Case entry rules 1-12

Question 1

Rule 1

Answer 1

If complaint description includes SCENE SAFETY, choose chief complaint protocol that best addresses issues.

Question 2

Rule 2

Answer 2

If complaint suggests TRAUMA, choose protocol that best addresses mechanism of injury

Question 3

Rule 3

Answer 3

Use of [Breathing Verification Diagnostic] is not necessary when UNCERTAIN BREATHING or INEFFECTIVE BREATHING is associated with unconsciousness

Question 4

Rule 4

Answer 4

1st party caller using like “I can’t breathe” or “I can barely breathe” may be further assessed by their ability to speak normally or in complete sentences, their level of apparent distress or agitation; and the presence of airway noises (strider, wheezing, gasping, etc). Breathing effectiveness ranges from normal breathing to mild shortness of breath to difficulty speaking between breaths. When in doubt, the EMD should err on the side of patient safety.

Question 5

Rule 5

Answer 5

When cardiac arrest appears to be TRAUMATIC in nature, choose chief complaint protocol that best fits scene safety concerns and the mechanism of injury.

Question 6

Rule 6

Answer 6

If the complaint description appears to be MEDICAL in nature, choose the chief complaint protocol that best fits patients foremost symptom, with consideration to priority symptoms.

Question 7

Rule 7

Answer 7

If the description involves hazardous materials that pose a threat to bystanders/responders, go to Protocol 8.

Question 8

Rule 8

Answer 8

When it’s a generalized seizure, protocol 12 regardless of consciousness/breathing status.

Question 9

Rule 9

Answer 9

If chief complaint and status of consciousness/breathing are unknown, Protocol 32 (unknown problem/person down)

Question 10

Rule 10

Answer 10

When complaint involves both non-traumatic chest pain/heart attack symptoms and breathing, choose chief complaint protocol that best fits foremost symptoms with ECHO level conditions. Use ASA diagnostic.

Question 11

Rule11

Answer 11

When complaint is breathing related tracheostomy in a conscious patient, Protocol 6

Question 12

Rule 12

Answer 12

Some critical patient care instructions may be necessary before the Send point. Any scene safety concerns take precedence and must be addressed before instruction provisions (PDI’s)

Question 13

Rule 13

Answer 13

Case entry must always be completed after PDI’s when directed by Send and return PDI’s symbols (any protocol 0 immediate echo symptoms)

Question 14

Rule 14

Answer 14

Sudden unexplained collapse resulting in unconsciousness, even ground level fall is considered Medical Cardiac Arrest until proven otherwise.