Utah EMS Pandemic Influenza Guidelines Approved 10/7/2009 Introduction: This Plan is based on the following guidelines: a. Utah Department of Health. Governor’s Taskforce on Pandemic Influenza Preparedness: Final Report to Governor. Salt Lake City, Utah, April 2007. b. Utah Pandemic Influenza Hospital and ICU Triage Guidelines. UDOH, 2009. i. Pandemic Triage Levels 1-3 based on surge volume, bed capacity and staff absenteeism. c. EMS Pandemic Influenza Guidelines for Statewide Adoption. US DOT/ NHTSA, 2007. d. Preparing for Pandemic Influenza: Recommendations for Protocol Development for 9-1-1 Personnel and Public Safety Answering Points (PSAPs). US DOT/ NHTSA, 2007. e. Interim Guidance for Influenza. CDC, 2009 as updated. f. Pandemic Flu and Protocol 36: Special Procedures Briefing. MPDS, 2009 (Appendix D). Incident Management: a. NIMS Command: DHHS/CDC b. Statewide Area Command: UDOH c. Countywide Area Command: Local Health Departments (LHD) i. Local JIC/JIS d. Local EMS Command: Agency(s) having jurisdiction/licensure: ii. 911 Response 1. Influenza-like-illness (ILI) 2. All other call types iii. Interfacility Transport 1. Pre-pandemic Surveillance Period (each subsequent period to include preceding measures unless otherwise specified): a. Dispatch: i. Screen for Severe Respiratory Illness. 1. Drop-down in MPDS, determined by other Dispatch systems as needed. (Appendix A) 2. Alerts EMS Crews to don PPE. 3. Can be sent as an alert to LHD via FirstWatch or manually from dispatchers. 4. Initially used for: chest pain, respiratory distress, headache, and selected “sick person” calls. ii. Participate in daily/weekly briefings from LHD, UDOH, CDC (Appendix C) b. EMS Responders: i. Medical Directors should monitor national, state and local websites and participate in conference calls and meeting with public health authorities throughout the pandemic/epidemic period. Pertinent information should be relayed to EMS providers, administration and dispatchers periodically. (Appendix C) ii. Track ILI encounters using CDC case definition. Reported to UDOH and/or Local Health Department (LHD). 1. SLCFD ILI Sample Reporting Format (Appendix B). iii. Vaccine for Health Care Workers (HCWs) if available. 1. Follow CDC Interim Guidance. 2. Coordinate with LHD First Responder Plan. iv. Use appropriate PPE in all patient encounters. 1. N-95 mask, gloves, eye protection. a. Fit-test respirators as practical. b. Surgical mask for EMS if N-95 not obtainable. 2. Place surgical mask on coughing or sneezing patient as tolerated. 3. Disposable gown if patient actively coughing or sneezing. c. Public Health: i. RODS. Used by some LHDs. Includes selected doctor’s office, clinic and ED visits and OTC cold/flu remedy sales. 1. LHD decides response. ii. Mandatory reporting. 1. Influenza reporting not currently required except hospitalizations and deaths. a. May change during pandemic/epidemic period. 2. May elect to receive reports from Dispatch and EMS surveillance if available. iii. Activate First Responder Vaccination/ Prophylaxis Plans as indicated. 1. Vaccine 2. Local antiviral caches if available. 3. SNS if needed. 2. Pandemic Period, Early. (Staffing and Hospital Capacity Adequate, call volume for ILI increasing, Hospital Triage Level 1) a. Dispatch: i. Continued surveillance of selected call types as above. ii. Consider Use of specific Influenza Triage (MPDS Card 36, Appendix F). 1. Screen callers with complaints suggestive of ILI. a. Protocols 6, 10, 18, or 26 (as in Appendix D). 2. May not be necessary at this point if staffing adequate and EDs at or below capacity. a. Decision by Medical Director and EMS Administration. 3. Agencies not using MPDS are offered free use of this card by MPDS (http://www.medicalpriority.com/), or may adopt Initial Triage for Pandemic Influenza, Appendix A of Utah Pandemic Influenza Hospital and ICU Triage Guidelines. b. EMS: i. Mandate use of PPE as above for patients meeting CDC case definition. ii. Begin prophylaxis of unprotected exposures if indicated. 1. Depends on availability and effectiveness of vaccine. 2. Follow CDC Interim Guidance. 3. Coordinate with LHD First Responder Plan. iii. Track and report ILI encounters as above. c. Public Health i. Continued surveillance as above. ii. Assure that automatic waivers/variances for force multiplication and altered standards of care are in place. 1. BEMS Director declares staffing waiver in effect for Public Health Event. 2. Agencies notify BEMS when and what variances are in effect for those agencies. a. Call BEMS Hotline at 1-866-364-8824. 3. Force multiplication variances may include but are not limited to: a. ALS = 1 PM or EMT-I + 1 EMT-B b. ALS = 1 PM or EMT-I + 1 non-certified personnel. c. ALS and/or BLS assessment units: i. these respond to scene, begin measures while awaiting response vehicle or ambulance, or triage the patient to POV transport or no transport. ii. Staff with at least one EMT-B or higher. BLS equipment and AED recommended as minimum. May transport ambulatory patients to alternate destinations. d. BLS transport of selected ALS patients. iii. Activate First Responder Vaccination/ Prophylaxis Plans as indicated. 1. Vaccine 2. Local antiviral caches if available. 3. SNS if needed. 3. Pandemic Period, Moderate. (EMS and Hospital Staffing reduced by 20-30%, Hospital Triage Level II) a. Dispatch: i. Screen all callers for ILI ii. Activate Influenza Triage (MPDS Card 36) for patients with ILI. 1. Determined prior to implementation by Medical Direction and EMS Administration. 2. Selected low-risk patients may receive no or delayed nonemergent response. (Appendices D and E) iii. Activate Altered Response Modes for other patients (Appendix E). 1. No EMS response to selected calls. 211 or see your MD. 2. Modified response to BLS calls. Van or other vehicle with delayed response. b. EMS; i. Influenza Patients: 1. Low risk flu patients not requiring treatment to 211 or equivalent, no EMS response. 2. High Risk flu patients likely to respond to treatment (See Utah Hospital Influenza Triage Scheme): to designated facility. 3. High Risk flu patients unlikely to respond to treatment: follow influenza-specific standing orders or contact medical control. a. Transport may be to Influenza Alternate Care Facility (if available) or none. b. Comfort care and non-transport an alternative. ii. Other Patients: Altered Standards of Care: 1. Low risk patients who do not require emergent or urgent care (as defined by Medical Director): a. Release at scene. i. Advise to “Call 211 or see your MD”. ii. Contact Medical Control if in doubt. 2. Patients with mild illness or injury requiring non-emergent care: a. POV, non-ambulance or ambulance transport to Urgent Care Center, Clinic, Doctors office or other Alternate Care site as approved by Medical Director. b. Transport may be delayed as appropriate to the situation. 3. Patient with moderate to severe illness or injury requiring emergent care: a. Ambulance transport as per existing EMS Protocol. b. Exceptions (Always in consultation with Medical Control): i. EMS/DNR order, POLST order or other Do Not Resuscitate order ii. Other terminal illness including incurable metastatic cancer iii. Severe, irreversible, chronic persistent coma or vegetative state iv. Known severe dementia medically treated and requiring assistance with activities of daily living. v. Advanced untreatable neuromuscular disease (such as ALS, end-stage MS, or SMA, MD) requiring assistance with activities of daily living or requiring chronic ventilatory support. vi. Known chromosomal or other untreatable congenital disorders that are uniformly fatal in the first 2 years of life. c. Excepted patients may be offered comfort care as appropriate. c. Public Health: i. Assure that automatic variances for force multiplication and altered standards of care are in place. (As above.) ii. Consider long-term prophylaxis of EMS personnel during the Pandemic/Epidemic period (as per DHHS/CDC guidance). 4. Pandemic Period, Severe. (EMS and Hospital Staffing reduced by 30-40%, Hospital Triage Level III) a. Dispatch: i. Screen all callers for ILI as able dependent on staffing. ii. Continue use of Influenza Triage (MPDS Card 36) for patients with ILI. 1. Selected low-risk patients may receive no or delayed nonemergent response. (Appendix B) iii. Continue use of Altered Response Modes for other patients. 1. No EMS response to selected calls. 211 or see your MD. iv. Modified response to BLS calls. Van or other vehicle with delayed response. b. EMS: i. Continue measures as in 5.b. above. ii. Force Protection. 1. Consider long-term prophylaxis. a. Follow CDC Interim Guidance. b. Coordinate with LHD First Responder Plan 2. Consider higher level of PPE with HEPA filter and full face protection (PAPR, APR), mandatory use of gowns. 3. Consider special teams for ILI calls. a. Vaccinated against seasonal and pandemic influenza as available. b. PPE as above. c. Use limited number of ambulances for ILI teams. iii. Force Multiplication. a. Variances as determined by UDOH BEMS on a statewide basis or as agency-by-agency requests. (As above.) 2. Use ambulance only for selected calls. 3. Consider use of “Work Quarantine”. a. Exposed but not ill, no vaccine or prophylaxis available. b. Social distancing measures at work. c. Hygiene and PPE at work and during patient encounters. d. Consider alternate living quarters while off work during quarantine period. 4. Consider callback of retired personnel. 5. Mobilize day workers to field. c. Public Health: i. Assure that automatic variances for force multiplication and altered standards of care are in place. (As above.) ii. Consider long-term prophylaxis of EMS personnel during the Pandemic/Epidemic period (as per DHHS/CDC guidance). Acknowledgments: EMS Pandemic Influenza Guidelines Planning Committee Peter Taillac, MD (Chair) Steven Joyce, MD (Principal author) Mark Bair, MD Ben Buchanon, MD Chuck Cruz Guy Dansie Marc McElreath Andy Ostler Eric Sandstrom Michael Stever Hannah Stream Megan Timothy Beth Todd Mike Veenendaal Appendix A: Severe Respiratory Infection Surveillance Questions. MPDS Appendix B: Sample Influenza Encounter Reporting Form Salt Lake City Fire Department H1N1 Data Please fill out this form for any possible exposure to H1N1 (Swine Flu) Incident number What caused the crew to believe possible H1N1 exposure, (check all that apply) Information from Dispatch Fever degrees Cough Sore throat Head congestion Patient contact with someone with H1N1 Informed by hospital BSI Used, (check all that apply) Gloves Mask Glasses Gown Comments / Additional information Appendix C: Sources of Periodic Briefings, Websites, Alerts. CDC: www.cdc.gov http://www.cdc.gov/H1N1flu/guidance_homecare.htm includes sign-up for e-mail updates coca@cdc.gov sign up for CDC Conference Calls and Alerts and Updates for Clinicians http://www.cdc.gov/emailupdates/index.html sign up for general updates from CDC including Weekly Flu Report UDOH: www.pandemicflu.utah.gov for general pandemic planning www.health.utah.gov/h1n1flu for H1N1 specific planning and weekly updates To sign up for automatic updates, lyris@list.utah.gov ; put “subscribe to h1-pandemic” in subject line. Appendix D: Sample Alternate Responses for ILI Calls Using MPDS Card 36. Salt Lake City Fire Department Alternative Responses To Pandemic Flu Outbreak Determinant MPDS Description Level 1 Response Level 2 Response Level 3 Response Addiitonal Comments DELTA 36‐D‐1 36‐D‐2 36‐D‐3 36‐D‐4 Ineffective Breathing W flu symptoms Not alert with flu symptoms Diff Speaking Between Breaths w Flu Symptoms Changing Color W Flu Symptoms ALS Without BLS Response W TX ALS Without BLS Response W TX ALS Without BLS Response W TX ALS Without BLS Response W TX ALS Where available W TX ALS Where available W TX ALS Where available W TX ALS Where available W TX Assessment Unit ‐ No TX BLS Assessment without TX Assessment Unit ‐ No TX Assessment Unit ‐ No TX L‐3 could be ALS or BLS based on availability Chest Pain > 35 W single flu symptom Abnormal Breathing W single flu symptom/asthma ALS Without BLS Response W TX ALS Without BLS Response W TX ALS Assess without TX ALS Assess without TX Assessment Unit ‐ No TX Assessment Unit ‐ No TX These could be one or two person units at L‐3 Chest Pain > 35 W multiple flu symptoms Chest Pain < 35 W single flu symptom Abnormal Breathing W Multiple flu symptoms BLS assessment W TX BLS assessment W TX BLS assessment W TX BLS Assessment without TX BLS Assessment without TX BLS Assessment without TX 2‐1‐1 Referal 2‐1‐1 Referal 2‐1‐1 Referal Flu Symptoms only (cough, fever, chills or sweats… Chest Pain < 35 W multiple flu symptoms 2‐1‐1 Referal 2‐1‐1 Referal ED Over ride allowed ‐ TX Unit Only 2‐1‐1 Referal 2‐1‐1 Referal No Over Ride Allowed 2‐1‐1 Referal 2‐1‐1 Referal No Over Ride Allowed CHARLIE 36‐C‐1 36‐C‐2 ALPHA 36‐A‐1 36‐A‐2 36‐A‐3 Omega 36‐O‐1 36‐O‐2 These calls may be answered at an alternative point at L‐3 Appendix E: Sample Alternate Responses for Non-ILI Calls Using MPDS. Abbreviation 01A01 01C01 01C02 01C03 01C04 01C05 01C06 01D01 02A01 02A01I 02A01M 02A02 02A02I 02A02M 02B01 02B01I 02B02M 02C01 02C01I 02C01M 02C02 02C02I 02C02M 02D01 02D01I 02D01M 02D02 02D02I 02D02M 02D03 02D03I 02D03M 02D04 02D04I 02D04M 02D05 20 02E01I 02E01M 03A01 03A02 03A03 03B01 03B02 03B03 03D01 03D02 03D03 03D04 03D05 03D06 03D07 04A01A 04A01S 04A02A 04A02S 04B01A 04B01S Incident Type Description Abdominal Pain Ab Pain/Suspected Aortic Aneurysm>50 Ab Pain/Known Aortic Aneurysm Ab Pain/Faint or Near Faint >50 Female w/Faint or Near Faint 12‐50 Males w/Pain Above the Navel >35 Females w/Pain Above the Navel >45 Ab Pain/Not Alert Allergic Reaction/Rash, Hives Allergic Reaction / Injection Admin Allergic Reaction / Meds Admin Spider or Insect Bite Spider Bite / Injection Admin Spider Bite / Meds Admin Allergic Reaction/Unk Status Unk Status / Injection Admin Unk Status / Med Admin Allergic Reaction/Special Meds Diff Breath / Swallow / Injection Admin Diff Breathing / Swallow / Med Admin Hx of Allergic Reaction Hx of Severe Allergic React / Inj Admin Hx of Severe React / Med Admin Not Alert Not Alert / Injection Admin Not Alert / Med Admin Diff Speaking Diff Speaking / Injection Admin Diff Speaking / Med Admin Swarming Attack Swarm Attack / Injection Admin Swarm Attack / Med Admin Snakebite Snakebite / Injection Admin Snakebite / Med Admin Snakebite/Envenomations Allergic Reaction/Ineffective Breathing Ineffective Breath / Injection Admin Ineffective Breath / Med Admin Animal Bites/Not Dangerous Animal Bites/Non‐Recent Animal Bite/Superficial Animal Bites/Ps Dangerous Animal Bites/Serious Bleeding Animal Bite/Unk Status Animal Bites/Uncon‐Arrest Animal Bites/Not Alert Animal Bite / Chest or Neck Injury Animal Bites/Dangerous Body Area Animal Bites/Large Animal Animal Attacks/Exotic Animal Attack or Multiple Animals Assault/Not Dangerous Injs Assault/Not Dangerous /Sexual Assault/Non‐Recent Injs Assault/Non‐Recent Injs/Sexual Assault w/Ps Dangerous Injs Assault w/Ps Danger Injs/Sexual Current 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1A 1A 1A 1A 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1A 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1A 1A 1A 1BLS / 1A 1BLS / 1A Alterred 2‐1‐1: No EMS, see your MD/ED No EMS, 211 or see your MD/ED No EMS, 211 or see your MD/ED No EMS, 211 or see your MD/ED No EMS, 211 or see your MD/ED No EMS, 211 or see your MD/ED No EMS, 211 or see your MD/ED No EMS, 211 or see your MD/ED No EMS, 211 or see your MD/ED No EMS, 211 or see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED, Dispatch to notify PD No EMS, see your MD/ED, Dispatch to notify PD No EMS, see your MD/ED, Dispatch to notify PD No EMS, see your MD/ED, Dispatch to notify PD No EMS, see your MD/ED, Dispatch to notify PD No EMS, see your MD/ED, Dispatch to notify PD 04B02A 04B02S 04B03A 04B03S 04D01A 04D01S 04D02A 04D02S 04D03A 04D03S 04D04A 04D04S 04D05A 04D05S 05A01 05A02 05C01 05C02 05C03 05D01 06C01 06C01A 06C02 06C02A 06D01 06D01A 06D02 06D02A 06D03 06D03A 06D04 06D04A 60 06E01A 07A01 07A01E 07A01F 07A02 07A02E 07A02F 07A03 07A03E 07A03F 07B01 07B01E 07B01F 07B02 07B02E 07B02F 07C01 07C01E 07C01F 07C02 07C02E 07C02F 07C03 07C03E 07C03F 07C04 Assault w/Serious Bleeding Assault w/Serious Bleeding/Sexual Assault/Unk Status Assault/Unk Status/Sexual Assault/Uncon‐Arrest Assault/Uncon‐Arrest/Sexual Assault/Not Alert Assault/Not Alert/Sexual Assault Assault/Chest or Neck Injury / Sexual Assault w/Multiple Vics Assault w/Multiple Vics/Sexual Assault w/Multiple Victims Assault w/Multiple Victims/Sexual Back Pain/Non‐Traumatic Back Pain/Non‐Recent Suspected Aortic Aneurysm Known Aortic Aneurysm Fainting / Near Fainting >50 Back Pain/Not Alert Breathing Problems/Abnorm Resps Breathing Problems/Abnorm Resps/As Breathing Problems/Cardiac Hx Breathing Problems/Cardiac Hx/Asthma Not Alert Not Alert / Asthma Diff Speaking Between Breaths Diff Speak Between Breath/Asthma Changing Color Changing Color / Asthma Clammy Clammy / Asthma Breathing Problems/Ineffective Breath Problems/Ineffective/Asthma Burns/Less than 18% Body area Burns/explosion less than 18% Burns/less than 18% fire Fire Alarm, Unk Situation Fire Alarm w/ Explosion Fire Alarm w/Fire Present Sunburn/minor burns, hand size Sunburn/minor burns, explosion Sunburn/minor burns, fire pres Blast Injuries Blast Injuries / Explosion Blast Injury‐Fire present Unk Status Unk Status / Explosion Unk Status / Fire Present Structure Fire/persons inside Structure Fire, persons inside Structure Fire, person inside Burns w/Resp Distress Burns w/Resp, explosion Burns w/Resp, fire present Burns/More than 18% Body Area Burns/More than 18%, explosion Burns/More than 18% Body Area, Significant Facial Burns 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A No EMS, see your MD/ED, Dispatch to notify PD No EMS, see your MD/ED, Dispatch to notify PD No EMS, see your MD/ED No EMS, see your MD/ED Card 36 if activated. Card 36 if activated. Card 36 if activated. Card 36 if activated. Card 36 if activated. Card 36 if activated. Card 36 if activated. Card 36 if activated. Card 36 if activated. Card 36 if activated. Card 36 if activated. Card 36 if activated. Card 36 if activated. Card 36 if activated. No EMS, see your MD/ED No EMS, see your MD/ED 07C04E 07C04F 07D01 07D01E 07D01F 07D02 07D02E 07D02F 07D03 07D03E 07D03F 07D04 07D04E 07D04F 08A01 08B01 08B01B 08B01C 08B01G 08B01M 08B01N 08B01R 08B01S 08B01U 08C01 08C01B 08C01C 08C01G 08C01M 08C01N 08C01R 08C01S 08C01U 08D01 08D01B 08D01C 08D01G 08D01M 08D01N 08D01R 08D01S 08D01U 08D02 08D02B 08D02C 08D02G 08D02M 08D02N 08D02R 08D02S 08D02U 08D03 08D03B 08D03C 08D03G 08D03M 08D03N 08D03R 08D03S Significant Facial Burns/Explosion Significant Facial Burns / Fire Present Burns/Multiple Victims Burns/Multiple Victims, Explosion Burns/Multiple Victims, fire pr Burns/Uncon or Arrest Burns/Uncon or Arrest, explos Burns/Uncon or Arrest/fire pre Burns/Not Alert Burns/Not Alert/Explosion Burns/Not Alert/ Fire pre Burns/Diff Speaking Between B Burns/Diff Speak Betw Breath / Exp Burns/Diff Speak Betw Breath/Fire presen Carbon Monoxide Detector Alarm Alert w/o Resp Distress Alert w/o Diff Breathing (Biological) Alert w/o Diff Breath (Chemical) Alert w/o Diff Breath (Smell of gas/fum) Alert w/o Diff Breath (CO) Alert w/o Diff Breathing (Nuclear) Alert w/o Diff Breathing (Radiological) Alert w/o Diff Breath (Suicide Att/CO) Alert w/o Diff Breath (Unk) Alert w/Resp Distress Alert w/Diff Breath (Biological) Alert w/Diff Breath (Chemical) Alert w/Diff Breath (Smell of gas/fumes) Alert w/Diff Breath (CO) Alert w/Diff Breath (Nuclear) Alert w/Diff Breath (Radiological) Alert w/Diff Breath (Suicide Attempt CO) Alert w/Diff Breath (Unk) Unconscious or Arrest Unc or Arrest (Biological) Unc or Arrest (Chemical) Unc or Arrest (Smell of Gas/Fumes) Unc or Arrest (CO) Unc or Arrest (Nuclear) Unc or Arrest (Radiological) Unc or Arrest (Suicide Attempt) Unc or Arrest (Unk) Severe Respiratory Distress Not Alert (Biological) Not Alert (Chemical) Not Alert (Smell of Gas/Fumes) Not Alert (CO) Not Alert (Nuclear) Not Alert (Radiological) Not Alert (Suicide Attempt) Not Alert (Unk) Diff Speak Betwe Breaths Diff Speaking (Biological) Diff Speaking (Chemical) Diff Speaking (Smell of Gas/Fumes) Diff Speaking (CO) Diff Speaking (Nuclear) Diff Speaking (Radiological) Diff Speaking (Suicide Attempt) 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1E 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A Engine with CO Detector No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED 08D03U 08D04 08D04B 08D04C 08D04G 08D04M 08D04N 08D04R 08D04S 08D04U 08D05 08D05B 08D05C 08D05G 08D05M 08D05N 08D05R 08D05S 08D05U 08D06 09B01a 09B01b 09B01c 09B01D 09B01e 09B01f 09B01g 09B01z 09D01 09D02 90 900 9000 90000 900000 9000000 09O01 09O01x 09O01y 10A01 10C01 10C02 10C03 10C04 10D01 10D02 10D03 10D04 11A01 11D01 11D02 110 12A01 Diff Speaking (Unk) Multiple Vics Multiple Victims (Biological) Multiple Victims (Chemical) Multiple Victims (Smell of Gas/Fumes) Multiple Victims (CO) Multiple Victims (Nuclear) Multiple Victims (Radiological) Multiple Victims (Suicide Attempt) Multiple Victims (Unk) Unk Status Unk Status (Biological) Unk Status (Chemcial) Unk Status (Smell of Gas/Fumes) Unk Status (CO) Unk Status (Nuclear) Unk Status (Radiological) Unk Status (Suicide Attempt) Unk Status CO/Inhal/HazMat‐Unk Status Obvious Death/Cold & stiff Obvious Death/Decapitation Obvious Death/Decomposition Obvious Death/Incineration Obvious Death/Non‐recent Obvious Death/Severe injs Obvious Death/Submersion over 6 hrs Obvious Death/Severe Injs Respiratory Arrest/Ineffective Breathing Obvious or Expected Questionable Person Not Breathing at All Breathing Uncertain (agonal) Hanging Strangulation Suffocation Underwater INACTIVE Expected Death/Terminal Expected Death/DNR Chest Pain/Normal Breathing/Under 35 Chest Pain/Abnormal Breathing Chest Pain/Heart Attack or Angina Hx Chest Pain/Cocaine Chest Pain/Normal Breathing/Over 35 Chest Pain/Not Alert Chest Pain/Diff Speak Betw Breath Chest Pain/Changing Color Chest Pains / Clammy Choking/Not Choking Now Choking/Abnormal Breath Choking/Not Alert Complete Obstruction/Ineffective Breathi Not Seizing Now/Breathing Regu 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 12A01E Not Seizing Now/Breathing Hx 1A 12A02 Focal Seizure 1A 12A02E Focal Seizure Hx of Epilepsy 1A 12A03 Impending Seizure 1A 1BLS / 1A 1BLS / 1A 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A Ask SRI Questions, Engine only Ask SRI Questions, Engine only Ask SRI Questions, Engine only Ask SRI Questions, Engine only Ask SRI Questions, Engine only Ask SRI Questions, Engine only Ask SRI Questions, Engine only Ask SRI Questions, Engine only Ask SRI Questions, Engine only Ask SRI Questions, Engine only Card 36 if activated: No EMS, see your MD/ED Card 36 If Activated Card 36 If Activated Card 36 If Activated Card 36 If Activated Card 36 If Activated Card 36 If Activated Card 36 If Activated Card 36 If Activated No EMS, see your MD/ED New Onset: Ambulance Only Known Seizure Disorder: No EMS, see your MD/ED New Onset: Ambulance Only Known Seizure Disorder: No EMS, see your MD/ED New Onset: Ambulance Only 12A03E Impending Seizure / Hx of Epilepsy 1A 12B01 Effective Breath Not Verif<35 1BLS / 1A 12B01E Effective Breath Not Verif<35 / Hx 1BLS / 1A 12C01 Focal Seizure 1BLS / 1ALS / 1A 12C01E Focal Seizure Hx 1BLS / 1ALS / 1A 12C02 Seizure / Pregnancy 1BLS / 1ALS / 1A 12C02E Seizure / Pregnancy Hx 1BLS / 1ALS / 1A 12C03 Seizure / Diabetic 1BLS / 1ALS / 1A 12C03E Seizure / Diabetic / Hx 1BLS / 1ALS / 1A 12D01 Seizure‐Not Breathing 1BLS / 1ALS / 1A 12D01E Seizure/Not breathing w/Hx 1BLS / 1ALS / 1A 12D02 Continuous or Multiple Seizures 1BLS / 1ALS / 1A 12D02E Continuous/Multiple Seizures w/Hx 1BLS / 1ALS / 1A 12D03 Seizure/Irregular Respirations 1BLS / 1ALS / 1A 12D03E Seizure/Irregular Respirations w/Hx 1BLS / 1ALS / 1A 12D04 Seizure/Unverified Respirations/Over 35 1BLS / 1ALS / 1A 12D04E Seizure/Unverified Respirations w/Hx 1BLS / 1ALS / 1A 13A01 13A01C 13C01 13C01C 13C02 13C02C 13C03 13C03C 13D01 13D01C 14A01 14B01 14B02 14C01 14D01 14D02 14D03 14D04 15C01E 15C01L 15D01E 15D01L 15D02E 15D02L 15D03E 15D03L 15D04E 15D04L 15D05E 15D05L 15D06E 15D06L 15D07E 15D07L 15D08E Diabetic/Alert Diabetic/Alert, Combative Diabetic/Not Alert Diabetic/Not Alert, Combative Diabetic/Abnormal Behavior Diabetic/Abnormal Behavior, Combative Diabetic/Abnormal Breathing Diabetic/Abnormal Breathing, Combative Diabetic/Unconscious Diabetic/Unconscious, Combative Drowning/Diving‐Alert/Breathe Drowning/Diving‐Alert w/Injs Drowning/Unk Status (3rd Party) Drowning/Abnormal Breathing Drowning/Unconscious Drowning/Not Alert Diving or Neck Injury Scuba Accident Electro / Alert / Breath Normally Electro /Alert/Breath Normally/L Electrocution/Unconscious Electrocution/Uncon/Lightning Electrocution/not disconnected Lightning/not disconnected Electrocution/Power not off Electrocution/Power not off / L Electro /Extreme Fall>30ft Electro /Extreme Fall/Lightning>30ft Electrocution/Long Fall Electrocution/Long Fall/Lightning Electrocution/Not Alert Electrocution/Not Alert/Lightning Electro /Abnormal Breath Electro Abnormal Breath/Lightning Electrocution / Light Unk (Electric) 1A 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A Known Seizure Disorder: No EMS, see your MD/ED New Onset: Ambulance Only Known Seizure Disorder: No EMS, see your MD/ED New Onset: Ambulance Only Known Seizure Disorder: No EMS, see your MD/ED New Onset: Ambulance Only Known Seizure Disorder: No EMS, see your MD/ED New Onset: Ambulance Only Known Seizure Disorder: No EMS, see your MD/ED New Onset: Ambulance Only Known Seizure Disorder: No EMS, see your MD/ED New Onset: Ambulance Only Known Seizure Disorder: No EMS, see your MD/ED New Onset: Ambulance Only Known Seizure Disorder: No EMS, see your MD/ED New Onset: Ambulance Only Known Seizure Disorder: No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED Ambulance Only Ambulance Only 15D08L 15E01E 15E01L Electrocution / Light Unk (Lightning) Electrocution/Not Breathing Electrocution/Not Breathing/Lightning 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 16A01 Eye Injury/Moderate 1A 16A02 Eye Injury/Minor 1A 16A03 Medical Eye Problems 1A 16B01 16D01 17A01 17A01G 17A01J 17A02 17A02G 17A02J 17A03 17A03G 17B01 17B01G 17B01J 17B02 17B02G 17B02J 17B03 17B03G 17B03J 17D01 17D01G 17D01J 17D02 17D02G 17D02J 17D03 17D03G 17D03J 17D04 17D04G 17D04J 17D05 17D05G 17D05J 17O01 18A01 18B01 18C01 18C02 18C03 18C04 18C05 18C06 18C07 19A01 19A02 19B01 19C01 19C02 19C03 19C04 Eye Injury/Severe Eye Injury/Not Alert Fall Victim/Not Dangerous Injs Not Dangerous (On the Ground) Fall/Not Dangerous Inj/Jumper Fall Victim/Non‐Recent Injs Non‐Recent (On the Ground) Fall/Non‐Recent/Jumper Public Assist Public Assist (On the Ground) Fall / Ps Dangerous Injs Poss Dangerous / On the Ground Fall/Ps Dangerous Inj/Jumper Fall /Serious Hemorrhage Serious Hemorrhage / On the Ground Fall/Serious Hemorrhage/Jumper Fall Victim/Unk Status Unk Status / On the Ground Fall/Unk Status/Jumper Extreme Fall >30ft Extreme Fall >30ft On the Gorund Extreme Fall >30ft/Jumper Fall Unc/Arrest Unc or Arrest / On the Ground Unc/Arrest Jumper Fall Victim/Not Alert Not Alert / On the Ground Fall/Not Alert/Jumper Fall Chest or Neck Inj/Abnormal Resps Chest or Neck Injury / On the Ground Fall Chest or Neck/Abnormal Resps/Jumper Long Fall Long Fall / On the Ground Long Fall / Jumper Fall Assessment‐Omega response Headache/Breathing Normally Headache/Unk Status (3rd Party) Headache/Not Alert Headache/Abnormal Breathing Headache/Speech Problems Headache/Sudden Onset Headache/Numbness Headache/Paralysis Headache/Change in Behavior Heart Rate over 50/under 130 Heart/Chest Pain Under 35 yrs Heart Problem/Unk Status Heart Problem/Firing AICD Heart Problem/Abnormal Resps Heart Problem/Chest Pain/Over 35 Heart Problem/Cardiac Hx 1BLS / 1A 1BLS / 1ALS / 1A 1A 1A 1A 1A 1A 1A 1BLS 1BLS 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A No EMS, see your MD/ED unless unable to flush chemical injuries or unable to see to transport self No EMS, see your MD/ED unless unable to flush chemical injuries or unable to see to transport self No EMS, see your MD/ED unless unable to flush chemical injuries or unable to see to transport self No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED Call friends/family/neighbors if available Call friends/family/neighbors if available Call friends/family/neighbors if available Card #36 if activated: No EMS, see your MD/ED Card #36 if activated: Ambulance Only if Not Card #36 if activated Card #36 if activated Card #36 if activated Card #36 if activated Card #36 if activated Card #36 if activated Card #36 if activated 19C05 19C06 19C07 19D01 19D02 19D03 19D04 19D05 20A01C 20A01H 20B01C 20B01H 20B02C 20B02H 20C01C 20C01H 20D01C 20D01H 20D02C 20D02H 20D05M 21A01 21A02 21B01 21B02 21B03 21B04 21C01 21C02 21D01 21D02 21D03 21D04 22A01 22A01A 22A01B 22A01M 22B01 22B01A 22B01B 22B01M 22B02 22B02B 22B02M 22B02X 22B02Y 22B03 22B03A 22B03B 22B03M 22B03X 22B03Y 22D01 22D01A 22D01B 22D01M 22D01X 22D01Y 22D02 Heart Problem/Cocaine 1BLS / 1ALS / 1A Heart Problem, Rate<50 1BLS / 1ALS / 1A Heart Prob (Unk Status) 1BLS / 1ALS / 1A Heart Problem/Not Alert 1BLS / 1ALS / 1A Heart Prob/Diff Speak Betwe Breath 1BLS / 1ALS / 1A Heart Problem/Changing Color 1BLS / 1ALS / 1A Heart Prob/ Clammy 1BLS / 1ALS / 1A Just Resuscitated / Defibrillated (Exte) 1BLS / 1ALS / 1A Cold Exposure/Alert 1A Heat Exposure/Alert 1A Cold Exposure/Skin Color 1BLS / 1A Heat Exposure/Skin Color 1BLS / 1A Cold Exposure/Unk Status 1BLS / 1A Heat Exposure/Unk Status 1BLS / 1A Cold Exposure/Heart Attack or Angina Hx 1BLS / 1ALS / 1A Heat Exposure/Heart Attack or Angina Hx 1BLS / 1ALS / 1A Cold Exposure/Not alert 1BLS / 1ALS / 1A Heat Exposure/Not Alert 1BLS / 1ALS / 1A Cold Exposure/Multiple Victims 1BLS / 1ALS / 1A Heat Exposure/Multiple Victims 1BLS / 1ALS / 1A Not Alert 1BLS / 1ALS / 1A Hemorrhage/Not Dangerous 1A Hemorrhage/Minor 1A Hemorrhage/Ps Dangerous 1BLS / 1A Hemorrhage/Serious 1BLS / 1A Hemorrhage/Bleeding disorder 1BLS / 1A Hemorrhage / Blood Thinners 1BLS / 1A Hemorrhaging Thru Tubes 1BLS / 1ALS / 1A Hemorrhage / Hemor of Dialysis Fi 1BLS / 1ALS / 1A Unc or Arrest 1BLS / 1ALS / 1A Hemorrhage/Not Alert 1BLS / 1ALS / 1A Hemorrhage/Dangerous Hemorrhage 1BLS / 1ALS / 1A Hemorrhage / Abnormal Breath 1BLS / 1ALS / 1A Inaccessible Incident/No Injs 1BLS / 1A Inaccessible Incident/Above ground 1A Inaccessible Incid/Above ground, multi 1A Inaccessible Incid/Multiple victim 1A Inaccessible Incident/Unk injs 1BLS / 1A Inaccessible Incident/Unk, above ground 1BLS / 1A Inaccessible Incident/Unk both 1BLS / 1A Inaccessible Incident/Unk Multi 1BLS / 1A Inaccessible Incident/Periph Entrap 1BLS / 1A Inaccessible Incident/Periph Below 1BLS / 1A Inaccessible Incident/Periph Multi Vic 1BLS / 1A Peripheral Entrapment / Both Above 1BLS / 1A Peripheral Entrapment / Both Below 1BLS / 1A Inaccessible Incident/Unk status 1BLS / 1A Inaccessible Incident/Unk above ground 1BLS / 1A Inaccessible Incident/Unk Below 1BLS / 1A Inaccessible Incident/Unk w/Mult Vic 1BLS / 1A Inacc Inc/Unk /Both Above 1BLS / 1A Inacc Inc/Unk Both Below 1BLS / 1A Machinery Entrapment 1ALS / 1BLS / 1HR / 1A / 1BC Machinery/Above Ground 1ALS / 1BLS / 1HR / 1A / 1BC Machinery/Multiple Below Ground 1ALS / 1BLS / 1HR / 1A / 1BC Machinery/Multiple Victims 1ALS / 1BLS / 1HR / 1A / 1BC Mech/Machinery Entrap / Both Above Groun1BLS / 1ALS / 1A Mech/Machinery Entrap/Below Ground 1BLS / 1ALS / 1A Trench Collapse 1ALS / 1BLS / 1HR / 1A / 1BC No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED 22D02A 22D02B 22D02M 22D02X 22D02Y 22D03A 22D03B 22D03M 22D03X 22D03Y 22D04 22D04A 22D04B 22D04M 22D04X 22D04Y 22D05 22D05A 22D05B 22D05M 22D05X 22D05Y 22D06 22D06A 22D06B 22D06M 22D06X 22D06Y 23B01A 23B01I 23B01P 23B01V 23C01A 23C01I 23C01P 23C01V 23C02A 23C02I 23C02P 23C02V 23C03A 23C03I 23C03P 23C03V 23C04A 23C04I 23C04P 23C04V 23C05A 23C05I 23C05P 23C05V 23C06A 23C06I 23C06P 23C06V 23C07A 23C07I 23C07P Trench Collapse/Above ground Trench Collapse/Below Ground Trench Collapse/Multiple Victims Trench Collapse / Above Ground Trench Collapse / Below Ground Structure Collapse/Above ground Structure Collapse/Below Ground Structure Collapse/Multiple Victims Structure Collapse / Above Ground Structure Collapse / Below Ground Confined Entrapment Entrapment/Confined/Above Ground Entrapment/Confined/Below Ground Entrapment/Confined/Mult Victims Confined Space / Above Ground Confined Space / Below Ground Inaccessible Terrain Inaccessible Terrain/Above Ground Inaccessible Terrain/Below Ground Inaccessible Terrain/Multiple Victims Inaccessible Terrain / Above Ground Inaccessible Terrain / Below Ground Mudslide/Avalanche Mudslide/Avalanche/Above ground Mudslide/Avalanche/Below Ground Mudslide/Avalanche/Multiple/Victims Mudslide / Avalanche / Above Ground Mudslide / Avalanche / Below Ground Overdose/Accident Overdose/Intentional Overdose/Poison control requested Overdose / Violent Poisoning/Not Alert/Accident Overdose/Not Alert/Intentional Poisoning/Not Alert Overdose / Not Alert / Violent Overdose/Abnormal Breath/Accidental Overdose/Abnormal Breath /Intentional Overdose, Not Alert, Poisoning Overdose/Abnorm Breath/Violent Poisoning /Antidepressants/Accident Overdose /Antidepressants/Intentional Poisoning w/Abnormal Resps Overdose/Antidepressants/Violent Poisoning/Cocaine/Accident Overdose/Cocaine/Intentional Poisoning/Tricyclics Overdose/Cocaine or Meth/Violent Poisoning/Narcotics/Accident Overdose/Narcotics/Intentional Overdose, Cocaine, Poisoning Overdose/Narcotics/Violent Poisoning/Acid or Alkai/Accident Overdose/Acid or Alkai/Intentional Overdose, Narcotics, Poisoning Overdose/Acid or Alkali/Violent Poisoning/Unk Status/Accident Overdose/Unk Status/Intentional Overdose, Acid or Lye, Poisoning 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A Ambulance Only Ambulance Only Ambulance Only Ambulance Only 23C07V 23C08A 23C08I 23C08P 23C08V 23C09A 23C09I 23C09P 23CP 23D01A 23D01I 23D01P 23D02A 23D02I 23D02P 23D02V 23O01 Overdose/Unk Status/Violent Poisoning/Poison Control Request/Acciden Overdose/Posion Control Request / Intent Overdose, Unk Status, Poisoning Overdose/Poison Control/Violent Poisoning/Poison Control/Reqst/Accident Overdose/Poison Control request for Overdose, Poisoning, Poisoning INACTIVE Poisoning/Unconscious/Accident Overdose/Unconscious/Intentional Poisoning/Unconscious Poisoning/Changing Color/Accident Overdose/Changing Color/Intentional Poisoning/Severe Resp Distress Changing Color/Violent Poison Control 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A NO RS 24A01 1st Trimester Bleeding/Miscarriage 1A 24B01 Labor/Not Imminent 1BLS / 1A 24B02 Pregnancy/Unk Status (3rd Part 1BLS / 1A 24C01 24C02 24C03 24D01 24D02 24D03 24D04 24D05 24D06 24D07 Pregnancy/2nd trimester Pregnancy/Serious bleed 1st trimester Baby Born/No Complications Breech Birth or Cord Presentation Birth/Head Visible/Out Imminent Delivery 3rd Trimester Bleeding High Risk Complications Baby Born / Comp w/Baby Baby Born / Complications w/Mother 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 24O01 Pregnancy/Water Broken/Omega 1A 25A01 25A01B 25A01V 25A01W 25A02 25A02B 25A02V 25A02W 25B01 25B01B 25B01V 25B01W 25B02 25B02B 25B02V 25B02W 25B03 25B03B 25B03V 25B03W 25B04 25B04B 25B04V 25B04W 25B05 Psychiatric/Non‐Violent/Non‐Suicidal Non‐Suicidal/Violent & weapon Psychiatric/Non‐Suicidal/Violent Psychiatric/Non‐Suicidal w/weapon Psychiatric/Suicidal/Alert Suicidal/Alert, Both violent & Suicidal/Alert, Violent Suicidal/Alert, Weapon Psychiatric/Serious Hemorrhage Psychiatric/Serious Bleed, both viol Psychiatric/Serious Bleed, Violent Psychiatric/Serious Hemorrhage/Weapon Psychiatric/Not serious hemorrhage Psychiatric/Minor bleed, both Psychiatric/Minor bleed, violent Psychiatric/Minor bleed w/weapon Threatening Suicide Threats, Violent w/weapon Threats, Violent Threats w/Weapon Psychiatric Prob/Jumper Threat Jumper, violent & weapon Jumper, violent Jumper, w/weapon Near Hanging, Alert 1A 1A 1A 1A 1A 1A 1A 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A Poison Control No EMS, see your MD/ED/ L&D: unless unable to get POV No EMS, see your MD/ED/ L&D: unless unable to get POV No EMS, see your MD/ED/ L&D: unless unable to get POV No EMS, see your MD/ED/ L&D: unless unable to get POV No EMS, see your MD/ED/ VMH Clinic: PD ? No EMS, see your MD/ED/ VMH Clinic: PD ? No EMS, see your MD/ED/ VMH Clinic: PD ? No EMS, see your MD/ED/ VMH Clinic: PD ? No EMS, see your MD/ED/ VMH Clinic: PD ? No EMS, see your MD/ED/ VMH Clinic: PD ? No EMS, see your MD/ED/ VMH Clinic: PD ? No EMS, see your MD/ED/ VMH Clinic: PD ? 25B05B 25B05V 25B05W 25B06 25B06B 25B06V 25B06W 25D01 25D01B 25D01V 25D01W 25D02 25D02B 25D02V 25D02W 26A01 26A01X 26A02 26A03 26A04 26A05 26A06 26A07 26A08 26A09 26A10 26A11 26A12 26A13 26A14 26A15 26A16 26A17 26A18 26A19 26A20 26A21 26A22 26A23 26A24 26A25 26A26 26A27 26A28 26B01 26C01 26C02 26C03 26D01 26O02 26O03 26O04 26O05 26O06 26O07 26O08 26O09 26O10 26O11 Near Hanging, Violent & weapon Near Hanging, Violent Near Hanging, w/Weapon Psychiatric/Unk Status Psychiatric/Unk, violent & weapon Psychiatric/Unk, violent Psychiatric/Unk w/weapon Psychiatric/Not Alert Psychiatric/Not alert, violent & weapon Psychiatric/Not alert, violent Psychiatric/Not alert w/weapon Psychiatric/Dangerous Hemorrhage Psych/Dangerous Bleed, violent & weapon Psychiatric/Dangerous Bleed, violent Psychiatric/Dangerous Bleed w/weapon Sick Person/No Priority Symptom Non‐Recent >6hrs Peripheral Wounds Sick / Blood Pressure Abnormality Sick /Dizziness / Vertigo Sick / Fever / Chills Sick / General Weakness Sick / Nausea Sick / New Onset of Immobility Sick / Other Pain Sick / Transportation Only Sick / Unwell / Ill Sick / Vomiting Sick Person/Earache Sick Person/Enema Sick Person/Gout Sick Person/Hemorrhoids Sick Person/Hepatitis Sick Person/Hiccups Sick Person/Hungry Sick Person/Nervous Sick Person/Object stuck Sick Person/Object swallowed Sick Person/Penis probs, pain Sick Person/Rash or skin disorder Sick Person/STD Sick Person/Sore Throat Sick Person/Toothache Sick Person/Transport Only Sick Person/Wound infected Sick Person/Unk Status Sick / Altered LOC Sick / Abnormal Breathing Sick / Sickle Cell / Thalassemia Sick Person/Not Alert Sick / Boils Sick / Bumps (Non‐Traumatic) Sick / Can't Sleep Sick / Can't Urinate (w/o Abdominal Pain Sick / Catheter (In/Out w/o Hemorrhage) Sick / Constipation Sick / Cramps/Spasms/Joint Pain Sick / Cut‐off Ring Request Sick / Deafness Sick / Defecation / Diarrhea 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED Ambulance Only Protocol 36 if activated: Ambulance Only Protocol 36 if activated: Ambulance Only Protocol 36 if activated: Ambulance Only No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED 26O12 26O13 26O14 26O15 26O16 26O17 26O18 26O19 26O20 26O21 26O22 26O23 26O24 26O25 26O26 26O27 26O28 27A01G 27A01P 27A01S 27A01X 27B01G 27B01P 27B01S 27B01X 27B02G 27B02P 27B02S 27B02X 27B03G 27B03P 27B03S 27B03X 27B04G 27B04P 27B04S 27B04X 27B05G 27B05P 27B05S 27B05X 27D01G 27D01P 27D01S 27D01X 27D02G 27D02P 27D02S 27D02X 27D03G 27D03P 27D03S 27D03X 27D04G 27D04P 27D04S 27D04X 27D05G 27D05P Sick / Earache Sick / Enema Sick / Gout Sick / Hemorrhoids / Piles Sick / Hepatitis Sick / Hiccups Sick / Itching Sick / Nervous Sick / Object Stuck Sick / Object Swallowed w/o Diff Breath Sick / Painful Urination Sick / Penis Prob/Pain Sick / Rash Skin Disorder w/o Diff Breat Sick / Sexually Transmitted Disease (STD Sick / Sore Throat Sick / Toothache Sick / Wound Infected GSW/Non‐recent Peripheral Penetrating Trauma/Non‐rcnt/Pr Stabbing/Non‐recent Peripheral Non‐Recent >6hrs Peripheral / Self Infli GSW/Non‐recent Single Central Penetrating Trauma/Non‐Rcnt Single Centr Stabbing/Non‐Recent/Single Central Non‐Recent >6hrs Single Central Wound GSW/Single‐Peripheral Penetrating Trauma/Single/Per Stabbing/Single/Peripheral Known Single Peripheral Wound GSW/Serious Bleeding Penetrating Trauma/Serious Bleed Stabbing/Serious Bleeding Serious Hemorrhage / Self Inflicted GSW GSW/Unk Status/3rd Party Penetrating Trauma/Unk Status Stabbing/Unk Status/3rd Party Unk Status/Self Inflicted GSW GSW/Obvious Death Penetrating Trauma/Obvious Death Stabbing/Obvious death Obvious Death/Self Inflicted GSW GSW/Uncon or Arrest Penetrating Trauma/Uncon or Arrest Stabbing/Uncon or Arrest Unc or Arrest/Self Inflicted GSW GSW/Not Alert Penetrating Trauma/Not Alert Stabbing/Not Alert Not Alert/Self Inflicted GSW GSW/Central Wounds Penetrating Trauma/Central Stabbing/Central Wounds Central Wounds/Self Inflicted GSW GSW/Multiple Wounds Penetrating Trauma/Multiple Wounds Stabbing/Multiple Wounds Multiple Wounds/Self Inflicted GSW GSW/Multiple Victims Penetrating Trauma/Multiple Victims 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED, Dispatch to Notify PD No EMS, see your MD/ED, Dispatch to Notify PD No EMS, see your MD/ED, Dispatch to Notify PD No EMS, see your MD/ED, Dispatch to Notify PD 27D05S 27D05X 28A01G 28A01L 28A01U 28B01G 28B01L 28B01U 28B01W 28B02X 28C01G 28C01L 28C01U 28C02G 28C02L 28C02U 28C03G 28C03L 28C03U 28C04G 28C04L 28C04U 28C05G 28C05L 28C05U 28C06G 28C06L 28C06U 28C07G 28C07L 28C07U 28C08G 28C08L 28C08U 29A01 29B01 29B01A 29B01M 29B01U 29B01X 29B02 29B02A 29B02M 29B02U 29B02X 29B03 29B03A 29B03M 29B03U 29B03X 29B04 29B04A 29B04M 29B04U 29B04X 29B05 29B06 29D01a 29D01b Stabbing/Multiple Victims Multiple Victims Stroke/Normal Breathing/>8hrs Stroke/Normal Breathing/<8hrs Stroke/Normal Breathing/Unk time Stroke/Unk/>8hrs Stroke/Unk/<8hrs Stroke/CVA‐Unk Status Psychiatric/Serious Bleed w/weapon Serious Hemorrhage Stroke/Not Alert/>8hrs Stroke/Not Alert/<8hrs Stroke/Not Alert/Unk Stroke/Abnormal resps/>8hrs Stroke/Abnormal resps/<8hrs Stroke/Abnormal Resps/Unk Time laps Stroke/Speech/Movement/>8hrs Stroke/Speech/Movement/<8hrs Stroke/CVA‐Speech/Movement Stroke w/Numbness/>8hrs Stroke w/Numbness/<8hrs Stroke w/Numbness, unk Stroke w/Vision Probs/>8hrs Stroke w/Vision Probs/<8hrs Stroke w/Vision Probs, unk CVA w/Headache Onset/>8hrs CVA w/Headache Onset/<8hrs CVA w/Sudden Headache Onset Stroke/CVA w/Hx/>8hrs Stroke/CVA w/Hx/<8hrs Stroke/CVA w/Hx, Unk Stroke w/Normal breathing/>8hrs Stroke w/Normal breathing/<8hrs Stroke/CVA w/Normal breathing Not Dangerous/1st Party Traffic Accident w/Injuries Injuries (Mult Pts/Addt'l Resources) Injuries (Multiple Patients) Injuries (Unk No of Pts) Injuires / Unk Pts/Addt'l Response Rq Serious Hemorrhage Serious Hemor / Multi Pt Add'l Response Serious Hemorrhage/Multiple Pts Serious Hemorrhage/Unk No Pts Serious Hemorr/Unk No Pts/Addt'l Respons Other Hazards Other Haz/Mutl Pt/Addt"l Response Other Hazards/Multi Pts Other Hazards/Unk No of Pts Other Hazards/Unk Pts/Addt'l Response Unk Status Unk Status/Mult Pts/Addt'l Response Unk Status/Multi Pts Unk Status/Unk No of Pts Unk Status/ Unk Pts/Addt'l Response Traffic Accident/Other Hazards Traffic Accident/Unk Status Aircraft Incident Bus Accident 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1A 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED 29D01c 29D01d 29D01e 29D01f 29D02a 29D02b 29D02c 29D02d 29D02e 29D02f 29D02g 29D02k 29D02l 29D02m 29D02n 29D02o 29D02p 29D02q 29D02r 29D02s 29D03 29D03A 29D03M 29D03U 29D03X 29D04 29D04A 29D04M 29D04U 29D04X 29D05 29D05A 29D05M 29D05M 29D05U 29D05X 29O01 29O01 30A01 30A02 30B01 30B02 30D01 30D02 30D03 31A01 31A02 31A03 31C01 31C02 31C03 31C04 31C05 31D01 31D02 31D03 31D04 310 32B01 TRAX Accident Train Accident Watercraft Accident Multi‐Veh Pile‐Up >10 ATV Accident Auto‐Bicycle or Motorcycle Auto‐Ped Ejected Person Personal Watercraft Accident Rollover Vehicle Off Bridge/Height High Mechanism / ATV accident High Mechanism / Auto‐Bike/Motorcycle Auto‐Ped Ejection Personal Watercraft Rollover Vehicle off Bridge/Heig Possible Death at Scene Sinking Vehicle Traffic Accident Involving HazMat Hazmat/Mtlti Pts/Addt'l Response Hazmat/Multi Pts Hazmat/Unk No of Pts Hazmat/Unk No of Pts/Addt'l Response Pinned or Trapped Person Pinned Victim/Multi Pts/Addt'l Response Pinned Victim/Multi Pts Pinned Victim/Unk No of Pts Pinned Victim/Unk No Pts/Addt'l Response TA /Not Alert Not Alert/ Multi Pts/Addt'l Response Not Alert / Multi Pts/Addt'l Response Not Alert / Multiple Patients Not Alert/Unk No of Pts Not Alert/Unk No Pts/Addt'l Response No Injuries Confirmed No Injury Traffic Accident Traumatic Injs/Not Dangerous Traumatic Injs/Non‐Recent Traumatic Injs/Ps Dangerous Traumatic Injs/Serious Bleeding Traumatic Injs/Unc or Arrest Traumatic Injs/Not Alert Traumatic Injs/Chest or Neck Injury Fainting Episode/Alert >35 Fainting Episode <35 w/Cardiac Hx Fainting Episode <35 w/o Cardiac Hx Fainting /Alert/Abnormal Breath Fainting and Alert >35 w/Cardiac Hx Females 12‐50 w/Abdominal Pain Unconscious/Fainting‐Alert over 35 Unconscious/Fainting‐Abdominal pain 12‐5 Unconscious /Agonal or Ineffective Breat Unconscious / Effective Breath Unconcious Person‐Not Alert Changing Color Unconscious/Ineffective Breathing Unk Prob/Stand/Sit/Move/Talking 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HR / 1A / 1BC 1ALS / 1BLS / 1HM / 1A / 1BC 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1ALS / 1BLS / 1HR / 1A / 1BC 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1ALS / 1BLS / 1HM / 1A / 1BC 1ALS / 1BLS / 1HM / 1A / 1BC 1ALS / 1BLS / 1HM / 1A / 1BC 1ALS / 1BLS / 1HM / 1A / 1BC 1ALS / 1BLS / 1HM / 1A / 1BC 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1ALS / 1BLS / 1A / 1BC 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A NO RS 1A 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1A 1A 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1A No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED No EMS, see your MD/ED Ambulance Only (or assessment unit) 32B02 32B03 32B04 32D01 33A01 33A02 33A03 33C01 33C02 33C03 33C04 33C05 33C06 33D01 POLICEM STAGED Medical Alarm Unk Prob/Man Down‐Unk status Language Not Understood Unk Prob/Life Status Questionable ACUITY I (no priority symptoms) ACUITY II (no priority symptoms) ACUITY III (no priority symptoms) Not Alert Abnormal Breathing Hemorrhage or Shock Acute Severe Pain Heart Problems or MI Emergency Response request Cardiac or Respiratory Arrest Police Assist (Medical) Delaying Disp for Scene Securi 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1ALS / 1A 1BLS / 1A NO RS Ambulance Only (or assessment unit) Ambulance Only (or assessment unit) Ambulance Only (or assessment unit) Ambulance Only Unless Rescue is needed Appendix F: http://www.prioritydispatch.net/downloads/flu/Pandemic%20Flu%20Sp ecial%20Procedures.pdf