The assessment of the patients left upper abdomen on examination
Normal
Not Done
Distention
Guarding
Mass
Tenderness
The assessment of the patients left lower abdomen on examination
Normal
Not Done
Distention
Guarding
Mass
Tenderness
The assessment of the patients right lower abdomen on examination
Normal
Not Done
Distention
Guarding
Mass
Tenderness
The assessment of the patients right upper abdomen on examination
Normal
Not Done
Distention
Guarding
Mass
Tenderness
The presence of a valid for of living bF7VVBF&V7FrVBbƖfR"VF6&RG&VFVBFV6633F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS##cCR#РLJ3FFРLJ3F7VVFF7FFRT2D"f&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##cS#РLJ3FFРLJ3F7VVFFFW"VF6&RD"f&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##cSR#РLJ3FFРLJ3F7VVFFƗfrv3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##cc#РLJ3FFРLJ3F7VVFFf֖ǒwV&F&WVW7BD"'WBF7VVFF3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##ccR#РLJ3FFРLJ3F7VVFFFW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##cs#РLJ3FFРLJ3F7VVFFS3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$TE6t$4$FR#РLJ3FFРLJ3F7VVFFFRFRbW&FFRFWf6R2W&FrGW&rFRFVf'&F6r"&FǗ62'FRFWf6Rb&&FRf"FRWfVB3F7VVFFР3FFРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#S##РLJ3FFРLJ3F7VVFFWFFVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S#R#РLJ3FFРLJ3F7VVFFV3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S###РLJ3FFРLJ3F7VVFFGf6'3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S##R#РLJ3FFРLJ3F7VVFFFVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S#3#РLJ3FFРLJ3F7VVFF6V6s3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S#3R#РLJ3FFРLJ3F7VVFF֖B7G&V3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S#C#РLJ3FFРLJ3F7VVFF6FR7G&V3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSРLJ36UGRS$vR#РLJ3FFРLJ3F7VVFFFRFVBw2vRVFW"67VFVBg&FFRb&'F"&W7B&F3F7VVFFР3FFРLJ3&W7G&7F&6S'3FVvW"#РLJ3֖6W6fRfVS#"Р
county or parish or residence
The primary medical speciality of the Agency Medical Director.
Anesthesiology
Cardiology
Emergency Medicine
Family Practice
General Practice (not board certified)
Internal Medicine
Obstretrics and Gynecology
Orthopedics
Other
Pediatrics
Surgery
The patient's home state, territory, or province, or District of Columbia, where the patient resides
Alcohol and/or Drug Paraphernalia at Scene
None
The mileage (odometer reading) of the vehicle rounded to the nearest mile
The patient’s total APGAR score (0-10) Recommend to be taken at 1 and 5 minutes after the infants birth
The area or location of impact on the vehicle
Center Front
Center Rear
Left Front
Left Rear
Left Side
Right Front
Right Rear
Right Side
Roll Over
3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$'&W7EvFW76VD'#РLJ3FFРLJ3F7VVFFF6FbvFR6&F2'&W7Bv2vFW76VB'3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS##3#РLJ3FFРLJ3F7VVFFvFW76VB'VF6&R&fFW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##3R#РLJ3FFРLJ3F7VVFFvFW76VB'W'63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##3##РLJ3FFРLJ3F7VVFFBvFW76VC3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$&66W'f676W76VB#РLJ3FFРLJ3F7VVFFFR76W76VBbFRFVG2&66W'f6W֖F3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#3scR#РLJ3FFРLJ3F7VVFF&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3ss#РLJ3FFРLJ3F7VVFFBFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3ssR#РLJ3FFРLJ3F7VVFFF$3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3s#РLJ3FFРLJ3F7VVFFFVFW"&7W33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3sR#РLJ3FFРLJ3F7VVFFFVFW"7W2&6W733F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$&6V&%67&76W76VB#РLJ3FFРLJ3F7VVFFFR76W76VBbFRFVG2&6V&"67&W֖F3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#3R#РLJ3FFРLJ3F7VVFF&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3##РLJ3FFРLJ3F7VVFFBFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#R#РLJ3FFРLJ3F7VVFFF$3F7VVFFР3FFР3VVW&FРLJ3VVW&Flue="3830">
Tender Para-spinous
Tender Spinous Process
The assessment of the patients back-thoracic on examination
Normal
Not Done
Pain to ROM
Tender Para-spinous
Tender Spinous Process
Indication of whether or not there were any patient specific barriers to serving the patient at the scene
Developmentally Impaired
Hearing Impaired
Language
None
Physically Impaired
Physically Restrained
<3FFРLJ3F7VVFF7VV6&VC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##c3R#РLJ3FFРLJ3F7VVFFVGFVFVB"V7WW'f6VB6VFr֖'23F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##cC#РLJ3FFРLJ3F7VVFFV666W33F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$&Ɩu7FGW2#РLJ3FFРLJ3F7VVFFF6FbvWFW"FRT2vV7&WFVǒ&2f"6VvVBbFRFVBVF3F7VVFFР3FFРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFFW33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFF3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSРLJ36UGRS$&DvV66TWfV#РLJ3FFРLJ3F7VVFFFRFVG2&BvV66RWfV3F7VVFFР3FFРLJ3&W7G&7F&6S'3FVvW"#РLJ3֖6W6fRfVS#"РLJ36W6fRfVS##"Р3&W7G&7FР36UGSРLJ36UGRS$&GFVW&GW&R#РLJ3FFРLJ3F7VVFFFRFVG2&GFVW&GW&R6VFw&FS3F7VVFFР3FFРLJ3&W7G&7F&6S'3FV6#РLJ3FFFvG2fVS#B"РLJ3g&7FFvG2fVS#""РLJ3֖6W6fRfVS#"РLJ36W6fRfVS#S"Р3&W7G&7FР36UGSРLJ36UGRS$'&6VtWFV6"#РLJ3FFРLJ3F7VVFFFR'&6VrWFV6"2FVg&FRFS3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#33sR#РLJ3FFРLJ3F7VVFF&VS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#33#РLJ3FFРLJ3F7VVFFw&VV3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#33R#РLJ3FFРLJ3F7VVFFw&W3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#33#РLJ3FFРLJ3F7VVFF&vS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#33R#РLJ3FFРLJ3F7VVFF3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3C#РLJ3FFРLJ3F7VVFFW'S3F7VVFon>
Red
White
Yellow
The number of 911 EMS called per year based on last calendar year.
Indication of the presence of a cardiac arrest at any time.
Yes, Prior to EMS Arrival
Yes, After EMS Arrival
No
Indication of the etiology or cause of the cardiac arrest (classified as cardiac, non-cardiac, etc.) (Utstein #5)
Presumed Cardiac
Trauma
Drowning
Respiratory
Electrocution
Other
The initial cardiac rhythm of the patient as interpreted by EMS personnel
12 Lead ECG-Anterior Ischemia
12 Lead ECG-Inferior Ischemia
12 Lead ECG-Lateral Ischemia
Agonal/Idioventricular
Artifact
Asystole
Atrial Fibrillation/Flutter
AV Block-1st Degree
AV Block-2nd Degree-Type 1
AV Block-2nd Degree-Type 2
AV Block-3rd Degree
Junctional
Left Bundle Branch Block
Normal Sinus Rhythm
<3VVW&FРLJ3VVW&FfVS#3sR#РLJ3FFРLJ3F7VVFFFW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#РLJ3FFРLJ3F7VVFF6VB&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3R#РLJ3FFРLJ3F7VVFFT3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#РLJ3FFРLJ3F7VVFF&VGW&RG&6G&7F33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3R#РLJ3FFРLJ3F7VVFF&VGW&RfVG&7V"6G&7F33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#РLJ3FFРLJ3F7VVFF&vB'VFR'&6&63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3R#РLJ3FFРLJ3F7VVFF6W2'&F֖3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#РLJ3FFРLJ3F7VVFF6W2'&G6&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3R#РLJ3FFРLJ3F7VVFF6W2F66&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3##РLJ3FFРLJ3F7VVFF7W&fVG&7V"F66&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#R#РLJ3FFРLJ3F7VVFFF'6FW2FRG33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#33#РLJ3FFРLJ3F7VVFFVvTB66&R&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#33R#РLJ3FFРLJ3F7VVFFVvTB66&R&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3C#РLJ3FFРLJ3F7VVFFfVG&7V"f'&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3CR#РLJ3FFРLJ3F7VVFFfVG&7V"F66&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFFBF7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFFr66VG&F"b3F7VVFFР3FFР3VVW&FРLJ3VVW&Ffe="8020">
Medium Concentration 02 7-9 LPM
High Concentration 02 10-25 LPM
Patent
Compromised
Obstructed
Other
Regularly-Regular
Regularly-Irregular
Irregularly-Irregular
Right Arm
Left Arm
Right Leg
Left Leg
Fowlers
Semi-Fowlers
Right Leg
Supine
Shock
Other
Stay home and monitor
Go home and monitor
Private auto to hospital
Private Auto to PMD
Call PMD
Other
Family
Friends
Legal Guardian/DDM
Law Enforcement
Responsible Adult (i.e. School Nurse)
Other
Patient
Family
3rd Party
Other at pt/fam. request
Unknown
Paced Rhythm
PEA
Premature Atrial Contractions
Premature Ventricular Contractions
Right Bundle Branch Block
Sinus Arrhythmia
Sinus Bradycardia
Sinus Tachycardia
Supraventricular Tachycardia
Torsades De Points
Unknown AED Non-Shockable Rhythm
Unknown AED Shockable Rhythm
Ventricular Fibrillation
Ventricular Tachycardia
The category of the reported/suspected external cause of the injury.
AIrcraft Related Accident (E84X.0)
Motor Vehicle non-traffic accident (E82X.0)
Motor Vehicle traffic accident (E81X.0)
Motorcycle Accident (E81X.0)
Non-Motorized Vehicle Accident (E848.0)
Pedestrian Traffic Accident (E814.0)
Radition Exposure (E926.0)
Rape (E960.1)
Smoke Inhalation (E89X.2)
Stabbing/Cutting Accidental (E986.0)
Stabbing/Cutting Assultl (E966.0)
Struck by Blunt/Thrown Object (E968.2)
Venomus stings (plants, animals) (E905.0)
Water Transport accident (E83X.0)
Assault
ATV
Explosion
Other Trauma
The assessment of the patients chest on examination
Normal
Not Done
Accessory Muscles
Decreased BS-Left
Decreased BS-Right
Flail Segment-Left
Flail Segment-Right
Increased Effort
Normal BS
Rales
Rhonchi/Wheezing
Tenderness-Left
Tenderness-Right
The statement of the problem by the patient or the history provider.
ALS, Level 2
Paramedic Intercept
Specialty Care Transport
Fixed Wing (Airplane)
Rotary Wing (Helicopter)
The Patients end-tidal or other CO2 level
The primary anatomic location of the chief complaint as identified by EMS personnel
Abdomen
Back
Chest
Extremity-Lower
Extremity-Upper
General/Global
Genitalia
Head
Neck
Animal Bite
Assult
Back Pain
Breathing Problem
Burns
CO Poisoning/Hazmat
Cardiac Arrest
Chest Pain
Choking
Convulsions/Seizure
Diabetic Problem
Drowning
Electrocution
Eye Problem
Fall Victim
Headache
Heart Problems
Heat/Cold Exposure
Hemorrage/Laceration
A-Interfacility Transport (Requires Higher level of care)
B-Interfacility Transport (service not available)
C-ALS Response to BLS Patient
D-Medically Necessary Transport (Not Nearest Facility)
E-BLS Transport of ALS PAtient
F-Emergency Trauma Dispatch Condition Code (patient is BLS)
Air-A-Long Distance
Air-B- Traffic Precludes Ground Transport
Air-C-Time Precludes Ground Transport
Air-D-Pick up Point not Accessible by Ground Transport
The condition code associated with the CMS EMS negotiated rule-making process.
Severe Abdominal Pain (ALS-789.00)
Abdominal Pain (ALS-789.00)
Abnormal Cardiac Rhythm/Cardiac Dysrhythmia (ALS-427.9)
Abnormal Skin Signs (ALS-780.83F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#R#РLJ3FFРLJ3F7VVFF&&fF6v22sbB3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#b#РLJ3FFРLJ3F7VVFFW&v2&V7F2ӓR3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#r#РLJ3FFРLJ3F7VVFFW&v2&V7F$2c"㒓3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFF&BvV66R2s#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFF&W7&F''&W7B2s3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFFFff7VG'&VFr2sbR3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFF6&F2'&W7E&W7W66FF&w&W722C#rR3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#"#РLJ3FFРLJ3F7VVFF6W7BG&VF22sbS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#2#РLJ3FFРLJ3F7VVFF6rW6FR2sB㒓3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#B#РLJ3FFРLJ3F7VVFF6BW7W&R2ӓb3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#R#РLJ3FFРLJ3F7VVFF6BW7W&R$2ӓb3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#b#РLJ3FFРLJ3F7VVFFFW&VBWfVb666W6W72G&VF22s3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#r#РLJ3FFРLJ3F7VVFF6gV626VW&W22s33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFFWR7F2G&VF2$23s3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFFG&VF2VF6R2C3r㒓3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS###РLJ3FFРLJ3F7VVFF6&F27F2FW"Fest Pain (palpitations) (ALS-785.1)
Cardiac Symptoms othe than Chest Pain (atypical pain) (ALS-536.2)
Heat Exposure (ALS-992.2)
Heat Exposure (BLS-992.2)
Hemorrage (ALS-459.0)
Infectious Diseases requiring Isolation/Public Health Risk (BLS-038.9)
Hazmat Exposure (ALS-987.9)
Medical Device Failure (ALS-996.0)
Medical Device Failure (BLS-996.3)
Neurologic Distress (ALS-436.0)
Pain (Severe) (ALS-780.99)
Back Pain (non-traumatic possible cardiac or vascular) (ALS-724.5)
Back Pain (non-traumatic with neurologic symptoms) (ALS-724.9)
Posions (all routes) (ALS-977.9)
Alcohol Intoxication or Drug Overdose (BLS-305.0)
Severe Alcohol Intoxication (ALS-977.3)
Post-Operative Procedure COmplications (BLS-998.9)
Pregnacy Complication/Chlidbirth/Labor (ALS-650.0)
Psychiatric/Behavioral (abnormal mental status) (ALS-292.9)
Psychiatric/Behavioral (threat to self or others) (BLS-298.9)
SIck Person-Fever (BLS-036.9)
Severe Dehydration (ALS-787.01)
Unconscious/Syncope/Dizziness (ALS-780.02)
Major Trauma (ALS-959.8)
Other Trauma (need for monitor or airway) (ALS-518.5)
Other Trauma (major bleeding) (ALS-958.2)
Other Trauma (fracture/dislocation (BLS-829.0)
Other Trauma (penetrating extremity) (BLS-880.0)
Other Trauma (amputation digits) (BLS-886.0)
Other Trauma (amputation other) (ALS-887.4)
Other Trauma (suspected internal injuries) (ALS-869.0)
3FFР3VVW&FРLJ3VVW&FfVS#S#РLJ3FFРLJ3F7VVFF'W&2"2ӓC23F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S"#РLJ3FFРLJ3F7VVFF'W&2֖"$2ӓC"3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S2#РLJ3FFРLJ3F7VVFF&FW27FrVfVF2ӓR3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SB#РLJ3FFРLJ3F7VVFF&FW27Fw2VfVF$2Ӄsん3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SR#РLJ3FFРLJ3F7VVFFƖvFr2ӓB3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Sb#РLJ3FFРLJ3F7VVFFVV7G&7WF2ӓBん3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Sr#РLJ3FFРLJ3F7VVFFV"G&vr2ӓB3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S#РLJ3FFРLJ3F7VVFFWRW&W2$2ӓ#㒓3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S#РLJ3FFРLJ3F7VVFF6WV76VB"W&W22ӓR23F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#РLJ3FFРLJ3F7VVFF6WV76VB֖"W&W2$2ӓRん3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#РLJ3FFРLJ3F7VVFF6&F2VG֖2F&r&WV&VB2C#㒓3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c"#РLJ3FFРLJ3F7VVFFGf6VB'vvVVB2S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c2#РLJ3FFРLJ3F7VVFFbVG2&WV&VB24B6FR&fFVB3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cB#РLJ3FFРLJ3F7VVFF6V֖6&W7G&B2#23F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cR#РLJ3FFРLJ3F7VVFF7V7FrvVbfVG2&WV&VB$2Cb3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cb#РLJ3FFРLJ3F7VVFF'v6G&6Fr&WV&VB$2s09)
Third Party Assistance/Attendant Required (BLS-496.0)
Patient Safety (restraints required) (BLS-298.9)
Patient Safety (monitoring required) (BLS-293.1)
Patient Safety (seclusion required) (BLS-298.8)
Patient Safety (risk of falling off stretcher) (BLS-781.3)
Special Handling (Isolation) (BLS-041.9)
Special Handling (orthopedic device required) (BLS-907.2)
Special Handling (positioning required) (BLS-719.45)
The condition of the patient after care by EMS
Improved
Unchanged
Worse
country of citizenship
Driver
Primary Patient Caregiver
Secondary Patient Caregiver
Third Patient Caregiver
Other
The administration route (po, SQ, etc.) of the patients current medication
Endotracheal tube
Gastronomy tube
Inhalation
Intramuscular
Intranasal
Intraocular
Intraosseous
The dosage unit of the patient’s current medication
GMS
Inches
IU
KVO (TKO)
L/MIN
LITERS
LPM
MCG
MCG/KG/MIN
MEQ
MG
MG/KG/MIN
ML
ML/HR
Other
Puffs
The Patients Gender
Male
Female
Last name
The medication given to the patient
The procedure performed on the patient
The protocol used by EMS personnel to direct the clinical care of the patient
Abdominal Pain
Airway
Airway-Failed
Airway-RSI
Allergic Reaction/Anaphylaxis
Altered Mental Status
Asystole
Back Pain
Behavorial
Bites and Envenomations
Bradycardia
Burns
Cardiac Arrest
Cardiac Chest Pain
Childbirth/Labor
Cold Exposure
Dental Problems
Device Malfunction
Diarrhea
Drowning/Near Drowning
Diving Emergencies
Electrical Injuries
Epistaxis
Exposure-Airway Irritants
Exposure-Biological/Infectious
Exposure-Bl7FW&rvVG33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cB#РLJ3FFРLJ3F7VVFFW7W&R7FS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cR#РLJ3FFРLJ3F7VVFFW7W&RW'fRvVG33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cb#РLJ3FFРLJ3F7VVFFW7W&R&Fv2vVG33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cr#РLJ3FFРLJ3F7VVFFW7W&R&B6G&vVG33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c##РLJ3FFРLJ3F7VVFFWG&V֗GG&V3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#R#РLJ3FFРLJ3F7VVFFWRG&V3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c3#РLJ3FFРLJ3F7VVFFfWfW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c3R#РLJ3FFРLJ3F7VVFFwV6v2VW&vV6W33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cC#РLJ3FFРLJ3F7VVFFVBG&V3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cCR#РLJ3FFРLJ3F7VVFF䇗W&vǖ6V֖3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cS#РLJ3FFРLJ3F7VVFF䇗W'FV63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cc#РLJ3FFРLJ3F7VVFF䇗W'FW&֖3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#ccR#РLJ3FFРLJ3F7VVFF䇗vǖ6V֖3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cs#РLJ3FFРLJ3F7VVFF䇗FV666G&V3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#РLJ3FFРLJ3F7VVFF䇗FW&֖3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#РLJ3FFРLJ3F7VVFFb66W733F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s#РLJ3FFРLJ3F7VVFFG&VVF77FV3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s#
Newly Born
Obstetrical Emergencies
Over Dose/Toxic Ingestion
Pain Control
Post Resuscitation
Pulmonary Edema
Pulseless Electrical Activity (PEA)
Respiratory Distress
Seizure
Spinal Immobilzation
Supraventricular Tachycardia
Stroke/TIA
Syncope
Trauma-Arrest
Universal Patient Care
Ventricular Fibrillation
Ventricular Ectopy
Ventricular Tachycardia
Nerve agents and organophosphates MCI - adult
Nerve agents and organophosphates MCI - pediatric
Poisoning/substance abuse/overdose - pediatric
Radiation injuries
Tachycardia - pediatric
Thoracic injuries ? adult
Thoracic injuries ? pediatric
Respiratory Arrest
Automatic External Defibrillator (AED)
Cardiogenic Shock
Refusal of Care/Transportation
Minimum Landing Zone Area
Hypothermia (Severe - with No Signs of Life)
Eye Injury
Pediatric Altered Mental Status/Coma
Pediatric Croup/Epiglotitis/FBAO
Transporting Red Lights and Siren
The patient's race as defined by the OMB (US Office of Management and Budget)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other Race
All of the potential levels of certification/licensure for EMS personnel recognized by the state.
EMT-Basic
EMT-Intermediate
EMT-Paramedic
Nurse
Physician
First Responder
The code of the destination the patient was delivered or transferred to
The destination the patient was delivered or transferred to
The Patients end-tidal or other CO2 level
The Units of Carbon Dioxide, end-tidal Carbon Dioxide, invasive pressure monitor 1, or invasive pressure monitor 2 as measured from the device transducers (if appropriate for the event)
The Invasive Pressure Mean as calculated either through the invasive pressure monitor 1 or the invasive pressure monitor 2 (if appropriate for the event)
The manufacturer of the medical device.
The local number or configurable ID/Name of the medical device.
The unique manufacturer's serial number associated with a medical device.
The patients drivers license number
The duration of the chief complaint
The duration of the secondary complaint
The interpretation of the rhythm by the device (if appropriate for the event)
The lead or source which the medical device used to obtain the rhythm (if appropriate for the event)
I
II
III
AVR
AVL
AVF
V1
V2
The Vendor or company associated with the EMD card set and algorithms
The known disposition of the patient from the Emergency Department (ED)
Admitted to Hospital Floor
Admitted to Hospital ICU
Death
Not Applicable (Not Transported to ED)
Released
Transferred
Personnel's Employment Status for this Agency.
Full Time Paid Employee
Full Time Unpaid Employee
Part Time Paid and Part Time Unpaide Employee
Part Time Paid Employee
Part Time Unpaid Employee
No Longer Employed by Service
LJ36UGRS$T4vV7FƖvE6fw5FUW6R#РLJ3FFРLJ3F7VVFFF6FRbFRT2vV76f&2FFƖvB6fw2FR3F7VVFFР3FFРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFF3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFFW33F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSРLJ36UGRS$T4vV7R#РLJ3FFРLJ3F7VVFFFRf&RbFRvV73F7VVFFР3FFРLJ3&W7G&7F&6S'37G&r#РLJ3֖VwFfVS#""РLJ3VwFfVS#S"Р3&W7G&7FР36UGSРLJ36UGRS$T4vV7V&W"#РLJ3FFРLJ3F7VVFFFR7FFR76vVB&fFW"V&W"bFR&W7FrvV73F7VVFFР3FFРLJ3&W7G&7F&6S'37G&r#РLJ3֖VwFfVS#2"РLJ3VwFfVS#R"Р3&W7G&7FР36UGSРLJ36UGRS$T4vV7FUR#РLJ3FFРLJ3F7VVFFFRFRRf"FRT2vV73F7VVFFР3FFРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#S#РLJ3FFРLJ3F7VVFFtB֖Gv6B63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S#РLJ3FFРLJ3F7VVFFv3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S##РLJ3FFРLJ3F7VVFF63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S3#РLJ3FFРLJ3F7VVFF6f2FS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#РLJ3FFРLJ3F7VVFFVFFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SS#РLJ3FFРLJ3F7VVFF6VG&FS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Sc#РLJ3FFРLJ3F7VVFFV7FW&FS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Ss#РLJ3FFРLJ3F7VVFFFF2FS3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSРLJ36UGRS$T4&&T65V"#РLJ3FFРLJ3F7VVFFFRV&W"bT2FVBV6VFW'2v6&R&&R&6VBFR7B6VF"V"3F7VVFFР3FFРLJ3&W7G&7F&6S'36FfTFVvW"#РLJ3֖6W6fRfVS#"РLJ36W6fRfVS#"Р:restriction>
The number of EMS dispatches per based on last last calendar year.
The number of EMS patient contacts per year based on last calendar year
The number of EMS transports per year based on last calendar year.
The EMS unit number used to dispatch and communicate with the unit. This may be the same as the EMS Unit/Vehicle Number in many agencies.
The unique physical vehicle number of the responding unit
The internal EMS response number which is unique for each EMS unit’s (vehicles) response to an incident within an agency.
The patient’s known allergies to food or environmental agents.
Insect Sting
Food Allergy
8-10 Minutes
6-8 Minutes
4-6 Minutes
2-4 Minutes
0-2 Minutes
The patient's ethnicity as defined by the OMB (US Office of Management and Budget)
Hispanic or Latino
Not Hispanic or Latino
The assessment of the patients left lower extremities on examination
Normal
Not Done
Abnormal Pulse
Abnormal Sensation
Edema
Tenderness
LJ3FFРLJ3F7VVFFvVW733F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$WG&V֗FW4VgEWW$76W76VB#РLJ3FFРLJ3F7VVFFFR76W76VBbFRFVG2VgBWW"WG&V֗FW2W֖F3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#3#РLJ3FFРLJ3F7VVFF&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3R#РLJ3FFРLJ3F7VVFFBFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3##РLJ3FFРLJ3F7VVFF&&V6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#R#РLJ3FFРLJ3F7VVFF&&6V6F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#33#РLJ3FFРLJ3F7VVFFVFV3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#33R#РLJ3FFРLJ3F7VVFFFVFW&W733F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3C#РLJ3FFРLJ3F7VVFFvVW733F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$WG&V֗FW5&vDvW$76W76VB#РLJ3FFРLJ3F7VVFFFR76W76VBbFRFVG2&vBvW"WG&V֗FW2W֖F3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#3sR#РLJ3FFРLJ3F7VVFF&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#РLJ3FFРLJ3F7VVFFBFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3R#РLJ3FFРLJ3F7VVFF&&V6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#РLJ3FFРLJ3F7VVFF&&6V6F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3R#РLJ3FFРLJ3F7VVFFVFV3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#РLJ3FFРLJ3F7VVFFFVFW&W733F7VVFFР3FF
Weakness
The assessment of the patients right upper extremities on examination
Normal
Not Done
Abnormal Pulse
Abnormal Sensation
Edema
Tenderness
Weakness
The assessment of the patients left eye on examination
Not Done
2-mm
3-mm
4-mm
5-mm
6-mm
7-mm
Blind
Reactive
Non-Reactive
The assessment of the patients right eye on examination
Not Done
2-mm
3-mm
4-mm
5-mm
6-mm
7-mm
Blind
Reactive
Non-Reactive
The Hospital or facility name
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Bradycardia
Normal Sinus Rhythm
Other
PEA
Unknown AED Non-Shockable Rhythm
Unknown AED Shockable Rhythm
Ventricular Fibrillation
Ventricular Tachycardia
Paced Rythm
First name
The Patients Glasgow Coma Score: Eye
The Patients Glasgow Coma Score: Motor
Documentation of the factors which make the GCS score more meaningful
Tenderness
Unstable
Theassessment of the patients face on examination
Normal
Not Done
Asymmetric Smile or Droop
Drainage
Mass/Lesion
Swelling
The assessment of the patients heart on examination
Normal
Not Done
Decreased Sounds
Murmur
The distance in feet the patient fell, measured from the lowest point of the patient to the ground
Assisted/Walk
Carry
Stairchair
Stretcher
Other
The ICD-9 Code assigned by CMS for the condition code documented in E07_35_ This is based on the CMS EMS negotiated rule-making process.
The date of the associated immunization type (E138).
The type of Immunization
Anthrax
DPT (Diphtheria, Tetanus, Pertussis)
Hemophilus Influenza B
Hepatitis A
Hepatitis B
Influenza (Flu)
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Health Care Facility (clinic, hospital, nursing home)
Residential Institution (Nursing Home, jail/prison)
Lake, River, Ocean
Other Location
The incident number assigned by the 911 Dispatch System
Type of disposition treatment and/or transport of the patient.
Cancelled
Dead at Scene
No Patient Found
No Treatment Required
Patient Refused Care
Treated and Released
Treated, Transferred Care
Treated, Transported by EMS
Treated, Transported by Law Enforcement
Treated, Transported by Private Vehicle
The billing priority or order for the insurance company.
Primary
Secondary
Other
The ID number of the patient's insurance company
The Insurance company name
The ID number or name of the patient's insurance group
The ID number of the patient's insurance policy
The intent of the individual inflicting te injury
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The mechanism of the event which caused the injury
Blunt
Burn
Other
Penetrating
The type of event documented by the medical device.
12-Lead ECG
Analysis (Button Pressed)
CO2
Date Transmitted
Defibrillation
ECG-Monitor
Heart Rate
Invasive Pressure 1
Invasive Pressure 2
No Shock Advised
<3FFРLJ3F7VVFFԖf6fR%3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SCR#РLJ3FFРLJ3F7VVFF6rVV7G&66GW&S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SS#РLJ3FFРLJ3F7VVFF6r7F'FVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SSR#РLJ3FFРLJ3F7VVFF6r7FVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Sc#РLJ3FFРLJ3F7VVFFFVB6V7FVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#ScR#РLJ3FFРLJ3F7VVFFvW"3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Ss#РLJ3FFРLJ3F7VVFFV6RWG'3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SsR#РLJ3FFРLJ3F7VVFFV6R&FS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S#РLJ3FFРLJ3F7VVFF&W7&F'&FS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SR#РLJ3FFРLJ3F7VVFF66Gf6VC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S#РLJ3FFРLJ3F7VVFF72fc3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SR#РLJ3FFРLJ3F7VVFF723F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$VF6Ć7F''FVDg&#РLJ3FFРLJ3F7VVFFGRbW'6VF67F''FVBg&3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS##sR#РLJ3FFРLJ3F7VVFF'7FFW"FW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##s#РLJ3FFРLJ3F7VVFFf֖Ǔ3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##sR#РLJ3FFРLJ3F7VVFFVF6&RW'6V3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##s##РLJ3FFРLJ3F7VVFFS3F7VVFFР3FFР3VVW&FРLJ3VVW&Ffue="2725">
Patient
The patient’s pre-existing medical and surgery history of the patient
Tuberculosis
Tracheostomy
Amputee
Chronic Resp-Bronchitis
Chronic Resp-Emphysema
HIV/AIDS
IV Drug Use/Abuse
Ortho-Osteoporosis
Parent/Guardian Denies PMH
Patient Denies PMH
Stroke/CVA
Substance Abuse (ETOH/Other)
TIA (Transient Ischemic Attack)
Unable to Obtain PMH
Endocrine-Hyperthyroidism
Endocrine-Hypothyroidism
Endocrine-Other Condition
Hepatic-Liver Failure
Hepatic-Hepatitis A
Hepatic-Hepatitis B
Hepatic-Hepatitis C
Hepatic-Hepatitis Other
Hepatic-Cirrhosis
Hepatic-Other Condition
GI/GUI-Gastric Reflux
GI/GUI-Ulcers
GI/GUI-Irritable Bowel Syn
GI/GUI-Diverticulitis
GI/GUI-Ostomy
GI/GUI-Pancreatitis
GI/GUI-Urinary Tract Infect
Psych/Behav-Obsessive/Comp Dis
Psych/Behav-Manic/Depressive
Psych/Behav-Schizophrenia
Psych/Behav-Attention Deficit
Psych/Behav-Anxiety Disorder
Psych/Behav-Other Condition
Developmental Delay
Premature Birth
Cardiac-Angina
Cardiac-CABG
Migraine Headaches
Cardiac-Heart Transplant
Cardiac-Angioplasty
Inhalant Use/Abuse
Sickle Cell Anemia
Hypercholesterolemia
Neuro-Alzheimer's
Neuro-Dementia
Neuro-Parkinson's
Cancer-Brain
Allergic Reaction
Aneurysm
Arthritis
Back Pain
Cancer-Hodgkin's Disease
Cancer-Leukemia
Cardiac-S/P Cardiac Arrest
Chronic Pain
Congenital Heart Disease
Embolus / Thrombus
GI/GUI-Kidney or Renal Stones
Malnutrition
Neuro-Down's Syndrome
Neuro-Lupus
LJ3F7VVFFWW&W67V"G7G&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#sb#РLJ3FFРLJ3F7VVFFWW&ז7FVw&f33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#sr#РLJ3FFРLJ3F7VVFF"wV7F2&Vv73F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#s#РLJ3FFРLJ3F7VVFF"wwV6v2&&V3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#s#РLJ3FFРLJ3F7VVFF"w֗66'&vS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c##РLJ3FFРLJ3F7VVFFW&W&f67V"F6V6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c##РLJ3FFРLJ3F7VVFFV'VFV3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#"#РLJ3FFРLJ3F7VVFF76&BW'3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#2#РLJ3FFРLJ3F7VVFFG&VF2W'3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#B#РLJ3FFРLJ3F7VVFF&Vv73F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#R#РLJ3FFРLJ3F7VVFF66W"&7FFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#b#РLJ3FFРLJ3F7VVFFtuTv7FW33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#r#РLJ3FFРLJ3F7VVFF'F&67W&vW'3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c##РLJ3FFРLJ3F7VVFF'FFVvVW&FfRF62F33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c##РLJ3FFРLJ3F7VVFF'FԆg&7GW&S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c##РLJ3FFРLJ3F7VVFF'FԆ&W6VVC3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$VF6FF֖7FW&VE&WFR#РLJ3FFРLJ3F7VVFFFR&WFRVF6Fv2F֖7FW&VBFFRFVC3F7VVFFР3Fion>
Edotracheal tube
Gastrostomy tube
Inhalation
Intramuscular
Intraosseous
Intranasal
Intraocular
Intravenous
Nasal
Nasal prongs
Nasogastric
Ophthalmic
Oral
Other/miscellaneous
Otic
Re-breather mask
Rectal
Subutaneous3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C#c#РLJ3FFРLJ3F7VVFF7V&ƖwV3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C#cR#РLJ3FFРLJ3F7VVFFF63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C#s#РLJ3FFРLJ3F7VVFFG&6V7Fד3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C#sR#РLJ3FFРLJ3F7VVFFG&6FW&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C##РLJ3FFРLJ3F7VVFFW&WF&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C#R#РLJ3FFРLJ3F7VVFFfVF63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C##РLJ3FFРLJ3F7VVFFvVC3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$VF6FW&vW2#РLJ3FFРLJ3F7VVFFFRFVN( 2VF6FW&vW33F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'37G&r#РLJ3֖VwFfVS#""РLJ3VwFfVS#3"Р3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$VF6FWF&F#РLJ3FFРLJ3F7VVFFFRGRbG&VFVBWF&F'FVC3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#CC#РLJ3FFРLJ3F7VVFFƖS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#CCR#РLJ3FFРLJ3F7VVFF66VS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#CC#РLJ3FFРLJ3F7VVFF&F67FFr&FW"3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#CCR#РLJ3FFРLJ3F7VVFFw&GFV&FW'2FVB7V6f23F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$VF6F6Ɩ6F#РLJ3FFРLJ3F7VVFF6ƗV6F&&VffV7BFRFVB766FVBvFFRF֖7G&FbFRVF6FFFRFVB'T33F7VVFFР3FFРLJ3VemberTypes="tns:NullValues">
None
Altered Mental Status
Apnea
Bleeding
Bradycardia
Diarrhea
Extravasion
Hypertension
Hyperthermia
Hypotension
Hypoxia
Injury
Itching/Urticaria
Nausea
Other
Respiratory Distress
Tachycardia
Vomiting
The medication given to the patient
Abciximab (Reopro)
Acetaminophen
Adenosine
Albuterol Sulfate
Alteplase
Amiodorone
Amyl Nitrate
Aspirin (ASA)
Atracurium
Atropine Sulfate
Atrovent (Ipratropium Bromide)
Bretylium Tosylate
Bumetanide (Bumex)
Calcium Chloride
Calcium Gluconate
Captopril (Mylan)
Enoxaparin
Epi-Pen Adult
Epi-Pen Junior
Epinephrine
Epinephrine 1:10,000
Epinephrine 1:1000
Eptifibatide (Integrilin)
Esmolol HCl (Brevibloc)
Etomidate
Fentanyl
Flumazenil (Romazicon)
Furosemide (Lasix)
Glucagon
Glucose (Oral)
Glutose
Granisetron HCL (Kytril)
Haloperidol (Haldol)
Heparin
Hurricaine Spray
Hydralazine (Apresoline)
Hydromorphone (Dilaudid)
Ibuprofen (Advil, Motrin)
Insulin
Ipecac
Isoproterenol
IV Antibiotics
Ketamine
Ketorolac (Toradol)
Labetolol
Lactated Ringers
Levalbuterol HCL (Xopenex)
Lidocaine
Lorazepam (Ativan)
Magnesium Sulfate
Mannitol (Osmitrol)
3FFР3VVW&FРLJ3VVW&FfVS#Cb#РLJ3FFРLJ3F7VVFF&C3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##r#РLJ3FFРLJ3F7VVFFWW&FRFVW&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS###РLJ3FFРLJ3F7VVFFWF&FW&VWVB3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS###"#РLJ3FFРLJ3F7VVFFWF&VF6R6RVG&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#РLJ3FFРLJ3F7VVFFWF6&֖FR&Vv3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3S#РLJ3FFРLJ3F7VVFFWF&&W76"3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##"#РLJ3FFРLJ3F7VVFF֖FfW'6VB3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#"#РLJ3FFРLJ3F7VVFF'R7VfFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFFR&63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C"#РLJ3FFРLJ3F7VVFFV7Fv֖S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#32#РLJ3FFРLJ3F7VVFFfVFRFB&6&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s"#РLJ3FFРLJ3F7VVFFG&vǖ6W&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C2#РLJ3FFРLJ3F7VVFFG&G&W2FR3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#РLJ3FFРLJ3F7VVFFG&'W76FS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Sc#РLJ3FFРLJ3F7VVFF&WW&S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#CB#РLJ3FFРLJ3F7VVFF&6ƖS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#2#РLJ3FFРLJ3F7VVFFV&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C#R#РLJ3FFРxs:documentation>Ondansetron (Zofran)
Other Autonomic Nervous System Drug
Other Cardiac Drug
Other CNS Drug
Other Respiratory Drug
Oxygen
Oxygen (non-rebreather mask)
Oxygen by Blow By
Oxygen by Mask
Oxygen by Nasal Cannula
Oxygen by Nebulizer
Oxygen by Positive Pressure Device
Oxytocin (Pitocin)
Phenylephrine HCl (Neo-Synephrine)
Phenytoin (Dilantin)
Potassium Cl
Pralidoxime (2-PAM, Systemic)
Procainamide
Verapamil (Isoptin)
Lidocaine 2% (10 ml injection)
Lidocaine D5W (2G/250ml)
Aminophylline
Phenobarbital
Nitropaste (Transdermal Nitroglycerin Ointment)
Mivacurium Chloride (Mivacron)
Normal Saline (Respiratory Use)
Butorphanol Tartrate (STADOL)
Tissue Plasminogen Activator (tPA)
Hydroxyzine (Atarax, Vistaril)
Thiopental Sodium (Pentothal)
1/2 Normal Saline - 0.45%
Ziprasidone (Geodon)
Nitroglycerin Drip
DuoNeb (0.5 mg Atrovent/2.5 mg Albuterol)
The assessment of the patients mental status
Normal
Not Done
Combative
Confused
Hallucinations
Oriented-Person
Oriented-Place
Oriented-Time
Unresponsive
Indication of method of blood pressure procedure
Aterial Line
Automated Cuff
Manual Cuff
Palpated Cuff
Venous Line
Middle name
LJ3&W7G&7F&6S'37G&r#РLJ3֖VwFfVS#"РLJ3VwFfVS##"Р3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$FVV&W"#РLJ3FFРLJ3F7VVFFFR7V6f2Vf7GW&W"w2FVV&W"766FVBvFVF6FWf6R3F7VVFFР3FFРLJ3&W7G&7F&6S'37G&r#РLJ3֖VwFfVS#""РLJ3VwFfVS#S"Р3&W7G&7FР36UGSРLJ36UGRS$R#РLJ3FFРLJ3F7VVFFFRR76vVBFFRVVVC3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'37G&r#РLJ3֖VwFfVS#""РLJ3VwFfVS#3"Р3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$F&fFW$FVFfW"#РLJ3FFРLJ3F7VVFFFRF&fFW"FVFfW"766FVBvFF&fFW"77FV2BW6VB7FF&BG&67F27V62VV7G&26fƖr3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'37G&r#РLJ3֖VwFfVS#2"РLJ3VwFfVS#"Р3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$V676W76VB#РLJ3FFРLJ3F7VVFFFR76W76VVBbFRFVG2VBBV6&VW֖F3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#3S#РLJ3FFРLJ3F7VVFF&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3SR#РLJ3FFРLJ3F7VVFFBFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3S#РLJ3FFРLJ3F7VVFFdC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3SR#РLJ3FFРLJ3F7VVFF7G&FW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3S##РLJ3FFРLJ3F7VVFF7V%#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3S#R#РLJ3FFРLJ3F7VVFFG&6VFWc3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS$WW&v676W76VB#РLJ3FFРLJ3F7VVFFFR76W76VBbFRFVG2WW&v67FGW2W֖F3F7VVFFР3FFРLJ3VV&W%GW3'F3Vfes">
Normal
Not Done
Abnormal Gait
Facial Droop
Seizures
Speech Normal
Speech Slurring
Tremors
Weakness-Left Sided
Weakness-Right Sided
The level of cerebral performance of the patient at the time of discharge from the Hospital
Cerebral Performance Categories:
• 1. Good Cerebral Performance. Conscious, Alert, able to work and lead a normal life.
• 2. Moderate Cerebral Disability. Conscious. Able to function independently (dress, travel, prepare food). May have Hemiplegia, Seizures, or permanent memory or mental changes)
• 3. Severe Cerebral Disability. Conscious. Dependent on others for daily support. Functions only in an institution or at home with exceptional family effort.
• 4. Coma, Vegetative state.
CPC 1 or 2
CPC 3 or 4
The NHTSA injury matrix used to describe the type of injury
Amputation
Bleeding Controlled
Bleeding Uncontrolled
Burn
Crush
Dislocation Fracture
Gunshot
Laceration
Pain without swelling/bruising
Puncture/stab
Soft Tissue Swelling/bruising
The corresponding date
The Values used to describe Null fieldsd
Community, Non-Profit
Fire Department
Governmental, Non-Fire
Hospital
Private, Non_Hospital
Tribal
The primary organizational status of the agency. The definition of Volunteer or Non-Volunteer is based on state or local terms.
Mixed
Non-Volunteer
Volunteer
All other EMS or First Responder Agencies, which are in the service area or are available for mutual aname.
Other symptoms identified by the patient or observed by EMS personnel
Bleeding
Breathing Problem
Wound
Other EMS agencies that were at the scene, if any
Other services that were at the scene, if any
EMS Mutual Aid
Fire
Hazmat
Law
Other Health Care Provider
Other
Rescue
Utilities
The other service type(s) which are provided by the agency.
911 Response (Scene) with Transport Capability
911 Response (Scene) without Transport Capability
The unique number associated with a patient ID band agency. This is used by a few states as a universal linkage between healthcare data agency’s.
The occupation of the patient
Management Occupations
Business and Financial Operations Occupations
Computer and Mathematical Occupations
Architecture and Engineering Occupations
Life, Physical, and Social Science Occupations
Community and Social Services Occupations
Legal Occupations
Education, Training, and Library Occupations
Arts, Design, Entertainment, Sports, and Media Occupations
Healthcare Practitioners and Technical Occupations
Healthcare Support Occupations
Protective Service Occupation3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#R#РLJ3FFРLJ3F7VVFFfB&W&FB6W'fr&VFVB67WF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFF'VFrBw&VG26VrBFV6R67WF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#R#РLJ3FFРLJ3F7VVFFW'66&RB6W'f6R67WF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFF6W2B&VFVB67WF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#R#РLJ3FFРLJ3F7VVFFff6RBF֖7G&FfR7W'B67WF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS###РLJ3FFРLJ3F7VVFFf&֖rf6rBf&W7G'67WF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##R#РLJ3FFРLJ3F7VVFF67G'V7FBWG&7F67WF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#РLJ3FFРLJ3F7VVFF7FFFV6RB&W"67WF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3R#РLJ3FFРLJ3F7VVFF&GV7F67WF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C#РLJ3FFРLJ3F7VVFFG&7'FFBFW&fr67WF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#CR#РLJ3FFРLJ3F7VVFF֖ƗF'7V6f267WF33F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS%FVG467WFĖGW7G'#РLJ3FFРLJ3F7VVFFFR67WFGW7G'bFRFVN( 2v&3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#s#РLJ3FFРLJ3F7VVFF67G'V7F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sR#РLJ3FFРLJ3F7VVFFf6R7W&6RB&VW7FFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFFvfW&V/xs:documentation>
Manufacturing
Mining
Retail Trade
Services
Transportation and Public Utilities
Wholesale Trade
The Trauma Score for patients 12 and under
The personal protective equipment which was used by EMS personnel during this EMS patient contact.
Eye Protection
Gloves
Level A Suit
Level B Suit
Level C Suit
Mask
Other
The EMS personnel who was/were exposed to unprotected contact with blood or body fluids
This EMS Crew
Non-EMS individual
Other EMS Personnel
Local agency name number for personnel.
The position of the patient during transport from the scene
Car Seat
Fowlers
Lateral
Prone
Semi-Fowlers
Sitting
Supine
Other
LJ3FFРLJ3F7VVFFFR6FbFRFVB6VBbFRfV6RBFRFRb7&63F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS##CR#РLJ3FFРLJ3F7VVFFG&fW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##S#РLJ3FFРLJ3F7VVFFVgBG&fW"3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##SR#РLJ3FFРLJ3F7VVFF֖FFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##c#РLJ3FFРLJ3F7VVFFFW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##cR#РLJ3FFРLJ3F7VVFF&vC3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS%FVF&Vv7G'6FFFR#РLJ3FFРLJ3F7VVFFF6FbFRFVBVWBFRVG'7&FW&f"W'"W727V6f2&Vv7G'3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#S3R#РLJ3FFРLJ3F7VVFF'W&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#РLJ3FFРLJ3F7VVFF6&F2ԓ3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SCR#РLJ3FFРLJ3F7VVFF5d7G&S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#РLJ3FFРLJ3F7VVFFG&vs3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SCR#РLJ3FFРLJ3F7VVFF76&BW'3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC##РLJ3FFРLJ3F7VVFFG&V3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#R#РLJ3FFРLJ3F7VVFFG&VF2'&W'3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC3#РLJ3FFРLJ3F7VVFFFW#3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS%&'WFDeVB#РLJ3FFРLJ3F7VVFFFR&'WFBbVB"GRb7W&e associated with this EMS encounter
Insurance
Medicaid
Medicare
Not Billed (for any reason)
Other Goverment
Self Pay
Workers Compensation
The primary roll of the EMS service which was requested for this specific EMS incident.
Non-Transport
Rescue
Supervisor
Transport
The primary sign and symptom present in the patient or observed by EMS personnel
Bleeding
Breathing Problem
The primary service type provided by the agency.
911 Response (Scene) with Transport Capability
911 Response (Scene) without Transport Capability
Air Medical
Hazmat
Medical Transport (Convalescent)
Paramedic Intercept
Rescue
Speciality Care Transport
Any care which was provided to the patient prior to the arrival of this unit.
The type of individual who performed the care prior to the arrival of this unit.
EMS Provider
Law Enforcement
Lay Person
Bleeding
Bradycardia
Diarrhea
Esophageal Intubation-immediately
Esophageal Intubation-other
Extravasion
Hypertension
Hyperthermia
Hypotension
Hypoxia
Injury
Itching/Urticaria
Nausea
Other
Respiratory Distress
Tachycardia
Vomiting
Airway-EOA/EGTA
Airway-Extubation
Airway-Foreign Body Removal
Airway-Impedence Threshold Device
Airway-Intubation Confirm Colormetric ETCO2
Airway-Intubation Confirm Esophageal Bulb
Airway-Intubation of Existing Tracheostomy Stoma
Airway-King LT Blind Insertion Airway Device
Airway-Laryngeal Mask Blind Insertion Airway Device
Airway-Nasal
Airway-Nasotracheal Intubation
Airway-Nebulizer Treatment
Airway-Needle Cricothyrotomy
Airway-Oral
Airway-Orotracheal Intubation
Airway-PEEP
Airway-Rapid Sequence Induction
Airway-Respirator Operation (BLS)
Airway-Suctioning
Airway-Surgical Cricothyrotomy
Airway-Ventilator Operation
Airway-Ventilator with PEEP
Airway-Video Laryngoscopy
Arterial Access-Blood Draw
Arterial Line Maintenance
Assessment-Adult
Assessment-Pediatric
Blood Glucose Analysis
Capnography (CO2 Measurement)
Cardiac Monitor
Cardiac Pacing-External
Cardiac Pacing-Transvenous
Cardioversion
Chest Decompression
Chest Tube Placement
Extrication
Gastric Tube Insertion-Inserted Nasally
Gastric Tube Insertion-Inserted Orally
Injections-SQ/IM
Intra-Aortic Balloon Pump Maintenance
Joint Reduction/Relocation
Left Ventricular Assist Device Maintenance
MAST
Orthostatic Blood Pressure Measurement
Pain Measurement
Patient Cooling (Cold Pack, etc.)
Patient Cooling-Post Resuscitation
Patient Loaded
Patient Loaded-Helicopter Hot-Load
Patient Monitoring of Pre-existing Devices, Equipment, or Ongoing Medications
Patient Off-Loaded
Patient Off-Loaded Helicopter Hot Off-Load
LJ3F7VVFFFVBv&֖rB6WF23F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3r#РLJ3FFРLJ3F7VVFFW&6&F6VFW633F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3"#РLJ3FFРLJ3F7VVFFV6RWG'3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFF&W67VS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C#РLJ3FFРLJ3F7VVFF&W7G&G2&6v63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C"#РLJ3FFРLJ3F7VVFF&W7G&G2663F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFF7V6G6VFW"7FfFGVBG&V3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#2#РLJ3FFРLJ3F7VVFF7V6G6VFW"7FfF6&F2'&W7C3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#"#РLJ3FFРLJ3F7VVFF7V6G6VFW"7FfFVFG&2G&V3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#B#РLJ3FFРLJ3F7VVFF7V6G6VFW"7FfF5DTԓ3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#R#РLJ3FFРLJ3F7VVFF7V6G6VFW"7FfF7G&S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#2S#РLJ3FFРLJ3F7VVFF7&ƗF3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#2SC#РLJ3FFРLJ3F7VVFF7ƖFr&633F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#2CS#РLJ3FFРLJ3F7VVFF7ƖFrG&7F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s2#РLJ3FFРLJ3F7VVFFFVW&GW&RV7W&VVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sB#РLJ3FFРLJ3F7VVFFF&&ǗF267&VV3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SrC#РLJ3FFРLJ3F7VVFFW&'6FWFW&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cC#РLJ3FFРLJ3F7VVFFfvWWfW"6&FB76vS3F7VVFFР3FF
Vagal Maneuver-Valsalva or Other Vagal Maneuver (Not Carotid Massage)
Venous Access-Blood Draw
Venous Access-Central Line Maintenance
Venous Access-Discontinue
Venous Access-Existing Catheter
Venous Access-External Jugular Line
Venous Access-Extremity
Venous Access-Femoral Line
Venous Access-Internal Jugular Line
Venous Access-Intraosseous Adult
Venous Access-Intraosseous Pediatric
Venous Access-Subclavian Line
Venous Access-Swan Ganz Maintenance
Venous Access-Umbilical Vein Cannulation
Wound Care-General
Wound Care-Hemostatic Agent
Wound Care-Irrigation
3FFР3VVW&FРLJ3VVW&FfVS#2SR#РLJ3FFРLJ3F7VVFFvVB6&RF6W"&&"&Vf3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#2Sb#РLJ3FFРLJ3F7VVFFvVB6&RFW&VWC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c3#РLJ3FFРLJ3F7VVFF"VBT4r'F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cs##РLJ3FFРLJ3F7VVFF4BFV7FfF3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cs3#РLJ3FFРLJ3F7VVFFTBU%S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#csC#РLJ3FFРLJ3F7VVFFTBf'7B&W7FW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#csS#РLJ3FFРLJ3F7VVFFTBV&Ɩ266W733F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c##РLJ3FFРLJ3F7VVFF'v&G&6VGV&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c##РLJ3FFРLJ3F7VVFF'vԖGV&F6f&W6vV'V#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cC#РLJ3FFРLJ3F7VVFF'v&vvVBfGV&R3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cS#РLJ3FFРLJ3F7VVFF'v6vRG&6V7FגGV&S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cc#РLJ3FFРLJ3F7VVFF'v6V&VBVVB"VƖ63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cs#РLJ3FFРLJ3F7VVFF'v6&GV&R&ƖB6W'F'vFWf6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#РLJ3FFРLJ3F7VVFF'v53F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cR#РLJ3FFРLJ3F7VVFF'vT4"F&s3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#РLJ3FFРLJ3F7VVFF'vTTuD3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c##РLJ3FFРLJ3F7VVFF'vԖGV&F6f&6&WG&2UD4#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c###РLJ3FFРLJ3F7VVFF'v'vl Mask Blind Insertion Airway Device
Airway-Foreign Body Removal
Gastric Tube Insertion-Inserted Nasally
Airway-Nasal
Airway-Nasotracheal Intubation
Airway-Nebulizer Treatment
Airway-Needle Cricothyrotomy
Airway-Oral
Airway-PEEP
Airway-Rapid Sequence Induction
Airway-Respirator Operation
Airway-Suctioning
Airway-Surgical Cricothyrotomy
Airway-Ventilator Operation
Arterial Access-Blood Draw
Arterial Line Maintenance
Blood Glucose Analysis
Burn Care
<3F7VVFF6w&4"V7W&VVB3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c3#РLJ3FFРLJ3F7VVFF6&F2F#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cC#РLJ3FFРLJ3F7VVFF6&FfW'63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cC#РLJ3FFРLJ3F7VVFFfvWWfW"6&FB76vS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#css#РLJ3FFРLJ3F7VVFF6W'f67&ƗF&vB6#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cs#РLJ3FFРLJ3F7VVFF6W'f67&ƗF6gB6#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cC##РLJ3FFРLJ3F7VVFF6W7BFV6&W763F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cs#РLJ3FFРLJ3F7VVFF6W7BGV&R6VVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cC3#РLJ3FFРLJ3F7VVFF6F&'F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cCC#РLJ3FFРLJ3F7VVFF426FWFW"WGW&FV6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cCS#РLJ3FFРLJ3F7VVFF426FWFW"ԖG&fVG&7V"FV6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#РLJ3FFРLJ3F7VVFFFVB6Ɩr6B6WF23F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cCc#РLJ3FFРLJ3F7VVFF5"7F'B6&W762BfVFF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#РLJ3FFРLJ3F7VVFF5"'FW"WFW&WFFVBFWf6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cCs#РLJ3FFРLJ3F7VVFFFVf'&F6VVBf"F&rǗ633F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cC#РLJ3FFРLJ3F7VVFFFVf'&FWFFVBTB3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cC#РLJ3FFРLJ3F7VVFFFVf'&FV3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cS#РLJ3FFРLJ3F7VVFF6&F26rWFW&3F7VVation>
Extrication
Patient Warming (Hot Pack, etc.)
Isolation Procedures
MAST
Other
Pericardiocentesis
Rescue
Restraints-Pharmacological
Restraints-Physical
Spinal Immobilization
Spinal Immobilization - K.E.D.
Spinal Immobilization - Long Back Board
Spinal Immobilization - Standing Take-Down
Splinting-Basic
Splinting-Traction
Stretcher
Urinary Catheterization
Vagal Maneuver-Valsalva or Other Vagal Maneuver (Not Carotid Massage)
Venous Access-Blood Draw
Venous Access-Existing Catheter
Venous Access-External Jugular Line
Venous Access-Extremity
Venous Access-Femoral Line
Venous Access-Intraosseous Adult
Venous Access-Intraosseous Pediatric
Venous Access-Central Line Maintenance
Venous Access-Swan Ganz Maintain
Wound Care-General
Wound Care-Burn Care
Wound Care-Pressure Dressing
Fetal Monitor
Hemodialysis Monitor
Gastric Tube Instertion-Inserted Orally
Venous Access-Discontinue
Venous Access-Internal Jugular Line
3VVW&FРLJ3VVW&FfVS#SC#РLJ3FFРLJ3F7VVFFfVW266W727V&6fƖS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC##РLJ3FFРLJ3F7VVFF776W76VBFVf6G2FVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC##РLJ3FFРLJ3F7VVFF776W76VBFVf6G2FVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#"#РLJ3FFРLJ3F7VVFF76W76VBGVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#2#РLJ3FFРLJ3F7VVFF76W76VBVFG&33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#B#РLJ3FFРLJ3F7VVFF6&F26rG&7fVW33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#R#РLJ3FFРLJ3F7VVFFFV6F֖F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#b#РLJ3FFРLJ3F7VVFFG&'F2&VFV6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#r#РLJ3FFРLJ3F7VVFF'F7FF2&B&W77W&RV7W&VVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC##РLJ3FFРLJ3F7VVFFV7W&VVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC##РLJ3FFРLJ3F7VVFFV6RWG'3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC3#РLJ3FFРLJ3F7VVFFFVW&GW&RV7W&VVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC3#РLJ3FFРLJ3F7VVFFF&&ǗF267&VV3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cSC#РLJ3FFРLJ3F7VVFFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#РLJ3FFРLJ3F7VVFFfVW266W726ƖR63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC"#РLJ3FFРLJ3F7VVFFV7F253F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC3"#РLJ3FFРLJ3F7VVFF'vԖVFV6RF&W6BFWf6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC3B#РLJ3FFРLJ3F7VVFF'vԶrB&ƖB6W'Fn Airway Device
Airway-Sellick Maneuver
Patient Loaded
Patient Loaded-Helicopter Hot-Load
Patient Off-Loaded
Patient Off-Loaded Helicopter Hot Off-Load
Airway-Ventilator with PEEP
Airway-Bagged (via BVMask)
Hold CPR
Patient Cooling-Post Resuscitation
SROC
CPR-Stop
Wound Care-Trauma Pack
Venous Access-Rapid Infusion Catheter
Carbon Monoxide Monitoring Device
Airway-Endotracheal Tube Existing/Monitoring
Wound Care-Irrigation
Wound Care-Tourniquet
CPR-Start Compressions only without Ventilation
CPR-Start Rescue Breathing without Compressions
Escharotomy
Joint Reduction/Relocation
Left Ventricular Assist Device Maintenance
Patient Monitoring of Pre-existing Devices, Equipment, or Ongoing Medications
Specialty Center Activation-Adult Trauma
Specialty Center Activation-Cardiac Arrest
Specialty Center Activation-Pediatric Trauma
Specialty Center Activation-STEMI
Specialty Center Activation-Stroke
Venous Access-Umbilical Vein Cannulation
Wound Care-Hemostatic Agent
Wound Care-Taser Barb Removal
Airway-ResQPump
Ventilator-Monitoring
LJ3F7VVFFfV&6VF6FRF&s3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC2#РLJ3FFРLJ3F7VVFF6W7BGV&RF&s3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SCB#РLJ3FFРLJ3F7VVFFrrGV&RF&s3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SCR#РLJ3FFРLJ3F7VVFFbVF&s3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SCb#РLJ3FFРLJ3F7VVFF'FW&66W726VG&ƖRFFVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SCr#РLJ3FFРLJ3F7VVFF'FW&66W726VG&ƖRFV6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#РLJ3FFРLJ3F7VVFF'FW&66W72WG&V֗G3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#РLJ3FFРLJ3F7VVFF'FW&66W72V&Ɩ63F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSРLJ36UGRS%&F65W6VB#РLJ3FFРLJ3F7VVFFFR&F6W6VB'T2W'6VFF&V7BFR6Ɩ66&RbFRFVC3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2F3FVw&5&F65W6VB"Р36UGSРLJ36UGRS%&fFW'5&'&W76#РLJ3FFРLJ3F7VVFFFRT2W'6Vw2&W76bFRFVBw2&'&&V"7B6vf6B6FFv6VBFFRvVVBvfVFFRFVBG&VFVG2VF6F2"&6VGW&W23F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#cR#РLJ3FFРLJ3F7VVFFs&F֖&&V33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c##РLJ3FFРLJ3F7VVFFS'v'7G'V7F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#R#РLJ3FFРLJ3F7VVFF㓓R3W&v2&V7F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c3#РLJ3FFРLJ3F7VVFFsFW&VBWfVb666W6W733F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c3R#РLJ3FFРLJ3F7VVFF3"&Vf&76G&2F6&FW#3F7VVFFР3FFР3VVW&F
427.50- Cardiac arrest
427.90- Cardiac rhythm disturbance
786.50- Chest pain / discomfort
250.90- Diabetic symptoms (hypoglycemia)
994.80- Electrocution
780.60- Hyperthermia
780.90- Hypothermia
785.59- Hypovolemia / shock
987.90- Inhalation injury (toxic gas)
798.99- Obvious death
977.90- Poisoning / drug ingestion
659.90- Pregnancy / OB delivery
786.09- Respiratory distress
799.10- Respiratory arrest
780.30- Seizure
959.90- Sexual assault / rape
987.90- Smoke inhalati3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s#R#РLJ3FFРLJ3F7VVFF㓃S7Fw2fVW2&FW33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s3#РLJ3FFРLJ3F7VVFFC3b7G&R5d3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s3R#РLJ3FFРLJ3F7VVFFs#76RfFs3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sC#РLJ3FFРLJ3F7VVFFSG&VF2W'3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sCR#РLJ3FFРLJ3F7VVFFc#2fvV'&vS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Sc#РLJ3FFРLJ3F7VVFF7F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Sc2#РLJ3FFРLJ3F7VVFF66W#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#ScB#РLJ3FFРLJ3F7VVFF4b6vW7FfRV'BfW&R3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#ScR#РLJ3FFРLJ3F7VVFFDG&6VB66V֖2GF63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Scb#РLJ3FFРLJ3F7VVFFFVG&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Scr#РLJ3FFРLJ3F7VVFFF&WF2W&vǖ6V֖3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Sc#РLJ3FFРLJ3F7VVFFUD'W6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Sc#РLJ3FFРLJ3F7VVFFr&VVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Sc#РLJ3FFРLJ3F7VVFFVF6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Sc#РLJ3FFРLJ3F7VVFFVBWW7F7G&S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Scb#РLJ3FFРLJ3F7VVFFFW"&F֖t&&V3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Scr#РLJ3FFРLJ3F7VVFFFW"6&Ff67V"&&V3F7VVFFРs:annotation>
Other CNS Problem
Other Endocrine/Metabolic Problem
Other GU Problems
Other OB/Gyn
Drug Abuse
Toxic Exposure
COPD (Emphysema/Chronic Bronchitis)
General Malaise
No Apparent Illness/Injury
Patient Assist Only
Back Pain (Non-Traumatic)
The EMS personnel's impression of the patient's secondary problem or most significant condition which led to the management given to the patient (treatments, medications, or procedures).
789.00- Abdominal pain / problems
519.80- Airway obstruction
995.30- Allergic reaction
780.09- Altered level of consciousness
312.90- Behavioral / psychiatric disorder
427.50- Cardiac arrest
427.90- Cardiac rhythm disturbance
786.50- Chest pain / discomfort
250.90- Diabetic symptoms (hypoglycemia)
994.80- Electrocution
780.60- Hyperthermia
780.90- Hypothermia
785.59- Hypovolemia / shock
987.90- Inhalation injury (toxic gas)
798.99- Obvious death
977.90- Poisoning / drug ingestion
659.90- Pregnancy / OB delivery
786.09- Respiratory distress
799.10- Respiratory arrest
LJ3VVW&FfVS#CR#РLJ3FFРLJ3F7VVFFs36VW&S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S#РLJ3FFРLJ3F7VVFFS6WV76VB&S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SR#РLJ3FFРLJ3F7VVFF㓃r6RF3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#РLJ3FFРLJ3F7VVFF㓃S7Fw2fVW2&FW33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cR#РLJ3FFРLJ3F7VVFFC3b7G&R5d3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s#РLJ3FFРLJ3F7VVFFs#76RfFs3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sR#РLJ3FFРLJ3F7VVFFSG&VF2W'3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFFc#2fvV'&vS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Ss#РLJ3FFРLJ3F7VVFF7F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Ss2#РLJ3FFРLJ3F7VVFF66W#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SsB#РLJ3FFРLJ3F7VVFF4b6vW7FfRV'BfW&R3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SsR#РLJ3FFРLJ3F7VVFFDG&6VB66V֖2GF63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Ssb#РLJ3FFРLJ3F7VVFFFVG&F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Ssr#РLJ3FFРLJ3F7VVFFF&WF2W&vǖ6V֖3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Ss#РLJ3FFРLJ3F7VVFFUD'W6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Ss#РLJ3FFРLJ3F7VVFFr&VVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Ss#РLJ3FFРLJ3F7VVFFVBWW7F7G&S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Ss2">
Hypertension
Hypotension
Other
Other Abdominal/GI Problem
Other Cardiovascular Problem
Other CNS Problem
Other Endocrine/Metabolic Problem
Other GU Problems
Other OB/Gyn
Substance Drug Abuse
Toxic Exposure
COPD (Emphysema/Chronic Bronchitis)
No Apparent Illness/Injury
Patient Assist Only
Back Pain (Non-Traumatic)
Epistaxis (Non-Traumatic)
The Patients oxygen saturation
DNR
Medical Control Order
Obvious Signs of Death
Protocol/Policy Requirements Completed
Return of Spontaneous Circulation (pulse or BP noted)
The reason the unit chose to deliver or transfer the patient to the destination
Closest Facility (none below)
Diversion
Family Choice
Insurance Status
Law Enforcement Choice
On-Line Medical Direction
Other
Patient Choice
Patient’s Physicians Choice
Protoc3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#РLJ3FFРLJ3F7VVFF7V6G&W6W&6R6VFW#3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS%&VF6F7W&VB#РLJ3FFРLJ3F7VVFFFR&VF6bFRFVBFFR&'7W&VBW'63F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#ss#РLJ3FFРLJ3F7VVFF6Vc3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#ssR#РLJ3FFРLJ3F7VVFF7W6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s#РLJ3FFРLJ3F7VVFF6FVvFW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sR#РLJ3FFРLJ3F7VVFFFW#3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS%&WV&VE&W'F&T6FF2#РLJ3FFРLJ3F7VVFFFR&W6V6Rb6FFv62&W'F&R&6VBfVFW&"7FFR&VwVF23F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#s##РLJ3FFРLJ3F7VVFF&&G3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s##РLJ3FFРLJ3F7VVFF&&G#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s#"#РLJ3FFРLJ3F7VVFF&&G33F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS%&W6V&6fVB#РLJ3FFРLJ3F7VVFF7W7F֗&RfVBF&RW6VB'6vV6W2f"FFFF7VVFF"&W6V&63F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'37G&r#РLJ3֖VwFfVS#"РLJ3VwFfVS#S"Р3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS%&W6V&6FFR#РLJ3FFРLJ3F7VVFF7W7F֗&RfVBF&RW6VB'6vV6W2f"FFFF7VVFF"&W6V&63F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'37Gng">
The patients respiratory effort
Normal
Labored
Fatigued
Absent
Not Assessed
The Patients respiratory rate expressed as a number per minute
Indication whether or not lights and/or sirens were used on the vehicle on the way to the scene
Initial Lights and Sirens, Downgraded to No Lights or Sirens
Initial No Lights or Sirens, Upgraded to Lights and Sirens
Lights and Sirens
No Lights or Sirens
The patients response to the medication
Not Attempted-DNR Orders
Not Attempted-Signs of Circulation
Indication whether or not there was any return of spontaneous circulation
Yes, Prior to ED Arrival Only
Yes, Prior to ED Arrival and at the ED
No
No
The patient’s revised trauma score
The narrative of the run report
The Patients systolic blood pressure
The seat row location of the vehicle at the time of the crash with the front seat numbered as 1
The narrative of the patients secondary complaint
The medical record number of the medical facility who is transferring care to EMS
The size of the equipment used in the procedure on the patient
The assessment of the patients skin on examination
Normal
Not Done
Clammy
Cold
Cyanotic
Jaundiced
Lividity
EMT-Paramedic
Nurse
Physician
First Responder
The state certification/licensure name number assigned to the crew member.
The Name of the station
The Identifier for the station
The year the information pertains to
The Status either active or inactive
Active
Inactive
The patient's home mailing or street address
<3FFРLJ3F7VVFFFRFVG22vVW2"66F7G&R66R&W7VG33F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#3#sR#РLJ3FFРLJ3F7VVFF66F7G&R66RVvFfS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3##РLJ3FFРLJ3F7VVFF66F7G&R66R66W6fS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#R#РLJ3FFРLJ3F7VVFF66F7G&R66R6FfS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3##РLJ3FFРLJ3F7VVFF7G&R66RVvFfS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#R#РLJ3FFРLJ3F7VVFF7G&R66R66W6fS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#33#РLJ3FFРLJ3F7VVFF7G&R66R6FfS3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS%7V66W76gVĕe6FR#РLJ3FFРLJ3F7VVFFFR6FbFRb6FRbƖ6&RFRFVC3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#Cc3R#РLJ3FFРLJ3F7VVFFFV7V&FVgC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#CcC#РLJ3FFРLJ3F7VVFFFV7V&F&vC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#CcCR#РLJ3FFРLJ3F7VVFFWFW&VwV"VgC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#CcS#РLJ3FFРLJ3F7VVFFWFW&VwV"&vC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#CcSR#РLJ3FFРLJ3F7VVFFfV&VgBc3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Ccc#РLJ3FFРLJ3F7VVFFfV&VgBF7F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#CccR#РLJ3FFРLJ3F7VVFFfV&&vBc3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Ccs#РLJ3FFРLJ3F7VVFFfV&ght IO
Forearm-Left
Forearm-Right
Hand-Left
Hand-Right
Lower Extremity-Left
Lower Extremity-Right
Other
Scalp
Sternal IO
Tibia IO-Left
Tibia IO-Right
Umbilical
Suspicion of the listed multi-casualty or domestic terrorism causes.
Biologic Agent
Building Failure
Chemical Agent
LJ3FFРLJ3F7VVFFW6fRFWf6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SC#РLJ3FFРLJ3F7VVFFf&S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SCR#РLJ3FFРLJ3F7VVFF7FvRWfVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SS#РLJ3FFРLJ3F7VVFF72vFW&s3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SSR#РLJ3FFРLJ3F7VVFFV6V"vVC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SS#РLJ3FFРLJ3F7VVFF&F7FfRFWf6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SSR#РLJ3FFРLJ3F7VVFF6V6F'FW7G'V7FfRFWf6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SS##РLJ3FFРLJ3F7VVFF6Fr6W#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SS#R#РLJ3FFРLJ3F7VVFFfV7V#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SS3#РLJ3FFРLJ3F7VVFFvVFW#3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS%FVWTV&W"#РLJ3FFРLJ3F7VVFFFRFVG2R"&'FVWRV&W#3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW237G&r"Р36UGSРLJ36UGRS%FVW&GW&TWFB#РLJ3FFРLJ3F7VVFFF7VVFFbFRf7F'2v6RFRt5266&R&RVvgV3F7VVFFР3FFРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#3#3#РLJ3FFРLJ3F7VVFF'3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#3R#РLJ3FFРLJ3F7VVFF&3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#C#РLJ3FFРLJ3F7VVFF&V7F3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#CR#РLJ3FFРLJ3F7VVFFG33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#S#РLJ3FFРLJ3F7VVFFW&'6FWFW#3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSРLJ36UGRme="ThrombolyticScreen">
The results of the patients Thrombolytic Screen for potential Thrombolytic use
Definite Contraindications to Thrombolytic use
No Contraindications to Thrombolytic Use
Possible Contraindications to Thrombolytic Use
The time units of the duration of the patients chief complaint
Seconds
Minutes
Hours
Days
Weeks
Months
Years
The time units of the duration of the patients secondary complaint
Seconds
Minutes
Hours
LJ3FFРLJ3F7VVFFF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS###РLJ3FFРLJ3F7VVFFvVV33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##R#РLJ3FFРLJ3F7VVFFF33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#РLJ3FFРLJ3F7VVFFV'33F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSРLJ36UGRS%FFt52#РLJ3FFРLJ3F7VVFFFRFVG2FFv6vr666&S3F7VVFFР3FFРLJ3&W7G&7F&6S'3FVvW"#РLJ3֖6W6fRfVS#"РLJ36W6fRfVS#R"Р3&W7G&7FР36UGSРLJ36UGRS%FFV&W$e662#РLJ3FFРLJ3F7VVFFFRV&W"bFW2FRFVBv2FVf'&FVBbFRFVBv2FVf'&FVBGW&rFRFVBV6VFW"3F7VVFFР3FFРLJ3&W7G&7F&6S'3FVvW"#РLJ3֖6W6fRfVS#"РLJ36W6fRfVS#"Р3&W7G&7FР36UGSРLJ36UGRS%FF6W'f6R#РLJ3FFРLJ3F7VVFFFRW'6Vw2FFVwFbT26W'f6RBWfV3F7VVFFР3FFРLJ3&W7G&7F&6S'36FfTFVvW"#РLJ3֖6W6fRfVS#"РLJ36W6fRfVS#"Р3&W7G&7FР36UGSРLJ36UGRS%FF6W'f6T&VVF#РLJ3FFРLJ3F7VVFFFRFFVFFRvV7w26W'f6R&V&6VBb76&RV"#6V7W2FF3F7VVFFР3FFРLJ3&W7G&7F&6S'36FfTFVvW"#РLJ3֖6W6fRfVS#"РLJ36W6fRfVS#"Р3&W7G&7FР36UGSРLJ36UGRS%FF6W'f6U6T&V#РLJ3FFРLJ3F7VVFFFRFF7V&R֖W2FRvV7w26W'f6R&V3F7VVFFР3FFРLJ3&W7G&7F&6S'36FfTFVvW"#РLJ3֖6W6fRfVS#"РLJ36W6fRfVS#"Р3&W7G&7FР36UGSРLJ36UGRS%G&7'DFTg&66VR#РLJ3FFРLJ3F7VVFFF6FvWFW""BƖvG2B"6&V2vW&RW6VBFRfV6RvRVfr66VS3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#CSR#РLJ3FFРLJ3F7VVFFFƖvG2B6&V2Fvw&FVBFƖvG2"6&V33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#Cc#РLJ3FFРLJ3F7VVFFFƖvG2"6&V2Ww&FVto Lights and Sirens
Lights and Sirens
No Lights or Sirens
The unique number associated with the local or state trauma registry which can be used for linkage at a later date.
Endotracheal Tube placement verification at the time the airway procedure was done
Auscultation of Bilateral Breath Sounds
Colormetric CO2 Detector Confirmation
Digital CO2 Confirmation
Esophageal Bulb Aspiration confirmation
Negative Auscultation of the Epigastrium
Visualization of the Chest Rising with ventilation
Visualization of Tube Passing Through the Cords
Waveform CO2 Confirmation
The type of destination the patient was delivered or transferred to
Home
Hospital
Medical Office/Clinic
Morgue
Nursing Home
Other
Other EMS Responder (air)
Other EMS Responder (ground)
Police/Jail
The dispatch delays, if any, associated with the dispatch of the EMS unit to the patient encounter
Caller (Uncooperative)
High Call Volume
Language Barrier
Location (Inability to Obtain)
No Units Available
3VVW&FРLJ3VVW&FfVS#R#РLJ3FFРLJ3F7VVFFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFFFW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#R#РLJ3FFРLJ3F7VVFF66VR6fWGB6V7W&Rf"T23F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS###РLJ3FFРLJ3F7VVFFFV66fW&R6WFW"RWF23F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSР3VР36UGSРLJ36UGRS%GTe&W76TFV#РLJ3FFРLJ3F7VVFFFR&W76RFV2bbFRVB766FVBvFFRFVBV6VFW#3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS##R#РLJ3FFРLJ3F7VVFF7&vC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3#РLJ3FFРLJ3F7VVFFF&V7F33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#3R#РLJ3FFРLJ3F7VVFFF7F6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#C#РLJ3FFРLJ3F7VVFFFfW'63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#CR#РLJ3FFРLJ3F7VVFFC3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#S#РLJ3FFРLJ3F7VVFFS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#SR#РLJ3FFРLJ3F7VVFFFW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#c#РLJ3FFРLJ3F7VVFF6fWG3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#cR#РLJ3FFРLJ3F7VVFF7FfbFV3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s#РLJ3FFРLJ3F7VVFFG&ff33F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sR#РLJ3FFРLJ3F7VVFFfV6R7&63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS##РLJ3FFРLJ3F7VVFFfV6RfW&S3F7VVFFР3Fion>
Weather
The scene delays, if any, of the unit associated with the patient encounter
Crowd
Directions
Distance
Diversion
Extrication greater than 20 min.
HazMat
Language Barrier
None
Other
Safety
Staff Delay
Traffic
Vehicle Crash
Vehicle Failure
Weather
Inhalation Exposure
Needle Stick with Fluid Injection
Needle Stick without Fluid Injection
Other Physical injury
Death
None
The transport delays, if any, of the unit associated with the patient encounter
Crowd
Directions
Distance
Diversion
HazMat
None
Other
Safety
Staff Delay
Traffic
Eye Protection
Helmet Worn
Lap Belt
None
Other
Personal Floatation Device
Protective Clothing
Protective Non-Clothing Gear
Shoulder Belt
The station (or hospital) representing the geographic location of the vehicle at the time of dispatch
The Vendor or company associated with the EMD card set and algorithms
The Original cost of a vehicle
The Vendor or co766FVBvFFRTB6&B6WBBv&F33F7VVFFР3FFРLJ3&W7G&7F&6S'37G&r#РLJ3֖VwFfVS#""РLJ3VwFfVS#S"Р3&W7G&7FР36UGSРLJ36UGRS%fV6UGR#РLJ3FFРLJ3F7VVFFfV6RGRbVB'V6Rf&RG'V6WF23F7VVFFР3FFРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS#s3s#РLJ3FFРLJ3F7VVFF'V6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s3#РLJ3FFРLJ3F7VVFFEc3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#s3#РLJ3FFРLJ3F7VVFF&76S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sC#РLJ3FFРLJ3F7VVFF&C3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sC#РLJ3FFРLJ3F7VVFFf&RG'V63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sC##РLJ3FFРLJ3F7VVFFfVBvs3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sC3#РLJ3FFРLJ3F7VVFFF&76S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sCC#РLJ3FFРLJ3F7VVFFFW#3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sCS#РLJ3FFРLJ3F7VVFF&fFRfV6S3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sCc#РLJ3FFРLJ3F7VVFFV6&W76RfV66RG&7'BfV6RFW"Ff&RG'V63F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sCs#РLJ3FFРLJ3F7VVFF&W67VS3F7VVFFР3FFР3VVW&FРLJ3VVW&FfVS#sC#РLJ3FFРLJ3F7VVFF&F"7&gC3F7VVFFР3FFР3VVW&FР3&W7G&7FР36UGSРLJ36UGRS%fV6UV"#РLJ3FFРLJ3F7VVFFFRV"FRf&FW'F2F3F7VVFFР3FFРLJ3&W7G&7F&6S'3FVvW"#РLJ3֖6W6fRfVS#"РLJ36W6fRfVS##3"Р3&W7G&7FР36UGSРLJ36UGRS%fV7V$W'F6F'2#РLJ3FFРLJ3F7VVFFFRBb&6f7F"&VF7F'2&W6VBBFR6FVC3F7VVFFР3FFРLJ3VV&W%GW3'F3VfVW2#РLJ36UGSРLJ3&W7G&7F&6S'3FVvW"#РLJ3VVW&FfVS##SR#Рxs:annotation>
Dash Deformity
DOA Same Vehicle
Ejection
Fire
Rollover/Roof Deformity
Side Post Deformity
Space Intrusion > 1 foot
Steering Wheel Deformity
Windshield Spider/Star
The graphic waveform file in a PDF or JPG format.
The type of waveform file stored in Waveform Graphic (E21.4)
JPG
PDF
An URL for a website
The year the information pertains to
Yes No value data type
Yes
No
ZIP code
Geographic zone representing the location