Normal (Soft, Non-Tender) Not Done Distention Guarding Mass Pain/Tenderness Normal (Soft, Non-Tender) Not Done Distention Guarding Mass Pain/Tenderness Normal (Soft, Non-Tender) Not Done Distention Guarding Mass Pain/Tenderness Normal (Soft, Non-Tender) Not Done Distention Guarding Mass Pain/Tenderness State/EMS DNR Form Other Healthcare DNR Form Living Will Family/Guardian Request DNR (But No Documentation) Other None Automated Manual Advisory Demand Sensing Mid-stream Side-stream Hours Days Months Years Anesthesiology Cardiology Emergency Medicine Family Practice General Practice (not board certified) Internal Medicine Obstetrics and Gynecology Orthopedics Other Pediatrics Surgery No Airbag Present No Airbag Deployed Airbag Deployed Front Airbag Deployed Side Airbag Deployed Other (Knee, Airbelt, etc.) Smell of Alcoholic Beverage on Breath/About Person Patient Admits to Alcohol Use Patient Admits to Drug Use Alcohol and/or Drug Paraphernalia at Scene No Apparent Alcohol/Drug Use Center Front Center Rear Left Front Left Rear Left Side Right Front Right Rear Right Side Rollover Witnessed by Healthcare Provider Witnessed by Lay Person Not Witnessed Normal (No Pain or Deformities) Not Done Pain to ROM Tender Para-spinous Tender Spinous Process Normal (No Pain or Deformities) Not Done Pain to ROM Tender Para-spinous Tender Spinous Process Normal (No Pain or Deformities) Not Done Pain to ROM Tender Para-spinous Tender Spinous Process Developmentally Impaired Hearing Impaired Language None Physically Impaired Physically Restrained Speech Impaired Unattended or Unsupervised (Including Minors) Unconscious Blue Green Grey Orange Pink Purple Red White Yellow Absent,Blue, pale,Limp,Negative,No,No response,Not Recorded Yes, Prior to EMS Arrival Yes, After EMS Arrival Presumed Cardiac Trauma Drowning Respiratory Electrocution Other 12 Lead ECG-Anterior Ischemia 12 Lead ECG-Inferior Ischemia 12 Lead ECG-Lateral Ischemia Agonal/Idioventricular Artifact Asystole Atrial Fibrillation AV Heart Block-1st Degree AV Heart Block-2nd Degree-Mobitz 1 (Wenckebach) AV Heart Block-2nd Degree-Mobitz 2 AV Heart Block-3rd Degree Junctional Left Bundle Branch Block Normal Sinus Rhythm Other Paced Rhythm Pulseless Electrical Activity - 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 12 Lead ECG-Anterior Ischemmia 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 Other 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 Assault ATV Rider Explosion Other Injury Aircraft Related Accident Bicycle Accident Bites Chemical Poisoning Child Battering Drowning Drug Poisoning Electrocution (Non-Lightning) Excessive Cold Excessive Heat Falls Fire and Flames Firearm Assault Firearm Injury (Accidental) Firearm Self Inflicted Lightning Machinery Accidents Mechanical Suffocation Motor Vehicle Non-Traffic Accident Motor Vehicle Traffic Accident Motorcycle Accident (E81X.1) Non-Motorized Vehicle Accident (E848.0) Pedestrian Traffic Accident Radiation Exposure Sexual Assault Smoke Inhalation Stabbing/Cutting Accidental (E986.0) Stabbing/Cutting Assault Struck by Blunt/Thrown Object (E968.2) Venomous Stings (Plants, Animals) Water Transport Accident Normal Chest Assmt Not Done Accessory Muscles Decreased Breath Sounds-Left Decreased Breath Sounds-Right Flail Segment-Left Flail Segment-Right Increased Effort Normal, Clear & Equal Breath Sounds Rales Rhonchi Tenderness-Left Tenderness-Right Assisted Breath Sounds Appointed Guardian Father Mother Other Son/Daughter Spouse ALS, Level 1 ALS, Level 1 Emergency ALS, Level 2 Paramedic Intercept Specialty Care Transport Fixed Wing (Airplane) Rotary Wing (Helicopter) BLS BLS, Emergency Abdomen Back Chest Extremity-Lower Extremity-Upper General/Global Genitalia Head Neck Cardiovascular CNS/Neuro Endocrine/Metabolic GI Global Musculoskeletal OB/GYN Psych Pulmonary Renal Skin Abdominal Pain,Vecuronium (Norcuron) Abciximab (Reopro),Anaphylactic Reaction Animal Bite,Rocuronium Bromide (Zemuron) Assault,Prochlorperazine (Compazine) Back Pain (Non-Traumatic/Non-Recent Trauma) Breathing Problem,Ondansetron (Zofran) Burns,Esmolol HCl (Brevibloc) CO Poisoning/Hazmat,Potassium Cl Standby Cardiac Arrest,Epinephrine 1:1000 Chest Pain Choking Seizure/Convulsions Diabetic Problem Drowning Electrocution Eye Problem / Injury Fall Victim Headache Heart Problems Heat/Cold Exposure Hemorrhage/Laceration Industrial Accident/Inaccessible Incident/Other Entrapments (Non-Vehicle) Ingestion/Poisoning Pregnancy/Childbirth Psychiatric Problems Sick Person Stab/Gunshot Wound Stroke/CVA Traffic/Transportation Accident Traumatic Injury Unconscious/Fainting Unknown Problem/Man Down Transfer/Interfacility/Palliative Care MCI (Multiple Casualty Incident) 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 Severe Abdominal Pain (ALS-789.00) Abdominal Pain (ALS-789.00) Abnormal Cardiac Rhythm/Cardiac Dysrhythmia (ALS-427.9) Abnormal Skin Signs (ALS-780.8) Abnormal Vital Signs (ALS-796.4) Allergic Reaction (ALS-995.0) Allergic Reaction (BLS-692.9) Blood Glucose (ALS-790.21) Respiratory Arrest (ALS-799.1) Difficulty Breathing (ALS-786.05),Low Concentration O2 (1-6 LPM) Cardiac Arrest-Resuscitation in Progress (ALS-427.5) Chest Pain (non-traumatic) (ALS-786.50) Choking Episode (ALS-784.9) Cold Exposure (ALS-991.6) Cold Exposure (BLS-991.9) Altered Level of Consciousness (non-traumatic) (ALS-780.01) Convulsions/Seizures (ALS-780.39) Eye Symptoms (non-traumatic) (BLS-379.90) Non Traumatic Headache (ALS-437.9) Cardiac Symptoms other than Chest Pain (palpitations) (ALS-785.1),Medium Concentration O2 (7-9 LPM) Cardiac Symptoms other than Chest Pain (atypical pain) (ALS-536.2) Heat Exposure (ALS-992.5) Heat Exposure (BLS-992.2) Hemorrhage (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) High Concentration O2 (10-25 LPM),Pain (Severe) (ALS-780.99),Public Access Defibrillation Back Pain (non-traumatic possible cardiac or vascular) (ALS-724.5) Back Pain (non-traumatic with neurologic symptoms) (ALS-724.9) Poisons (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) Pregnancy Complication/Childbirth/Labor (ALS-650.0) Psychiatric/Behavioral (abnormal mental status) (ALS-292.9) Psychiatric/Behavioral (threat to self or others) (BLS-298.9) First Responder with AED,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) Emergency Response Unit with AED,Other Trauma (suspected internal injuries) (ALS-869.0) Burns-Major (ALS-949.3) Burns-Minor (BLS-949.2) Animal Bites/Sting/Envenomation (ALS-989.5) Animal Bites/Sting/Envenomation (BLS-879.8) Lightning (ALS-994.0) Electrocution (ALS-994.8) Near Drowning (ALS-994.1) Eye Injuries (BLS-921.9) Sexual Assault (major injuries) (ALS-995.83) No pre-ambulance AED,Sexual Assault (minor injuries) (BLS-995.8) Cardiac/Hemodynamic Monitoring Required (ALS-428.9) Advanced Airway Management (ALS-518.81) IV Meds Required (ALS-No ICD code provided)) Chemical Restraint (ALS-293.0) Suctioning/Oxygen/IV fluids required (BLS-496.0) Airway Control/Positioning Required (BLS-786.09) 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),Unknown,Yes 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) Improved Unchanged Worse EMT Basic,EMT-Basic EMT Intermediate,EMT-Intermediate EMT Paramedic,EMT-Paramedic Nurse Physician EMR,First Responder Student Other Healthcare Professional Other Non-Healthcare Professional Driver Primary Patient Caregiver Secondary Patient Caregiver Third Patient Caregiver Other Endotracheal tube Gastronomy tube Inhalation Intramuscular Intranasal Intraocular Intravenous Nasal Nasal Prongs Nasogastric Ophthalmic Oral Other/Miscellaneous Otic Non Re-breather mask Rectal Subcutaneous Sublingual Topical Tracheostomy Transdermal Urethral Ventimask Wound GMS Inches IU (International Units) KVO (TKO) L/MIN (Fluid Administration) Liters LPM (Gas Administration) MCG MCG/KG/MIN MEQ MG MG/KG/MIN ML ML/HR Other Puffs Hispanic or Latino Not Hispanic or Latino Male Female Calcium Gluconate Naloxone (Narcan) Diphenhydramine (Benadryl) Charcoal, activated Dexamethasone (Decadron) Diazepam (Valium) Midazolam (Versed) Oxygen by Blow By Magnesium Sulfate Furosemide (Lasix) Etomidate Droperidol (Inapsine) Nitronox (Nitrous Oxide) Sodium bicarbonate Alteplase Atracurium Dextrose 25% (D25) Dextrose 10% (D10) Digoxin Enoxaparin,Enoxaparin (Lovenox) Tenecteplase Tetracaine Levalbuterol HCL (Xopenex),Xopenex Dextrose 12.5% D5W (Dextrose 5% in Water) Lactated Ringers D5W w/ 1/2 Normal Saline DuoNeb (0.5 Atrovent/3.0 Albuterol) Acetaminophen Dolasetron (Anzemet) Granisetron HCL (Kytril) Ibuprofen (Advil, Motrin) Norepinephrine Pralidoxime (2-PAM, Systemic) Sodium Nitrate (Cyanide Kit) Sodium Thiosulfate (Cyanide Kit) Cetacaine Spray Glucose (Oral) Mivacurium Chloride (Mivacron) Normal Saline (Respiratory Use) Butorphanol Tartrate (STADOL) Tissue Plasminogen Activator (tPA) Hydroxyzine (Atarax Vistaril) Thiopental Sodium (Pentothal) ½ Normal Saline - 0.45% Dopamine Calcium Chloride Labetolol Dextrose 50% (D50) Reactose Mannitol (Osmitrol) Ipecac Atropine Sulfate Methylprednisolone (Solu-Medrol) Glucagon Lorazepam (Ativan) Meperidine (Demerol) Metaproterenol (Alupent) 911 Response (Scene),Metoclopramide (Reglan) Dobutamine,Safety Albuterol Sulfate Terbutaline (Brethine) Fentanyl,Weather Nifedipine (Adalat, Procardia) Equipment Failure,Metoprolol (Lopressor) Ketorolac (Toradol) Thiamine Amyl Nitrate,Confused conversation or speech,Cries, inconsolable,General withdrawal in response to painful stimulation,Inappropriate words,Opens Eyes spontaneously Abdominal Pain,Vecuronium (Norcuron) Vasopressin Racemic Epinephrine Promethazine HCl (Phenergan) Normal Saline Abciximab (Reopro),Anaphylactic Reaction Tirofiban HCL (Aggrastat) Eptifibatide (Integrilin) Glutose Hydromorphone (Dilaudid) Succinylcholine (Anectine) Animal Bite,Rocuronium Bromide (Zemuron) Oxytocin (Pitocin) Insulin Flumazenil (Romazicon) Haloperidol (Haldol) Assault,Prochlorperazine (Compazine) Mark 1 Kit IV Antibiotics Epi-Pen Adult Epi-Pen Junior Neostigmine Breathing Problem,Ondansetron (Zofran) Other Cardiac Drug Other CNS Drug Other Autonomic Nervous System Drug Other Respiratory Drug Burns,Esmolol HCl (Brevibloc) Hydralazine (Apresoline) Ketamine Phenylephrine HCl (Neo-Synephrine) Phenytoin (Dilantin) CO Poisoning/Hazmat,Potassium Cl Diltiazem (Cardizem) Hurricaine Spray Oxygen by Nebulizer Oxygen by BVM,Oxygen by Positive Pressure Device Cardiac Arrest,Epinephrine 1:1000 Epinephrine 1:10,000 Heparin Proparacaine (Alcaine) Atrovent (Ipratropium Bromide),Non-Transport Adenosine Lidocaine Procainamide Amiodorone (Cordarone),Rescue Verapamil (Isoptin) Isoproterenol Nitroprusside Nitroglycerin Bumetanide (Bumex) Aspirin (ASA) Nitroglycerin,Oxygen,Sales and Related Occupations Morphine Sulfate Nubain Oxygen by Nasal Cannula Oxygen by Mask,Oxygen by Simple Mask Oxygen (non-rebreather mask) Pediatric - Abdominal Injuries (Penetrating) Air Medical Transport Pediatric - Allergic Reaction/Anaphylaxis Asthma/COPD/Reactive Airway Disease - Adult Pediatric - Asthma/Reactive Airway Disease Pediatric - Burns (thermal) Chemical burns - adults Pediatric - Chemical burns Cyanide and arsenic - adult Cyanide and arsenic - pediatric Pediatric - Diabetic emergencies Fever (>101.5 f / 38.5 c) - pediatric Neonatal resuscitation Nerve agents & organophosphates - provider protection Nerve agents & organophosphates MCI - adult Nerve agents & 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 Pediatric Respiratory Arrest Pediatric Automatic External Defibrillator (AED) Abdominal Pain,ACD Deactivation AED-ERU,Airway, Adult AED-First Responder,Airway, Adult-Failed AED-Public Access,Airway, Pediatric Airway, RSI,Burn Care Allergic Reaction,Cervical Spinal Immobilization - Rigid Collar Altered Mental Status,Cervical Spinal Immobilization - Soft Collar Altitude Sickness Asystole,Chest Tube Placement Atrial Fibrillation Back Pain,Cold Pack,Patient Cooling (Cold Pack, etc.) Behavioral,Hot Pack,Patient Warming (Hot Pack, etc.) Bites and Envenomations,Isolation Procedures Bradycardia,Other Burns,Pericardiocentesis Cardiac Arrest,Stretcher Chest Pain / Suspected Cardiac Event,Vagal Maneuver-Valsalva or Other Vagal Maneuver (Not Carotid Massage),Valsalva Maneuver Childbirth / Labor Cold Exposure Dental Problems Device Malfunction Diarrhea Drowning / Near Drowning Diving Emergencies Electrical Injuries Epistaxis Exposure-Airway Irritants Exposure-Biological/Infectious Exposure-Blistering Agents Exposure-Cyanide Exposure-Nerve Agents Exposure-Radiologic Agents Exposure-Riot Control Agents Extremity Trauma Eye Trauma Fever Gynecologic Emergencies Head Trauma Hyperglycemia Hypertension Hyperthermia Hypoglycemia Hypotension / Shock (Non-Trauma) Hypothermia IV Access Multiple Trauma Newly Born Obstetrical Emergencies Overdose / Toxic Ingestion Pain Control Pediatric Bradycardia Pediatric Head Trauma Pediatric Hypotension Pediatric Multiple Trauma Pediatric Pulseless Arrest Pediatric Respiratory Distress Pediatric Seizure Pediatric Supraventricular Tachycardia Post Resuscitation Pulmonary Edema Pulseless Electrical Activity (PEA) Respiratory Distress Seizure Spinal Cord Trauma Spinal Immobilization Clearance Supraventricular Tachycardia Suspected Stroke Syncope Trauma-Arrest Trauma-Amputation Universal Patient Care Protocol Ventricular Fibrillation / Pulseless V-Tach Ventricular Ectopy Ventricular Tachycardia Vomiting and Diarrhea Vomiting Other American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Other Race EMT Basic,EMT-Basic EMT Intermediate,EMT-Intermediate EMT Paramedic,EMT-Paramedic Nurse Physician EMR,First Responder Auscultation of Bilateral Breath Sounds Colorimetric CO2 Detector Confirmation Digital CO2 Confirmation Esophageal Bulb Aspiration Confirmation Negative Auscultation of the Epigastrium Visualization of the Chest Rising with Ventilation Visualization of the Tube Passing Through the Cords Waveform CO2 Confirmation kPa % Volume mmHg I II III AVR AVL AVF V1 V2 V3 V4 V5 V6 Paddle Pads 12 Lead ECG II, III, AVF - Multi Lead V1, V2 - Multi Lead V3, V4 - Multi Lead I, AVL, V5, V6 - Multi Lead V4, V5, V6 - Multi Lead Absent,Blue, pale,Limp,Negative,No,No response,Not Recorded Yes, With Pre-Arrival Instructions Yes, Without Pre-Arrival Instructions Admitted to Hospital Floor Admitted to Hospital ICU Death Not Applicable (Not Transported to ED) Released Transferred Full Time Paid Employee Full Time Unpaid Employee Part Time Paid and Part Time Unpaid Part Time Paid Employee Part Time Unpaid Employee Absent,Blue, pale,Limp,Negative,No,No response,Not Recorded <100/minute,1st Degree,Body pink, blue extremities,Grimace,None,Positive,Slow, irregular,Some flexion,Yes GMT-11:00 Midway Island, Somoa GMT-10:00 Hawaii GMT-9:00 Alaska GMT-8:00 Pacific Time GMT-7:00 Mountain Time GMT-6:00 Central Time GMT-5:00 Eastern Time GMT-4:00 Atlantic Time Insect Sting Food Allergy Latex Chemical Other None > 15 Minutes 5-15 Minutes < 5 Minutes After EMS > 20 Minutes 15-20 Minutes 10-15 Minutes 8-10 Minutes 6-8 Minutes 4-6 Minutes 2-4 Minutes 0-2 Minutes Hispanic or Latino Not Hispanic or Latino Normal Not Done Abnormal Pulse Abnormal Sensation Edema Pain/Tenderness Weakness Absent Pulse Normal Not Done Abnormal Pulse Abnormal Sensation Edema Pain/Tenderness Weakness Absent Pulse Normal Not Done Abnormal Pulse Abnormal Sensation Edema Pain/Tenderness Weakness Absent Pulse Normal Not Done Abnormal Pulse Abnormal Sensation Edema Pain/Tenderness Weakness Absent Pulse Not Done 2-mm 3-mm 4-mm 5-mm 6-mm 7-mm Blind Reactive Non-Reactive Not Done 2-mm 3-mm 4-mm 5-mm 6-mm 7-mm Blind Reactive Non-Reactive Home Hospital Medical Office/Clinic Morgue Nursing Home Other Other EMS Responder (air) Other EMS Responder (ground) Police/Jail Asystole Bradycardia Normal Sinus Rhythm Other PEA Unknown AED Non-Shockable Rhythm Unknown AED Shockable Rhythm Ventricular Fibrillation Ventricular Tachycardia Absent,Blue, pale,Limp,Negative,No,No response,Not Recorded <100/minute,1st Degree,Body pink, blue extremities,Grimace,None,Positive,Slow, irregular,Some flexion,Yes >100/minute,2nd Degree,Active motion,Completely pink,Cough, sneeze, cry,Extensor posturing in response to painful stimulation,Good, crying,Grunts,Non-specific sounds,Opens Eyes in response to painful stimulation,Persistent cry, grunting 3rd Degree,Cries and/or screams,Flexor posturing in response to painful stimulation,Inappropriate cry,Inappropriate words,Opens Eyes in response to verbal stimulation Amyl Nitrate,Confused conversation or speech,Cries, inconsolable,General withdrawal in response to painful stimulation,Inappropriate words,Opens Eyes spontaneously Initial GCS has legitimate values without interventions such as intubation and sedation Patient Chemically Sedated Patient Intubated Patient Intubated and Chemically Paralyzed Male Female Normal Not Done Crowning Genital Injury Pain/Tenderness Unstable Normal Not Done Asymmetric Smile or Droop Drainage Mass/Lesion Swelling/Edema Pain/tenderness Rash Normal Not Done Decreased Sounds Murmur S3 Sounds Gallop Sounds S4 Sounds Death Discharged Transferred to Hospital Transferred to Nursing Home Transferred to Other Transferred to Rehabilitation Facility Assisted/Walk Carry Stair Chair Stretcher Other Assisted/Walk Carry Stair Chair Stretcher Other Anthrax DPT (Diptheria, Tetanus, Pertussis) Hemophilus Influenza B Hepatitis A Hepatitis B Influenza (Flu) MMR (Measles, Mumps, Rubella) Polio-8, Pneumococcal (Pneumonia) Small Pox Tetanus Varicella Home/Residence Farm Mine or Quarry Industrial Place and Premises Place of Recreation or Sport Street or Highway Public Building (schools, gov, offices) Trade or Service (Business, bars, restaurants, etc.) Health Care Facility (clinic, hospital, nursing home) Residential Institution (nursing home, jail/prison) Lake, River, Ocean Other Location,Tuberculosis 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 Primary Secondary Other Intentional, Other (Assaulted) Intentional, Self Unintentional Alert Verbal Painful Unresponsive Blunt Burn Other Penetrating 12-Lead ECG Defibrillation ECG-Monitor Pacing Started Bystander/Other Family Health Care Personnel None Patient Endotracheal Tube Gastrostomy Tube Inhalation Intramuscular Intraosseous Intranasal Intraocular Intravenous Nasal Nasal Prongs Nasogastric Ophthalmic Oral Other/Miscellaneous Otic (in ear) Non-rebreather/Re-breather Mask Rectal Subcutaneous Sublingual Topical Tracheostomy Transdermal Urethral Ventimask Wound On-Line (Telephone or Radio) On-Scene Protocol (Standing Order) Written Orders (Patient Specific) None Altered Mental Status Apnea,Tracheostomy Bleeding Bradycardia Diarrhea Extravasation Hypertension Hyperthermia Hypotension Hypoxia Injury Itching/Urticaria Nausea Other Respiratory Distress Tachycardia Vomitting GMS Inches IU (International Units) KVO (TKO) Liters LPM MCG MCG/KG/MIN MEQ MG MG/KG/MIN ML ML/HR Other Puffs Normal Mental Status for Patient Not Done Combative Confused Hallucinations Oriented-Person Oriented-Place Oriented-Time Unresponsive Usually Confused Incoherent Intermittent Consciousness Arterial Line Automated Cuff Manual Cuff Palpated Cuff Venous Line Normal Not Done JVD Strider SubQ Air Tracheal Deviation Pain/tenderness Rash Stiffness Normal Not Done Abnormal Gait Facial Droop Seizures Speech Normal Speech Slurring Tremors Weakness-Left Sided Weakness-Right Sided CPC 1 or 2,No CPC 3 or 4 None Single Multiple Mixed Non-Volunteer Volunteer Contact Center Community, Non-Profit Fire Department Governmental, Non-Fire Hospital Private, Non Hospital Tribal Bleeding Breathing Problem Change in Responsiveness Choking Death Device/Equipment Problem Diarrhea Drainage/Discharge Fever Malaise Mass/Lesion Mental/Psych Nausea/Vomiting No Signs or Symptoms Pain Palpitations Rash/Itching Swelling Transport Only Weakness Wound Dizziness Headache Cough EMS Mutual Aid Fire Hazmat Law Other Health Care Provider Other Rescue Utilities 911 Response (Scene) with Transport Capability 911 Response (Scene) without Transport Capability Air Medical Hazmat Medical Transport (Convalescent) Paramedic Intercept Rescue Specialty Care Transport Improved Unchanged Worse Management Occupations Business and Financial Operations Computer and Mathematical Occupations Architecture and Engineering Occupations Life, Physical and Social Science Community and Social Services Legal Occupations Education, Training and Library Occupations Arts, Design, Entertainment, Sports, and Media Occupations,Serevent Healthcare Practitioners and Technical Occupations Healthcare Support Occupations Atrovent,Protective Service Occupations Droperidol,Food Preparation and Serving Related Occupations Building and Grounds Cleaning and Maintenance Occupations,Magnesium sulfate Metoclopramide,Personal Care and Service Occupations Nitroglycerin,Oxygen,Sales and Related Occupations Office and Administrative Support Occupations,Reactose Farming, Fishing, and Forestry Occupations,Zofran Construction and Extraction Occupations Installation, Maintenance and Repair Production Occupations Transportation and Material Moving Military Specific Occupations Construction Finance, Insurance, and Real Estate Government Manufacturing Mining Retail Trade Services Transportation and Public Utilities Wholesale Trade Eye Protection Gloves Level A Suit Level B Suit Level C Suit Mask Other This EMS Crew Non-EMS Individual Other EMS Personnel Car Seat Fowlers Lateral Prone Semi-Fowlers Sitting Supine Other Driver Left (Non-Driver) Middle Other Right Burn Cardiac/MI CVA/Stroke Drowning Spinal Cord Injury Trauma Traumatic Brain Injury Other Insurance Medicaid Medicare Not Billed (for any reason) Other Goverment Self Pay Workers Compensation Atrovent (Ipratropium Bromide),Non-Transport Amiodorone (Cordarone),Rescue Supervisor Transport Bleeding Breathing Problem Change in Responsiveness Choking Death Device/Equipment Problem Diarrhea Drainage/Discharge Fever Malaise Mass/Lesion Mental/Psych Nausea No Signs or Symptoms Pain Palpitations Rash/Itching Swelling Transport Only Weakness Wound Dizziness Headache Cough 911 Response (Scene) with Transport Capability 911 Response (Scene) without Transport Capability Air Medical Hazmat Medical Transport (Convalescent) Paramedic Intercept Rescue Specialty Care Transport EMS Provider Law Enforcement Lay Person Other Healthcare Provider Patient On-Line (Radio or Telephone) On-Scene Protocol (Standing Order) Written Orders (Patient Specific) None Altered Mental Status Apnea Bleeding Bradycardia Diarrhea Esophageal Intubation-Immediately Detected Esophageal Intubation-Other Extravasation Hypertension Hyperthermia Hypotension Hypoxia Injury Itching/Urticaria Nausea Other Respiratory Distress Tachycardia Vomitting CNS Catheter-Epidural Maintenance CNS Catheter-Intraventricular Maintenance Rescue Extrication Spinal Immobilization - Standing Take-Down CPR by Automated Device,CPR by Other External Automated Device Saline Lock Injections-SQ/IM Venous Access-Discontinue Venous Access-Internal Jugular Line Venous Access-Subclavian Line Spinal Assessment - Deficits Noted Spinal Assessment - No Deficits Noted Assessment-Adult Assessment-Pediatric Cardiac Pacing-Transvenous Decontamination Intra-Aortic Balloon Pump Maintenance Orthostatic Blood Pressure Measurement Pain Measurement Pulse Oximetry Temperature Measurement Thrombolytic Screen Hold CPR Patient Cooling-Post Resuscitation SROC Airway-Needle Cricothyrotomy Airway-Surgical Cricothyrotomy Chest Decompression Chest Tube Placement Pericardiocentesis Intra-Aortic Balloon Pump Maintenance Arterial Access/Blood Draw Venous Access-Blood Draw Venous Access-Existing Catheter/IV Monitoring Venous Access-Extremity Venous Access-External Jugular Line Venous Access-Femoral Line Blood Glucose Analysis Venous Access-Subclavian Line Venous Access-Discontinue Venous Access-Intraosseous Adult Venous Access-Intraosseous Pediatric Urinary Catheterization 12 Lead ECG,12 Lead ECG-Obtain Airway - Positive Pressure Ventilation,Airway-Bagged (via tube) Airway-Change Tracheostomy Tube Airway-Cleared, Opened, or Heimlich Airway-Combitube,Airway-Combitube Blind Insertion Airway Device Airway-CPAP Airway-EOA/EGTA Airway-ECO2 Monitoring Airway - Intubation Confirm CO2,Airway-Intubation Confirm Colorimetric ETCO2 Airway - Intubation Confirm Esophageal Detector Device/Bulb (EDD),Airway-Intubation Confirm Esophageal Bulb Airway-Laryngeal Mask,Airway-Laryngeal Mask Blind Insertion Airway Device Airway-Foreign Body Removal,Airway-Magill Forcepts Airway-Nasal,Airway-Nasopharyngeal Airway - Nasotracheal Intubation,Airway-Nasotracheal Intubation Airway-Nebulizer Treatment Airway-Needle Cricothyrotomy Airway-Oral,Airway-Oropharyngeal Airway - Endotracheal Intubation,Airway-Orotracheal Intubation Airway-PEEP Airway-Rapid Sequence Induction Airway-Respirator Operation,Airway-Respirator Operation (BLS) Airway-Suctioning Airway-Surgical Cricothyrotomy Airway-Ventilator,Airway-Ventilator Operation Arterial Access/Blood Draw Arterial Line Maintenance Blood Glucose Analysis Capnography,Capnography (CO2 Measurement) Cardiac Monitor Cardioversion,Cardioversion (Synchronized) Carotid Massage,Vagal Maneuver-Carotid Massage Chest Decompression Childbirth CNS Catheter-Epidural Maintenance CNS Catheter-Intraventricular,CNS Catheter-Intraventricular Maintenance CPR -Cardiopulmonary Resuscitation,CPR-Start Compressions and Ventilations Defibrillation - Placement for Monitoring/Analysis,Defibrillation-Placement for Monitoring/Analysis Defibrillation-Automated (AED) Defibrillation-Manual Cardiac Pacing-External,External Cardiac Pacing Extrication MAST Airway-Nasogastric Tube,Gastric Tube Insertion-Inserted Nasally Rescue Restraints-Pharmacological Restraints-Physical Spinal Immobilization Spinal Immobilization - K.E.D. Spinal Immobilization - Long Back Board Splinting,Splinting-Basic Splinting-Traction Urinary Catheterization Venous Access-Blood Draw Venous Access-Existing Catheter/IV Monitoring Venous Access-Extremity Venous Access-External Jugular Line Venous Access-Femoral Line Venous Access-Intraosseous Adult Venous Access-Intraosseous Pediatric Venous Access-Maintain Central Line Venous Access-Swan Ganz Maintain Wound Care,Wound Care-General Wound Care - Burn Care,Wound Care-Burn Care Wound Care - Pressure Dressing,Wound Care-Pressure Dressing Abdominal Pain,ACD Deactivation AED-ERU,Airway, Adult AED-First Responder,Airway, Adult-Failed AED-Public Access,Airway, Pediatric Airway, RSI,Burn Care Allergic Reaction,Cervical Spinal Immobilization - Rigid Collar Altered Mental Status,Cervical Spinal Immobilization - Soft Collar Asystole,Chest Tube Placement Back Pain,Cold Pack,Patient Cooling (Cold Pack, etc.) Behavioral,Hot Pack,Patient Warming (Hot Pack, etc.) Bites and Envenomations,Isolation Procedures Bradycardia,Other Burns,Pericardiocentesis Cardiac Arrest,Stretcher Chest Pain / Suspected Cardiac Event,Vagal Maneuver-Valsalva or Other Vagal Maneuver (Not Carotid Massage),Valsalva Maneuver Childbirth Decontamination Capnography (CO2 Measurement) Pulse Oximetry Cardiac Monitor Orthostatic Blood Pressure Measurement Arterial Line Maintenance Venous Access-Maintain Central Line Venous Access-Swan Ganz Maintain Assessment-Adult Assessment-Pediatric Pain Measurement Temperature Measurement Thrombolytic Screen 12 Lead ECG-Obtain Wound Care-General Splinting-Traction Splinting-Basic MAST Spinal Immobilization Airway-CPAP Airway-Respirator Operation (BLS) Airway-Bagged (via tube) Airway-Nebulizer Treatment Venous Access-Internal Jugular Line Airway-Nasal Airway-Oral Airway-EOA/EGTA Airway-Orotracheal Intubation Airway-Nasotracheal Intubation Airway-Rapid Sequence Induction Airway-Combitube Blind Insertion Airway Device Airway-Laryngeal Mask Blind Insertion Airway Device Gastric Tube Insertion-Inserted Nasally Airway-Ventilator Operation Airway-PEEP Airway-Intubation Confirm Colorimetric ETCO2 Airway-Intubation Confirm Esophageal Bulb Airway-Change Tracheostomy Tube Airway-Cleared, Opened, or Heimlich Airway-Suctioning Injections-SQ/IM CPR-Start Compressions and Ventilations CPR by Other External Automated Device Defibrillation-Automated (AED) Defibrillation-Manual Cardioversion Cardiac Pacing-External Defibrillation-Placement for Monitoring/Analysis Cardiac Pacing-Transvenous Vagal Maneuver-Carotid Massage Vagal Maneuver-Valsalva or Other Vagal Maneuver (Not Carotid Massage) Patient Cooling (Cold Pack, etc.) Restraints-Pharmacological Restraints-Physical Abdominal Pain/Problems Airway Obstruction Allergic Reaction Altered Level of Consciousness Behavioral/Psychiatric Disorder Cardiac Arrest Cardiac Rhythm Disturbance Chest Pain/Discomfort Diabetic Symptoms (Hypoglycemia) Electrocution Hyperthermia Hypothermia Hypovolemia/Shock Inhalation Injury (Toxic Gas) Obvious Death Poisoning/Drug Ingestion Pregnancy/OB Delivery Respiratory Distress Respiratory Arrest Seizure Sexual Assault/Rape Smoke Inhalation Stings/Venomous Bites Stroke/CVA Syncope/Fainting Traumatic Injury Vaginal Hemorrhage Asthma Cancer CHF (Congestive Heart Failure) TIA (Transient Ischemic Attack) Dehydration Diabetic Hyperglycemia ETOH Abuse G.I. Bleed Headache Heat Exhaustion/Stroke Other Other Abdominal/GI Problem Other Cardiovascular Problem 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) Epistaxis (Non-Traumatic) Abdominal Pain/Problems Airway Obstruction Allergic Reaction Altered Level of Consciousness Behavioral/Psychiatric Disorder Cardiac Arrest Cardiac Rhythm Disturbance Chest Pain/Discomfort Diabetic Symptoms (Hypoglycemia) Electrocution Hyperthermia Hypothermia Hypovolemia/Shock Inhalation Inury (Toxic Gas) Obvious Death Poisoning/Drug Ingestion Pregnancy/OB Delivery Respiratory Distress Respiratory Arrest Seizure Sexual Assault/Rape Smoke Inhalation Stings/Venomous Bites Stroke/CVA Syncope/Fainting Traumatic Injury Vaginal Hemorrhage Asthma Cancer CHF (Congestive Heart Failure) TIA (Transient Ischemic Attack) Dehydration Diabetic Hyperglycemia ETOH Abuse G.I. Bleed Headache Heat Exhaustion/Stroke 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) General Malaise No Apparent Illness/Injury Patient Assist Only Back Pain (Non-Traumatic) Epistaxis (Non-Traumatic) Regularly-Regular Irregularly-Irregular American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Other Race DNR Medical Control Order Obvious Signs of Death Protocol/Policy Requirements Completed Return of Spontaneous Circulation (Pulse or BP Noted) Closest Facility Diversion Family Choice Insurance Status Law Enforcement Choice On-line Medical Direction Other Patient Choice Patient's Physician's Choice Protocol Specialty Resource Center Self Spouse Son/Daughter Other Priority 1 Priority 2 Priority 3 Normal Labored Fatigued Absent Not Assessed 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 and Sirens Improved Unchanged Worse Improved Unchanged Worse Immediate Non-Immediate Attempted Defibrillation Attempted Ventilation Initiated Chest Compressions Not Attempted-Considered Futile Not Attempted-DNR Orders Not Attempted-Signs of Circulation Yes, Prior to ED Arrival Only Yes, Prior to ED Arrival and at the ED CPC 1 or 2,No Normal Not Done Clammy Cold Cyanotic Jaundiced Lividity Mottled Pale Warm EMT Basic,EMT-Basic EMT Intermediate,EMT-Intermediate EMT Paramedic,EMT-Paramedic Nurse Physician EMR,First Responder Cincinnati Stroke Scale Negative Cincinnati Stroke Scale Non-conclusive Cincinnati Stroke Scale Positive LA Stroke Scale Negative LA Stroke Scale Non-conclusive LA Stroke Scale Positive Antecubital-Left Antecubital-Right External Jugular-Left External Jugular-Right Femoral-Left IV Femoral-Left Distal IO Femoral-Right IV Femoral-Right Distal 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 Biologic Agent Building Failure Chemical Agent Explosive Device Fire Hostage Event Mass Gathering Nuclear Agent Radioactive Device Secondary Destructive Device Shooting/Sniper Vehicular Weather Incendiary Device (Causing Fire) Axillary Oral Rectal Tympanic Urinary catheter Definite Contraindications to Thrombolytic Use No Contraindications to Thrombolytic Use Possible Contraindications to Thrombolytic Use Seconds Minutes Hours Days Weeks Months Years Seconds Minutes Hours Days Weeks Months Years 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 Auscultation of Bilateral Breath Sounds Colorimetric CO2 Detector Confirmation Digital CO2 Confirmation Esophageal Bulb Aspiration Confirmation Negative Auscultation of the Epigastrium Visualization of the Chest Rising with Ventilation Visualization of the Tube Passing Through the Cords Waveform CO2 Confirmation Home Hospital Medical Office/Clinic Morgue Nursing Home Other Other EMS Responder (air) Other EMS Responder (ground) Police/Jail No Units Available None Other Scene Safety (Not Secure for Ems) Technical Failure (Computer, Phone, etc.) Caller (Uncooperative) High Call Volume Language Barrier Location (Inability To Obtain) Crowd Directions Distance Diversion HazMat None Other Safety Staff Delay Traffic Vehicle Crash Vehicle Failure Weather Crowd Directions Distance Diversion Extrication > 20 Min HazMat Language Barrier None Other Safety Staff Delay Traffic Vehicle Crash Vehicle Failure Weather 911 Response (Scene),Metoclopramide (Reglan) Intercept Interfacility Transfer (Scheduled) Medical Transport Mutual Aid Standby Biphasic Monophasic Contact to Broken Skin Contact to Intact Skin Contact with Eye Contact with Mucosal Surface Inhalation Exposure Needle Stick with Fluid Injection Needle Stick without Fluid Injection Other Physical Injury Death None Crowd Directions Distance Diversion HazMat None Other Dobutamine,Safety Staff Delay Traffic Vehicle Crash Vehicle Failure Fentanyl,Weather Clean-up Decontamination Documentation ED Overcrowding Equipment Failure,Metoprolol (Lopressor) Equipment Replenishment None Other Staff Delay Vehicle Failure Child Restraint Eye Protection Helmet Worn Lap Belt No Safety Equipment/Devices Used Other Personal Floatation Device Protective Clothing Gear Protective Non-Clothing Gear Shoulder Belt Ambulance ATV Bicycle Boat Fire Truck Fixed Wing Motorcycle Other Private Vehicle Quick Response Vehicle Rescue Rotor Craft Dash Deformity DOA Same Vehicle Ejection Fire Rollover/Roof Deformity Side Post Deformity Space Intrusion > 1 Foot Steering Wheel Deformity Windshield Spider/Star JPG PDF The patient's home city or township or residence country of citizenship county or parish or residence The medications the patient currently takes Attribute group used to define the current status of an element value and the date the status was confirmed The corresponding date The date/time the injury occurred, or the date/time the symptoms or problem started The procedure performed on the patient The simple type to define Descriptive Text can have alpha numeric spaces commas or periods The Patients end-tidal or other CO2 level An Email Address Attribute group used to define the GPS Location of the data element. Last name Last name The patient's pre-existing medical and surgery history of the patient The Name assigned to the element The NHTSA injury matrix used to describe the type of injury The corresponding date The Values used to describe Null fieldsd Not Available Not Known Not Reporting Not Recorded Not Applicable The mileage (odometer reading) of the vehicle rounded to the nearest mile The unique number automatically assigned by the EMS agency for each patient care report(PCR). This is a unique number to the EMS agency for all of time. Any care which was provided to the patient prior to the arrival of this unit. The procedure performed on the patient The protocol used by EMS personnel to direct the clinical care of the patient A customizable field to be used by local agencies for additional documentation or research. The patient's social security number The patient's home state, territory, or province, or District of Columbia, where the patient resides The year the information pertains to The Status either active or inactive Active Inactive The patient's home mailing or street address The patients home or primary telephone number 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