, can talk)
Painful urination
Penis problems/pain
Rash/skin disorder (without difficulty breathing or swallowing)
Sexually transmitted disease (STD)
Sore throat (without difficulty breathing or swallowing)
Toothache (without jaw pain)
Wound infected (focal or surface) |
|
|
| |
Stab / Gunshot / Penetrating Trauma |
|
| |
27 |
| D |
1
2
3
4
5 |
Unconscious or Arrest
Not alert
Central wounds
Multiple wounds
Multiple victims |
|
| |
|
|
| B |
1
2
3
4
5 |
Non-Recent (≥ 6hrs) single Central wound
Known single Peripheral wound
Serious hemorrhage
Unknown status (3rd party caller)
Obvious Death (explosive GSW to head) |
| |
|
|
| A |
1 |
Non-Recent (≥ 6hrs) Peripheral wounds
|
|
|
| |
Stoke (CVA) |
|
| |
28 |
| C |
1
2
3
4
5
6
7
8 |
Not alert
Abnormal breathing
Speech or movement problems
Numbness or tingling
Vision problems
Sudden onset of severe headache
Stroke history
Breathing normally ≥ 35 |
|
| |
|
|
| B |
1 |
Unknown status (3rd party caller) |
| |
|
|
| A |
1 |
Breathing normally < 35
|
|
|
| |
Traffic / Transportation Accidents |
|
| |
29 |
| D |
1
2
3
4
5 |
Major Incident
High Mechanism
Hazmat
Pinned (trapped) victim
Not alert
|
| |
|
|
| B |
1
2
3
4
5
6 |
Injuries
Multiple victims (one unit)
Multiple victims (additional units)
Serious hemorrhage
Other hazards
Unknown status (3rd party caller)
|
| |
|
|
| A |
1 |
1st party caller with injury to Not Dangerous body area |
| |
|
|
| Ω |
1 |
No injuries (confirmed)
|
|
|
| |
Traumatic Injuries (Specific) |
|
| |
30 |
| D |
1
2
3 |
Dangerous body area
Unconscious or Not alert
Abnormal breathing |
|
| |
|
|
| B |
1
2 |
Possibly Dangerous body area
Serious hemorrhage |
| |
|
|
| A |
1
2 |
Not Dangerous body area
Non-Recent injuries (≥ 6hrs) |
|
|
| |
Unconscious / Fainting (Near) |
|
| |
31 |
| E |
1 |
Ineffective Breathing
|
| |
|
|
| D |
1
2
3 |
Unconscious (at end of interrogation)
Severe Respiratory Distress
Not alert |
| |
|
|
| C |
1
2
3
4
5 |
Alert with abnormal breathing
Cardiac history
Multiple fainting episodes
Single or near fainting episode and alert ≥ 35
Females 12-50 with abdominal pain |
| |
|
|
| A |
1 |
Single or near fainting episode and alert < 35
|
|
|
| |
Unknown Problem (Man Down) |
|
| |
32 |
| D |
1 |
Life Status Questionable |
|
| |
|
|
| B |
1
2
3 |
Standing, sitting, moving, or talking
Medical Alert notifications
Unknown status (3rd person caller) |
|
|
| |
Transfer / Interfacility / Palliative Care |
|
| |
33 |
| D |
1 |
Suspected cardiac or respiratory arrest |
|
| |
|
|
| C |
1
2
3
4
5
6 |
Not alert (acute change)
Abnormal breathing (acute onset)
Significant hemorrhage or shock
Possible acute heart problems or MI (heart attack)
Acute severe pain
Emergency response requested |
| |
|
|
| A |
1
2
3 |
Acuity I (no priority symptoms)
Acuity II (no priority symptoms)
Acuity III (no priority symptoms) |
|
|
