Utah EMS Pandemic Influenza Guidelines

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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
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