Provider Impresion Flashcards
Abdominal
Pain/Problems
(GI/GU)
For any pain or problem in the
abdominal/flank region that does not have
a more specific PI, includes post-surgical
complications.
Agitated Delirium
For Agitated Delirium only. NOT for
psychiatric emergencies or other causes
of agitation without delirium.
Airway Obstruction/
Choking
For any upper airway emergency
including choking, foreign body, swelling,
stridor, croup, and obstructed
tracheostomy
Alcohol Intoxication
For alcohol intoxication if it is the primary
problem. Use of secondary PI if the
patient has another acute emergency.
Allergic Reaction
For any simple allergic reaction that is
isolated to the skin (hives/ urticarial only)
and does not meet definition of
anaphylaxis
ALOC - Not
Hypoglycemia or
Seizure
For altered mental status not attributed to
a more specific PI (i.e., cause unknown).
Use as secondary PI when cause known.
Anaphylaxis
For anaphylaxis.
Behavioral/
Psychiatric Crisis
For psychiatric crisis that is the primary
problem. NOT for anxiety/agitation
secondary to medical etiology, use PI
related to medical issue.
Body Pain –
Non Traumatic
For pain not related to trauma that is not
localized to chest, abdomen, head, or
extremity.
BRUE
For a brief resolved unexplained event
(BRUE). Patient must be ≤12 months of
age and back to baseline on assessment.
Burns
For any burn injury to skin. For inhalation
injury use PI Inhalation Injury. Use with PI
Traumatic Injury if other trauma present.
Carbon Monoxide
For suspected or known carbon monoxide
exposure.
Cardiac Arrest –
Non-traumatic
For non-traumatic cardiac arrest in which
any resuscitation is initiated, NOT dead
on arrival.
Cardiac
Dysrhythmia - Bradycardia
For any bradycardic rhythm <60bpm.
Cardiac
Dysrhythmia - Tachycardia
For any tachydysrhythmia and for sinus
tachycardia (ST) of unclear etiology. NOT
for ST secondary to known cause – use
more specific PI (e.g., Fever)
Chest Pain –
Not Cardiac
For musculoskeletal and pleuritic pain
and any chest pain that is NOT of
possible cardiovascular etiology.
Chest Pain –
STEMI
For any suspected STEMI, with or without
chest pain.
Chest Pain –
Suspected Cardiac
For any chest pain that is of possible
cardiovascular etiology but NOT STEMI
(e.g., NSTEMI, pericarditis, dissection).
Childbirth (Mother)
For delivery or imminent delivery of a
fetus beyond the first trimester (12
weeks). For <12 weeks use PI Pregnancy
Complications.
Cold / Flu
Symptoms
For minor respiratory illness in a patient
without shortness of breath or wheezing;
must have normal respiratory rate and O2
sat (if available).
Diarrhea
For diarrhea without bleeding. NOT for
melena, use PI Upper GI Bleeding.
Dizziness/Vertigo
For lightheadedness or vertigo, without
syncope.
DOA – Obvious
Death
1210-P
For non-traumatic cardiac arrest found
dead on arrival such that no resuscitation
is initiated.
Dystonic Reaction
For suspected dystonic reaction (i.e.,
reaction, typically from antipsychotic
medications, causing abnormal
contraction of head and neck muscles.)
Electrocution
For any electrocution injury.
ENT / Dental
Emergencies
For a problem located in the ear, nose,
throat area, except NOT epistaxis – use
PI Epistaxis, NOT airway obstruction –
use PI Airway Obstruction.
Epistaxis
For any bleeding from the nares.
Extremity Pain/
Swelling – Non
Traumatic
For pain, swelling, or other non-traumatic
problem of an extremity, includes rashes
and non-traumatic bleeding (e.g.,
varicose vein bleed).
Eye Problem –
Unspecified
For any pain or problem of the eye or
periorbital region, use with PI Traumatic
Injury if a traumatic mechanism.
Fever
For reported or tactile fever that is NOT
suspected sepsis. For sepsis use PI
Sepsis.
Genitourinary
Disorder –
Unspecified
For urinary or genital related complaints,
or for sexual assault, except NOT vaginal
bleeding – use PI Vaginal Bleeding, NOT
trauma-related – use PI Traumatic Injury.
HazMat Exposure
For any hazardous material (chemical)
exposure. May use with another PI (e.g.,
Inhalation Injury or Burns) when
applicable.
Headache – Non
Traumatic
For non-traumatic headache or head
pain.
Hyperglycemia
For patients with primary concern for
hyperglycemia and/or associated
symptoms (blurred vision, frequent
urination or thirst) without more specific PI
and those requiring field treatment. DO
NOT list for incidental finding of
hyperglycemia related to another illness.
Hypertension
For patients with primary concern for
hypertension without symptoms related to
a more specific PI. For symptomatic
patients, use related PI as primary (e.g.,
Headache – Non-traumatic) and
Hypertension as secondary. DO NOT list
for incidental finding of hypertension.
Hyperthermia
For environmental exposure causing
hyperthermia, e.g., heat exhaustion and
heat stroke, drugs may also be a
contributing factor.
Hypoglycemia
For glucose <60mg/dL.
Hypotension
For SBP <90mmHg in adults or
<70mmHg in children with transient low
BP or rapidly responds to fluid
resuscitation and without signs of shock.
Hypothermia / Cold
Injury
For environmental exposures causing
hypothermia and/or frostbite injury.
Inhalation Injury
For any signs/symptoms related to
inhaling a gas or substance other than
smoke or carbon monoxide.
Lower GI Bleeding
For bleeding from the rectum and/or
bright red bloody stools.
Medical Device
Malfunction – Fail
For a medical device that fails, including
VADs, insulin pumps, and shunts. Usually
for internal devices, may be used for vent
failure if patient is asymptomatic. For
symptomatic patients, use PI related to
symptoms (e.g., Automated Internal
Defibrillator firing – use PI associated with
complaint such as Cardiac Dysrhythmia –
Tachycardia).
Nausea / Vomiting
1205-P
For any nausea or vomiting without blood.
Not for adverse reaction to opiate
administration by EMS, manage with
primary PI/TP.
Newborn
For any newborn deliveries in the field.
No Medical
Complaint
For patients without any medical,
psychiatric or traumatic complaint and no
signs of illness on assessment. Usually
reserved for non-transports.
Overdose/
Poisoning/Ingestion
For any intentional or unintentional
overdose/poisoning by any route,
includes illicit substances and prescription
medications, overdose and/or adverse
reactions.
Palpitations
1202-P
For any patient complaint of palpitations
(e.g., rapid heart rate beat, skipped beats,
chest fluttering) with normal rate and
rhythm on the ECG.
Pregnancy
Complications
For any pregnancy-related condition that
is not labor. Includes vaginal bleeding in
pregnancy, hypertension, and complications of delivery.
Pregnancy / Labor
For contractions without imminent
childbirth.
Respiratory Arrest /
Failure
For patients requiring positive-pressure
ventilation and/or hypoxia despite 100%
oxygen.
Respiratory
Distress /
Bronchospasm
For COPD/asthma exacerbations and any
bronchospasms/wheezing not from
pulmonary edema.
Respiratory
Distress / Other
For patients with pulmonary disease that
is not edema or bronchospasm, includes
suspected pneumonia, PE, pneumothorax
and non-pulmonary and unknown causes
of respiratory distress.
Respiratory
Distress /
Pulmonary Edema /
CHF
For congestive heart failure exacerbation.
Seizure – Active
For seizure witnessed by EMS, whether
treated or not.
Seizure – Postictal
For any seizure that stopped prior to EMS
arrival and there is no further seizure
activity during EMS contact.
Sepsis
For patients with suspected sepsis (i.e.,
signs suggestive of sepsis including fever,
tachycardia, suspected infection).
Shock
For patients with poor perfusion not
rapidly responsive to IV fluids.
Smoke Inhalation
For patients with smoke inhalation.
Stings / Venomous
Bites
For snakes, scorpion, insects, and marine
envenomations (stingrays, jelly fish). NOT
for animal bites, use PI traumatic injury.
Stroke / CVA / TIA
For suspected stroke or transient
ischemic attack (stroke symptoms that
resolve rapidly).
Submersion /
Drowning
For any submersion injury, including
drowning and dive (decompression)
emergencies.
Syncope / Near
Syncope
For syncope (transient loss of
consciousness). NOT for cardiac arrest,
use PI Cardiac Arrest – Non-traumatic
only.
Traumatic Arrest –
Blunt
For cardiac arrest with blunt traumatic
mechanism, including those declared
deceased in the field by Ref. 814. NOT
for trauma sustained after cardiac arrest,
use PI Cardiac Arrest – Non- traumatic.
Traumatic Arrest –
Penetrating
For cardiac arrest with penetrating
traumatic mechanism, including those
declared deceased in the field by Ref.
814.
Traumatic Injury
For any trauma-related injury including
crush injury and conducted electrical
weapons (CEW). May use in addition to
another PI when medical condition also
present (e.g., for syncope with trauma –
use PI Syncope and PI Traumatic Injury;
for CEW use in patient with agitated
delirium – use PI Agitated Delirium and PI
Traumatic Injury.
Upper GI Bleeding
For vomiting blood or coffee ground
emesis, and for melena (i.e., black, tarry
stools).
Vaginal Bleeding
For vaginal bleeding in the NON-pregnant
patient. For vaginal bleeding in pregnancy
use PI Pregnancy Complications.
Weakness –
General
For nonfocal weakness, general malaise,
and any nonspecific ‘sick’ symptoms.
