Case Entry Rules

Question 1

Rule 1 - Scene Safety

Answer 1

Scene Safety - choose best addressed protocol.
(If it’s not safe, go with a scene-based protocol, we must get all patients/casualties/callers to be safe)

Question 2

Rule 2 - Trauma

Answer 2

Choose the protocol that addresses the mechanism of injury.
(mechanism is external force to the body; hit by a car, hit by a bat, gunshot, stab)

Question 3

Rule 3 - Agonal Breathing

Answer 3

Agonal Breathing Detector not necessary if caller volunteers Ineffective/Uncertain Breathing to an unconscious patient.

Question 4

Rule 4 - Traumatic Cardiac Arrest

Answer 4

Choose it based on scene safety (assault/entrapment/fall) + mechanism of injury (electrocution, gunshot, traffic accidents)

Question 5

Rule 5 - Medical

Answer 5

Choose medical based on foremost symptom, whilst considering priority symptoms (hemorrhage, breathing, consciousness, chest/pain)

Question 6

Rule 6 - Hazardous Materials

Answer 6

If scene can emit hazardous materials, refer immediately to Protocol 8 Carbon Monoxide / HAZMAT

Question 7

Rule 7 - Seizure

Answer 7

Protocol 12 regardless if conscious or breathing

Question 8

Rule 8 - 3rd party caller

Answer 8

If 3rd party caller can’t confirm consciousness and/or breathing, go to Protocol 32 (unknown problem/person down)

Question 9

Rule 9 - Non-Traumatic Chest Pain/Heart Attack and Breathing Problems

Answer 9

Select protocol on the patient’s foremost symptom, with ECHO-precedence.

Question 10

Rule 10 - Tracheostomy

Answer 10

If complaint is breathing-related tracheostomy, shunt to Protocol 6 breathing problems

Question 11

Rule 11 - FastTrack

Answer 11

Some critical patient care is necessary prior to sending an ECHO. Scene safety MUST be addressed before providing provisions for instructions.

Question 12

Rule 12 - ECHO dispatch

Answer 12

Send ECHO, provide PDI, and continue case entry questioning. In ECHO situations (hanging, strangulation, underwater, choking, person on fire) providing PDI is pertinent.