Difference between revisions of "PNB IRCS - HTH Ambulance New Brunswick (NB)"
From The RadioReference Wiki
Line 58: | Line 58: | ||
*2 - Allergies (reactions) / Envenomations (stings, bites) | *2 - Allergies (reactions) / Envenomations (stings, bites) | ||
− | + | A-1 No Dyspnoea | |
A-2 Spider bite (no priority symptoms) | A-2 Spider bite (no priority symptoms) | ||
− | + | B-1 Unknown status/other codes not applicable | |
− | + | C-1 Dyspnoea | |
− | + | C-2 History of severe allergic reaction | |
− | + | C-3 Minor Jelly-fish sting | |
− | + | D-1 Not alert | |
− | + | D-2 Difficulty speaking between breaths | |
− | + | D-3 Swarming attack (bee, wasp) | |
− | + | D-4 Snakebite | |
− | + | D-5 Funnel Web spider | |
− | + | D-6 Major Jelly-fish sting | |
E-1 Ineffective Breathing | E-1 Ineffective Breathing | ||
− | + | Suffix I = Injection | |
− | + | M = Medication | |
Revision as of 21:34, 12 June 2012
Contents
Introduction
Land and air ambulance services in New Brunswick are provided to the province though a single private sector company named “Ambulance New Brunswick”
Maritimes Scanning Site
Visit the THE MARITIMES SCANNING SITE - NEW BRUNSWICK EMERGENCY HEALTH SERVICES (http://www.marscan.com/nbambulance.htm) for more information. The topics discuss in the article are :
- History (about the service and the radio system)
- Communications and Dispatch - they don't give the radio codes use on the air-for that, see below
- Air Ambulance
- Ground Ambulance
- Ambulance type and other vehicules
- Ambulance bases
- Crew Shifts and Accommodations
- Medical First Response (MFR)
- OLMC (On-line Medical Control)
- Contact with ER
Regions
ANB has divided the Province of New-Brunswick into 4 operational regions for dispatching purpose : North, East, South & West.
Radio Network
ANB utilizes a conventional VHF system (in the 148MHz and 150-152MHz) for their operations. The same freq is used 2 times for each city. Once as a talkaround (simplex) freq for the city. Again as the dispatch (repeater) freq for the same city
The channel line-up is not continous. It goes from ch 1-18, 31-48, 50, 60, 70. Odd channel number are talkaround (simplex with no tone) freqs and even channel number are dispatch (repeater with a tone usualy 151.4 except for ch. 10 & 12, with a tone of 167.9) freqs for specific cities. For exemple, (ch. 5) 148.765 is the Moncton talkaround freq while (ch. 6) 148.765 with a tone of 151.4 is the dispatch freq.
For a list of all hospitals in the province, their call sign and the dispatch ch. where the medics do their report to that hospital, see http://www.marscan.com/nbhospitalslist.htm
Some freqs are simulcast with other freqs. See map below (PS. I know the map is hard to read - i'm working on clearing it up) File:ANB Radio Network1.jpg
Codes
ANB uses two sets of codes for dispatching : the 10-codes and the ProQA codes(dispatch protocol)
10 codes
- 10-01 = Transfer
- 10-02 = Booked call
- 10-03 = Life threat - lights only
- 10-04 = Priority - lights & siren
- 10-05 = Death at scene - call coronor
- 10-06 = Legally dead
- 10-07 = No patient trans.- patient refused
- 10-09 = Administrative repairs
- 10-21 = CPR in progress
ProQA codes
These codes are use to describe the cheif complaint and condition of the pt
- 1 - Abdominal Pain/Problems
A-1 Abdominal Pain C-1 SUSPECTED aortic aneurysm (tearing/ripping pain) >5- C-2 KNOWN aortic aneurysm C-3 Faint or near faint >5- C-4 Females faint/near faint 12-5- C-5 Males pain above naveel >35 C-6 Females pain above navel >45 D-1 Not Alert
- 2 - Allergies (reactions) / Envenomations (stings, bites)
A-1 No Dyspnoea A-2 Spider bite (no priority symptoms) B-1 Unknown status/other codes not applicable C-1 Dyspnoea C-2 History of severe allergic reaction C-3 Minor Jelly-fish sting D-1 Not alert D-2 Difficulty speaking between breaths D-3 Swarming attack (bee, wasp) D-4 Snakebite D-5 Funnel Web spider D-6 Major Jelly-fish sting
E-1 Ineffective Breathing
Suffix I = Injection M = Medication
- 3 - Animal Bites/Attacks
A-1 Not dangerous body area A-2 Non-recent injuries (>6hrs) A-3 Superficial bites B-1 Possibly Dangerous Body Area B-2 Serious Haemorrhage B-3 Unknown Status (3rd party caller) D-1 Unconscious or Arrest D-2 Not Alert. D-3 Chest or Neck injury (with difficulty breathing) D-4 Dangerous Body Area D-5 large Animal D-6 Exotic Animal D-7 Attack or multiple animals
4 - Assault / Sexual Assault
A-1 Not dangerous body area
A-2 Non recent injuries (>6 hrs)
B-1 Possibly Dangerous Body Area
B-2 Serious Haemorrhage
B-3 Unknown Status (3rd party caller)
D-1 Unconscious or Arrest
D-2 Not alert.
D-3 Chest or Neck injury (with difficulty breathing)
D-4 Multiple Victims
Suffix A = Assualt S = Sexual Assualt
5 - Back Pain (Non-traumatic)
A-1 Non-traumatic back pain
A-2 Non-recent traumatic back pain (>6 hrs)
C-1 SUSPECTED aortic aneurysm (tearing/ripping) >5-
C-2 KNOWN aortic aneurysm
C-3 Fainting or near fainting >5-
D-1 Not Alert
6 - Breathing problems
C-1 Abnormal Breathing
D-1 Non alert
D-2 Difficulty speaking between breaths
D-3 Changing Colour
D-4 Clammy
E-1 Ineffective Breathing
Suffix A = Asthma
7 - Burns (scalds)/Explosion
A-1 Burns <18%
A-2 Fire Alarm ( Unknown Status)
A-3 Sunburn or minor burns (<hand size)
B-1 Blanst injuries (without priority symptoms)
B-2 Unknown Status (3rd party caller)
C-1 Building fire - persons reported
C-2 Dyspnoea
C-3 Burns >18%
C-4 Significant facial burns
D-1 Multiple Victims
D-2 Unconscious or Arrest
D-3 Non alert
D-4 Difficulty speaking between breaths
Suffix E = Explosion F = Fire Present
8 - Carbon Monoxide/Inhalation/Hazchem
Ω-1 Carbon monoxide detector alarm
B-1 Alert without dysphnoea
C-1 Alert with dysphnoea
D-1 Unconscious or Arrest
D-2 Not Alert
D-3 Difficulty speaking between breaths
D-4 Multiple victims
D-5 Unknown status (3rd party call)
Suffix B=Biological C=Chemical G=Smell of gas M=CO N=Nuclear R=Radiological
S=Suicide Attempt
U=Unknown
9 - Cardiac or Respiratory Arrest/Death
B-1 Obvious Death Unquestionable (a-g)
D-1 Ineffective Breathing
D-2 Obvious or Expected Death questionable
E-1 Not breathing at all
E-2 Breathing Uncertain (Agonal)
E-3 Hanging
E-4 Strangulation
E-5 Suffocation
E-6 Underwater
Ω-1 Expected Death Unquestionable (x-y)
Suffix A = Cold and stiff in warm environment
B = Decapitation C = Decomposition D = Incineration E = Non-recent death F = Severe injuries obviously incompatible with life G = Submersion (>6 Hrs) X = Terminal illness X = DNR order
10 - Chest Pain
A-1 Breathing normally <35
C-1 Abnormal breathing
C-2 Cardiac History
C-3 Cocaine
C-4 Breathing Normally >35
D-1 Non alert
D-2 Difficulty speaking between breaths
D-3 Changing Colour
D-4 Clammy
11 - Choking
A-1 Not choking now
D-1 Abnormal Breathing (Partial Obstruction)
D-2 Not alert.
E-1 Verified/Ineffective Breathing
Suffix C=Candy F=Food M=Milk/Liquid (Non toxic) O=Object U=Unknown
12 - Convulsions/ Fitting
A-1 Not seizing now and breathing regularly (verified)
B-1 Breathing regularly not verified <35
C-1 Pregnancy
C-2 Diabetic
C-3 Cardiac History
D-1 Not breathing (after key questions)
D-2 Continuous or Multiple Fitting
D-3 Irregular Breathing
D-4 Breathing Regularly Not Verified >35
Suffix E = Epilepsy
13 - Diabetic
A-1 Alert
C-1 Not Alert
C-2 Abnormal Behaviour
C-3 Abnormal Breathing
D-1 Unconscious
14 - Drowning (near)/Diving/Scuba Accident
A-1 Alert and breathing normally (NO injuries or in water)
B-1 alert and breathing normally (injuries or in water)
B-2 Unknown status (3rd party call)
C-1 Alert with abnormal breathing
D-1 Unconscious
D-2 Not Alert
D-3 Diving or Suspected Neck Injury
D-4 Scuba Accident
15 - Electrocution/Lightning
C-1 Alert and breathing normally
D-1 Unconscious
D-2 Not disconnected from the power
D-3 Power not off - hazard present
D-4 Long Fall >6ft
D-5 Not Alert
D-6 Abnormal Breathing
D-7 Unknown status (3rd party call)
E-1 Not Breathing/Ineffective breathing
16 - Eye Problems
A-1 Moderate eye injuries
A-2 Minor eye injuries/problems
A-3 Medical eye Problem
B-1 Severe eye injuries
D-1 Not Alert
17 - Falls/Back Injuries (Traumatic)
A-1 Not dangerous injuries
A-2 Not recent injuries (>6hrs)
B-1 Possibly Dangerous Body Area
B-2 Serious Haemorrhage
B-3 Unknown Status (3rd party caller)
D-1 Dangerous injuries
D-2 Long fall >6ft
D-3 Non alert
D-4 Abnormal breathing
18 - Headache
A-1 Normal breathing
B-1 Unknown Status (3rd party caller)
C-1 Not Alert
C-2 Abnormal Breathing
C-3 Speech problems
C-4 Sudden on set of pain < 3hrs
C-5 Numbness or paralysis
C-6 Change in Behaviour <3hrs
19 - Heart Problems/A.I.C.D.
A-1 Heart rate >5- and <13- (without priority symptoms)
A-2 Chest Pain >35
B-1 Unknown Status (3rd party caller)
C-1 Firing of AICD
C-2 Abnormal breathing
C-3 Chest Pains >35
C-4 Cardiac history
2- - Heat / Cold Exposure
A-1 Alert (without priority symptoms)
B-1 Change in skin colour
B-2 Unknown Status (3rd party caller)
C-1 Cardiac history
D-1 Not Alert
21 - Haemorrhage/Lacerations
A-1 Not dangerous haemorrhage
A-2 Minor haemorrhage
B-1 Possibly Dangerous Haemorrhage
B-2 Serious Haemorrhage
B-3 Bleeding disorders or thinners
C-1 Haemorrhage Through Tubes
D-1 Dangerous haemorrhage
D-2 Non alert
D-3 Abnormal Breathing
22 - Industrial / Machinery Accidents
B-1 Unknown Situation (not caught in machinery)
D-1 Life Status Questionable
D-2 caught in machinery (Unknown Status)
D-3 Multiple Victims
23 - Overdose / Poisoning (Ingestion)
B-1 Overdose (without any priority Symptom)
C-1 Violent (police must secure)
C-2 Not Alert
C-3 Abnormal Breathing
C-4 Antidepressants
C-5 Cocaine (or derivative)
C-6 Narcotics (heroin)
C-7 Acid or Alkali (lye)
C-8 Unknown status (3rd party call)
C-9 Poison control request response
D-1 Unconscious
D-2 Severe respiratory distress
Suffix A = Accidental I = Intentional P = Poisoning
24 - Pregnancy / Childbirth / Miscarriage
A-1 1st trimester haemorrhage or miscarriage
B-1 Labour (delivery not imminent > 5 months / 2- weeks)
B-2 Unknown Status (3rd party caller)
C-1 2nd Trimester haemorrhage or miscarriage
C-2 1st trimester serious haemorrhage
D-1 Breech or Cord
D-2 Head Visible / out
D-3 Imminent Delivery (>5 months / 2- weeks)
D-4 3rd trimester haemorrhage
D-5 High Risk Complications
D-6 Baby Born
25 - Psychiatric / Suicide attempt
A-1 Non-violent and non-suicidal
B-1 Violent (police must secure)
B-2 Threatening Suicide
B-3 Nr Hanging, strangulation or suffocation (alert)
B-4 Unknown Status (3rd party caller)
D-1 Not Alert
26 - Sick Person (Specific Diagnosis)
A-1 No priority symptoms
A-2 Boils
A-3 Bumps (non traumatic)
A-4 Can't sleep
A-5 Can't urinate
A-6 Catheter (in/out without bleeding)
A-7 Constipation
A-8 Cramps / spasms (in extremities)
A-9 Cut off ring request
A-10 Deafness
A-11 Defecation
A-12 Earache
A-13 Enema
A-14 Gout
A-15 Haemorrhoids / piles
A-16 Hepatitis
A-17 Hiccups
A-18 Hungry
A-19 Nervous
A-20 Object stuck (nose, ear, vagina, rectum, penis)
A-21 Object swallowed (without choking or difficulty in breathing can talk)
A-22 Penis problem/pain
A-23 Rash / skin disorder
A-24 Sore throat
A-25 Toothache
A-26 Transportation only
A-27 Venereal Disease
A-28 Wound infected (focal or surface)
B-1 Unknown status (3rd party caller)
C-1 Cardiac history
D-1 Not Alert
27 - Stab / Gunshot / Penetrating Trauma
A-1 Non-recent single peripheral wound (>6hrs)
B-1 non-recent (>6hrs) single central wound
B-2 Known single peripheral wound
B-3 Serious Haemorrhage
B-4 Unknown Status (3rd party caller)
D-1 Unconscious or Arrest
D-2 Not Alert
D-3 Central wounds
D-4 Multiple wounds
D-5 Multiple Victims
Suffix G = Gunshot P = Penetrating trauma S = Stabbing
28 - Stroke (CVA)
A-1 Breathing Normally <35
B-1 Unknown Status (3rd party caller)
C-1 Not Alert
C-2 Abnormal Breathing
C-3 Speech or movement problems
C-4 Numbness or Tingling
C-5 Stroke History
C-6 Breathing normally >35
29 - Traffic / Transportation Accidents
A-1 1st party caller with injury to Not dangerous body area
B-1 Injuries
B-2 Multiple Victims (one unit)
B-3 Multiple Victims (additional units)
B-4 Serious Haemorrhage
B-5 Unknown Status (3rd party caller)
D-1 Major Incident
A = Aircraft
B = Bus
C = Subway / Metro
D = Train
E = Watercraft
D-2 High Mechanism
A = All terrain
B = Vehicle vs bicycle/motorcycle
C = Vehicle vs Pedestrian
D = Ejection
E = Personal Watercraft
F = Rollovers
G = Vehicle off bridge/height
D-3 HAZMAT
D-4 Pinned (trapped) victim
D-5 Not Alert
30 - Traumatic Injuries (Specific)
A-1 Not dangerous injuries
A-2 Non-recent injuries (>6hrs)
B-1 Possibly dangerous body area
B-2 serious haemorrhage
D-1 Dangerous body area
D-2 Not Alert
D-3 Abnormal Breathing
31 - Unconscious / Passing Out (Non-Traumatic)
A-1 Single or near faint and alert <35
C-1 Alert with Abnormal Breathing
C-2 Cardiac History
C-3 Multiple fainting episodes
C-4 single or near fainting episode and alert >35
C-5 Females 12-5- with abdominal pain
D-1 Unconscious (at end of interrogation)
D-2 Severe respiratory distress
D-3 Non alert
E-1 Ineffective breathing (early despatch)
32 - Unknown Problem (Man Down)
B-1 Standing, sitting, moving or talking
B-2 Medical Alert notifications
B-3 Unknown Status (3rd party caller)
D-1 Life status questionable
33 - Transfer
A = P3 (PRIORTY 3 RESPONCE)
B = P2 (PRIORTY 2 RESPONCE)
_-1 Abdominal Pains/Problems _-2 Allergies/Hives/Red Reaction/Stings _-3 Animal Bite _-4 Assault/Rape _-5 Back Pain _-6 Breathing Problems _-7 Burns/Explosion _-8 Carbon Monoxide/Inhalation/HazMat _-9 Cardiac/Respiratory Arrest _10 Chest pain _11 Choking _12 Convulsions/Seizures _13 Diabetic Problems _14 Drowning (near) / Diving Accident _15 Electrocution _16 Eye problems / injuries _17 Falls / Back injuries (traumatic) _18 Headache _19 Heart Problems _20 Heat / cold exposure _21 Hemorrhage / lacerations _22 Industrial / machinery accidents _23 Overdose / ingestion / poisoning _24 Pregnancy / childbirth / miscarriage _25 Psychiatric emergency/suicide attempt _26 Sick person (specific diagnosis) _27 Stab / gunshot wound _28 Stroke (CVA) _29 Traffic accidents _30 Traumatic injuries-specific _31 Unconscious / fainting (non-traumatic) C-1 Abnormal Breathing C-2 Significant Haemorrhage or Shock C-3 Heart problems (including acute infarct) C-4 Acute Severe Pain D-1 Unconscious E-1 Cardiac or Respiratory Arrest