EMS Incident Types Flashcards
ALRMM
Medical alarm activation - inc calls from alarm companies advising a person has activated their medical alarm, pendant, AED alarmed boxes, etc
ADWM
Assault with a deadly weapon - inc penetrating wound to head or trunk of body. Include accidental, intentional, or self-inflicted injuries
AP
Abdominal Pains - inc pains in anterior abdomen, sides, and/or anterior groin, traumatic or non-traumatic injuries
AR2
Allergic/Anaphylaxis - inc reactions from a known or suspected exposure to an allergen, and where the patient has a history of anaphylactic reaction, difficulty swallowing or swelling of the airway w normal breathing; do they know they have allergies, and what has happened in the past?
AR3
Allergic Reaction - inc are reactions to medications, food, etc
ASLTM
Assault/Domestic - any form of simple assault, domestic situation where info is not available for specific type of injury. Use appropriate code if info is available
BLED2
Bleed/Severe Laceration - inc lacerations or wounds (fractures excluded); bleeding that is uncontrollable by direct pressure; internal bleeding
BLED3
Bleeding controlled - inc lacerations or wounds w controllable bleeding (fractures excluded); nose bleed; rectal bleed; hematuria, stabbing to extremity w controlled bleed
BP
Back Pain - includes back pains, traumatic or non-traumatic
BURN
Burns - inc are burns from fire, sun or chemical nature. 2nd and 3rd degree burns to the face is entered as priority 1 response utilizing the appropriate modifying circumstance (SI or DF)
CHOK1
Choking - inc is choking w no apparent airway, poor air exchange, as evidenced by loss of consciousness, cyanosis, and/or minimal or no coughing
CHOK2
Choking/Air Exchange - inc where a subject has choked on something but now has good air exchange, talking w no problems, crying, good color, involving children up to age 5
CHOK3
Choking/Air Exchange - inc where a subject has choked on something but now has good air exchange, talking w no problems, crying, good color, involving children over age 5
COLD
Cold Emergency - inc are frostbite and hypothermia
CP
Cardiac Problem - inc chest pains in patients 30 or older, traumatic or non-traumatic; includes patients under 30 yrs of age experiencing chest pains due to trauma, subjects experiencing tachycardia w previous history, or cardiac problems w previous history. Patients under 30 w abnormal EKG results; code as DOC
CP3
Cardiac Problem - inc chest pains in patients under 30 yrs of age, non-traumatic related, rib injury due to trauma (all ages), chest pains w no history and no shock indicators (under 30), tachycardia or bradycardia w no history
CRA
Cardio-Respiratory Arrest - confirmed pulseness, sonic patient (unconscious patients w respiration a described as gurgling, gasping, deep breathing, “can’t get air in,” breathing “funny” = pulse should be checked immediately; citizens advising DNR papers are on scene must be entered under this category and the ECO should recommend caller do pre-arrival instructions)
CRA2
Cardio-Respiratory Arrest - same indications of arrest as explained for CRA priority 1 entry; however; DNR papers are present (non-hospice related)
CVA
CVA/Stroke - inc CVA, stroke like symptoms (in the absence of mental status alterations) such as partial paralysis/weakness, difficulty in speaking, slurred speech, facial drooping
DIAB
Diabetic Problem - inc are acute diabetic problems not otherwise upgraded by modifiers
DIFF
Difficulty breathing - acute onset of breathing problems and acute changes in those w chronic respiratory problems (such as COPD patient). O2 saturation reported below 94, but no reported respiratory distress, code as DOC.
Apnea monster alert for patients up to 1 yoa regardless of current condition
DOAM
DOA (confirmed) - when info received from a reliable source (doctor, nurse, EMT) and from citizens describing obvious DOA (cold stiff blue, last seen 2 days ago)
ECOs cannot accept DNR papers - only field providers who actually look at the paperwork and verify their validity can
If none above is present, enter as CRA
DOC
Code utilized for call types that would normally be a priority 1 or 2 call type and are received from doctor’s office, nursing homes, or medical facilities
Ex inc CP DIFF DIAN CRA etc
ELEC2
Electrical Injury - inc shocks by lightning strikes and outside power lines or electrical sources
ELEC3
Electrical Injury - inc shocks by inside electrical source
EYE
Eye Injury - isolated shocks by an Isolde electrical source
ETRAN
Emergency transports - from St Frances hospital to Chippenham or MCV for Cardiac (MI) or Trauma situations. Patients requiring transport to another Bon Secours facility from St Frances with a cath machine
EXT2
Major extremity trauma - injuries to proximal extremities; inc fractures, open or closed (femur, humerus - or this particular limb trapped in something)
EXT3
Minor extremity trauma - injuries to distal extremities; inc fractures, open or closed (tibia, fibula, wrist, radius, ulna, knee, elbow - or this particular Lomb caught in something) injuries to shoulder or hip
FALL
Fall injury - inc are injuries from a fall downstairs, off a ladder, off a roof, down cliffs, out of tree, etc - when specific injury is not available; if specific injury is available, use appropriate code
Not a disposition code
FALLH
Fall injury (height) - falls from 20’ or above (2nd story of a house). Children - fall from 10’ feet or above code as FALLH
HEAD
Head Injury - blunt closed head trauma
HEAT
Heat Emergency - inc are heat exhaustion, heat stroke, head cramps, etc
INTOX
Alcohol Intoxication - confirmed alcohol related situations w/o injury or any other acute medical problems
JURIS
Call taken and relayed to another Jurisdiction that message taker is unable to transfer
MVAHV
Any vehicle accident w subject(s) trapped by large or heavy vehicles (dump truck, semi, train, school bus)
MVAOT
MVA/OVERTURNED PRI 1 - vehicle overturned, over an embankment
MVATR
MVA/TRAPPED PRI 1 - vehicle accident w the report of subject(s) trapped or possibly trapped
MVAP1
MVA/PRI 1 - inc pedestrian, bicycle, motorcycle, person ejected w no info on their condition, head on collision (25mph +) vehicle vs tree/immovable object (25mph +), T-bone; any other modifier that fits the PRI 1 category
MVAP2
MVA/PRI 2 - inc those with citizens describing as “serious” injuries but no other info available, not otherwise fitting the PRI 1 category (looks serious, sounds serious, etc)
MVAP3
MVA/PRI 3 - inc reports of unknown type injuries or minor injuries (minor fender bender in parking lot)
OB1
OB/GYN PRI 1 - defined as pains less than 2 min apart, crowning, presenting parts, or anything leading the caller and/or ECO to believe delivery is imminent; also includes 2nd and 3rd trimester bleed w abdominal pains
OB2
OB/GYN PRI 2 - 2nd and 3rd trimester bleed w/o abdominal pains
OB3
OB/GYN PRI 3 - non-pregnancy related vaginal bleed, possible ectopic pregnancy, 1st trimester; routine labor, 1st, 2nd, or 3rd trimester abdominal pains, water breaking w no PRI 1 or 2 criteria; other OB/GYN problems not otherwise meeting criteria for other OB/GYN categories
ODM
Overdose - EMS
PDAST
PD Assist - the code will be associated with the PD code of ROBB when a citizen has been injured in the commission of a robbery. The radio operator will change the code to the appropriate type injury prior to dispatching the call (CAD will not provide a recommendation for this call type)
POIS
POIS - inc ingestion, inhalation, or absorption of any toxic substance
PSYCH
Mental/Psychiatric - inc are nervous disorders, any type of nervous problems, may include mental patients, subjects threatening suicide, etc
REFEUS
Patient Refusal - when a caller is requesting pre-arrival instructions but is refusing an ambulance be sent to assist them, pre-arrival will be provided and both the entry and clear code will be REFUS
RAPEM
Rape/Sex Offense - sexual assaults in the absence of the other trauma
RMTAD
Mutual Aid - inc EMS type mutual aid calls outside the county
SEIZ1
Seizure Active - exhibiting seizure activity at the time the 911 call is received, or post-ictal state and non-communicative
SEIZ2
Seizure Activity - seizure activity no longer in evidence, and the patient is able to talk (not necessarily making sense). Aura of a seizure and multiple seizures with patient fully alert now
SICK
Sick Case - inc are nausea, vomiting, diarrhea, fever, toothache, earache, headache w no injury, flu, rash, dehydration, etc (on dispatch announce specific illness)
STAND
Standby - inc are standbys at football games, car races, outdoor sporting events, County Fair, County Air Show, etc (call for service will only be generated for a fire unit if that unit is remaining busy/unavailable to respond on call for service; if the fire unit is remaining available to respond on calls, they will be shown in district (ID) with their location and NO call for service will be generated)
TRANS
Transports - inc transports to hospitals, ER, doctors office and/or family residence which has been set up directly by the rescue squad. The ECC may also receive a call requesting a transport for heart transplant patients in which we will honor the request. Priority response will be established by the hospital requiring assistance and relayed to the responding unit
UNC1
Unconscious/Altered - inc are subjects unconscious or w new onset of altered level of consciousness
UNC2
Syncopal Episode - inc are subjects that passed out/fainted, awake before termination of 911 calls
UNKP
Unknown type problem - this is typically a third party caller who is not at the patient’s side or doesn’t otherwise have any info as to what the problem is or resource that is needed. Fire, EMS & PD will be dispatched.
Not a disposition code
ACTIVM
Subject(s) actively killing a large group of people in a public place (both indoors and outdoors)