Wake County (NC) Raleigh EMS Medical Priority Codes

Medical Priority Codes

Abdominal Pain

• 1-D-1 Not alert
• 1-C-1 Fainting or near fainting >50 y/o
• 1-C-2 Females w/ fainting or near fainting 12-50 y/o
• 1-C-3 Males w/ pain above navel >45 y/o
• 1-C-4 Females w/ pain above navel >45 y/o
• 1-A-1 Abdominal pain

Allergic Reaction

• 2-E-1 Ineffective breathing
• 2-D-1 Severe respiratory distress
• 2-D-2 Not Alert
• 2-D-3 Conditioning worsening
• 2-D-4 Swarming attack (bees)
• 2-D-5 Snakebite
• 2-C-1 Difficulty breathing or swallowing
• 2-C-2 Special medications or injections used
• 2-B-1 Unknown status (3rd party caller)
• 2-A-1 No difficulty breathing or swallowing
• 2-A-2 Spider Bite

Animal Bites

• 3-D-1 Unconscious or arrest
• 3-D-2 Not alert
• 3-D-3 Dangerous body area
• 3-D-4 Large animal
• 3-D-5 Exotic animal
• 3-D-6 Attack or multiple animals
• 3-B-1 Possibly dangerous body area
• 3-B-2 Serious hemorrhage
• 3-B-3 Unknown status (3rd party caller)
• 3-A-1 Not dangerous body area
• 3-A-2 Non-recent injuries >6 hours
• 3-A-3 Superficial bites

Assault

(A= Assault/ S= Sexual Assault)

• 4-D-1 Unconscious or arrest
• 4-D-2 Not alert
• 4-D-3 Abnormal breathing
• 4-D-4 Dangerous body area
• 4-D-5 Multiple victims
• 4-B-1 Possibly dangerous body area
• 4-B-2 Serious hemorrhage
• 4-B-3 Unknown status (3rd party caller)
• 4-A-1 Not dangerous body area
• 4-A-2 Non-recent injuries >6 hours

Back Pain

• 5-D-1 Not alert
• 5-C-1 Fainting or near fainting >50 y/o
• 5-A-1 Non-traumatic
• 5-A-2 Non-recent injuries >6 hours

Breathing Difficulty

(A=Asthma)

• 6-E-1 Ineffective breathing
• 6-D-1 Severe respiratory distress
• 6-D-2 Not alert
• 6-D-3 Clammy
• 6-C-1 Abnormal breathing
• 6-C-2 Cardiac history

Burn Subject

• 7-D-1 Unconscious or arrest
• 7-D-2 Severe respiratory distress
• 7-D-3 Not alert
• 7-D-4 Explosion
• 7-D-5 Multiple victims
• 7-C-1 Building fire w/ persons inside
• 7-C-2 Difficulty breathing
• 7-C-3 Burns >18% BSA
• 7-B-1 Unknown status (3rd party caller)
• 7-A-1 Burns <18% BSA
• 7-A-2 Fire alarm unknown situation
• 7-A-3 Sunburn or minor burns

Hazardous Exposure

• 8-D-1 Unconscious or arrest
• 8-D-2 Severe respiratory distress
• 8-D-3 HAZ-MAT
• 8-D-4 Not alert
• 8-D-5 Multiple victims
• 8-D-6 Unknown status (3rd party caller)
• 8-C-1 Alert w/ difficulty breathing
• 8-B-1 Alert w/o difficulty breathing
• 8-A-1 CO alarm- EMS requested

Cardiac Arrest

• 9-E-1 Not breathing at all
• 9-E-2 Breathing uncertain
• 9-E-3 Hanging
• 9-E-4 Strangulation
• 9-E-5 Suffocation
• 9-E-6 Underwater
• 9-D-1 Ineffective breathing
• 9-B-1 Obvious death

Chest Pain

• 10-D-1 Severe respiratory distress
• 10-D-2 Not alert
• 10-D-3 Clammy
• 10-C-1 Abnormal breathing
• 10-C-2 Cardiac history
• 10-C-3 Cocaine
• 10-C-4 Breathing normally >35 y/o
• 10-A-1 Breathing normally <35 y/o

Choking

• 11-E-1 Choking verified/ ineffective breathing
• 11-D-1 Not alert
• 11-D-2 Abnormal breathing
• 11-A-1 Not choking now

Seizures

• 12-D-1 Not breathing
• 12-D-2 Continuous or multiple seizures
• 12-D-3 Irregular breathing
• 12-D-4 Breathing regularly not verified >35 y/o
• 12-C-1 Pregnancy
• 12-C-2 Diabetic
• 12-C-3 Cardiac history
• 12-B-1 Breathing regularly not verified <35 y/o
• 12-A-1 Not seizing now & breathing verified

Diabetic Problems

• 13-D-1 Unconscious
• 13-C-1 Not alert
• 13-C-2 Abnormal behavior
• 13-C-3 Abnormal breathing
• 13-A-1 Alert

Drowning

• 14-D-1 Unconscious
• 14-D-2 Not alert
• 14-D-3 Diving or neck injury
• 14-D-4 SCUBA accident
• 14-C-1 Alert w/ abnormal breathing
• 14-B-1 Alert & breathing normally w/ injuries
• 14-B-2 Unknown status (3rd party caller)
• 14-A-1 Alert & breathing normally w/o injuries

Electrocution

(E=Electrocution/ L= Lightning)

• 15-E-1 Not breathing / ineffective breathing
• 15-D-1 Unconscious
• 15-D-2 Not disconnected from power
• 15-D-3 Power not off
• 15-D-4 Long fall >6 ft.
• 15-D-5 Not alert
• 15-D-6 Abnormal breathing
• 15-D-7 Unknown status (3rd party caller)
• 15-C-1 Alert & breathing normally

Eye Problem

• 16-D-1 Not alert
• 16-B-1 Severe eye injuries
• 16-A-1 Moderate eye injuries
• 16-A-2 Minor eye injuries
• 16-A-3 Medical eye problems

Falls

• 17-D-1 Dangerous body area
• 17-D-2 Long fall >6 ft.
• 17-D-3 Not alert
• 17-D-4 Abnormal breathing
• 17-B-1 Possibly dangerous body area
• 17-B-2 Serious hemorrhage
• 17-B-3 Unknown status (3rd party caller)
• 17-A-1 Not dangerous body area
• 17-A-2 Non-recent injuries >6 hrs.

Headache

• 18-C-1 Not alert
• 18-C-2 Abnormal breathing
• 18-C-3 Speech problems
• 18-C-4 Sudden onset of severe pain
• 18-C-5 Numbness or paralysis
• 18-C-6 Change in behavior
• 18-B-1 Unknown status (3rd party caller)
• 18-A-1 Breathing normally

Heart Problem

• 19-D-1 Severe respiratory distress
• 19-D-2 Not alert
• 19-D-3 Clammy
• 19-C-1 Firing of AICD
• 19-C-2 Abnormal breathing
• 19-C-3 Chest pain >35 y/o
• 19-C-4 Cardiac history
• 19-C-5 Cocaine
• 19-C-6 Heart rate <50 or >130
• 19-B-1 Unknown status (3rd party caller)
• 19-A-1 Heart rate >50 or <130 w/o symptoms
• 19-A-2 Chest pain <35 y/o w/o symptoms

Environmental Exposure

• 20-D-1 Not alert
• 20-C-1 Cardiac history
• 20-B-1 Change in skin color
• 20-B-2 Unknown status (3rd party caller)
• 20-A-1 Alert

Hemorrhage

• 21-D-1 Dangerous hemorrhage
• 21-D-2 Not alert
• 21-D-3 Abnormal breathing
• 21-C-1 Hemorrhage through a tube
• 21-B-1 Possibly dangerous hemorrhage
• 21-B-2 Serious hemorrhage
• 21-B-3 Bleeding disorder or blood thinners
• 21-A-1 Non dangerous hemorrhage
• 21-A-2 Minor hemorrhage

Industrial Accidents

• 22-D-1 Life status questionable
• 22-D-2 Caught in machinery
• 22-D-3 Multiple victims
• 22-B-1 Unknown status (3rd party caller)

Overdose

(A=Accidental/I=Intentional/P=Poisoning)

• 23-D-1 Unconscious
• 23-D-2 Severe respiratory distress
• 23-C-1 Violent
• 23-C-2 Not alert
• 23-C-3 Abnormal breathing
• 23-C-4 Antidepressants
• 23-C-5 Cocaine
• 23-C-6 Narcotics
• 23-C-7 Acid or Alkali
• 23-C-8 Unknown status (3rd party caller)
• 23-C-9 Poison Control request for response
• 23-B-1 Overdose without symptoms
• 23-O-1 Poisoning w/o priority symptoms

Pregnancy

• 24-D-1 Breech or cord
• 24-D-2 Head visible
• 24-D-3 Imminent delivery > 5 months
• 24-D-4 3rd trimester bleeding
• 24-D-5 High risk complications
• 24-D-6 Baby born
• 24-C-1 2nd trimester hemorrhage or miscarriage
• 24-C-2 1st trimester serious hemorrhage
• 24-B-1 Labor > 5 months
• 24-B-2 Unknown status (3rd party caller)
• 24-A-1 1st trimester hemorrhage or miscarriage

Psychiatric Problem

• 25-D-1 Not alert
• 25-B-1 Violent
• 25-B-2 Threatening suicide
• 25-B-3 Near hanging
• 25-B-4 Unknown status (3rd party caller)
• 25-A-1 Non-violent & non-suicidal

Sick Call

• 26-D-1 Not alert
• 26-C-1 Cardiac history
• 26-B-1 Unknown status (3rd party caller)
• 26-A-1 No priority symptoms
• 26-A-2 Boils
• 26-A-3 Bumps
• 26-A-4 Cannot sleep
• 26-A-5 Cannot urinate
• 26-A-6 Catheter problems
• 26-A-7 Constipation
• 26-A-8 Cramps/spasms
• 26-A-9 Cut-off ring request
• 26-A-10 Deafness
• 26-A-11 Defecation/diarrhea
• 26-A-12 Earache
• 26-A-13 Enema
• 26-A-14 Gout
• 26-A-15 Hemorrhoids/piles
• 26-A-16 Hepatitis
• 26-A-17 Hiccups
• 26-A-18 Hungry
• 26-A-19 Nervous
• 26-A-20 Object stuck
• 26-A-21 Object swallowed
• 26-A-22 Penis problems
• 26-A-23 Rash/skin disorder
• 26-A-24 STD
• 26-A-25 Sore throat
• 26-A-26 Toothache
• 26-A-27 Transportation only
• 26-A-28 Wound infected

Stab/Gunshot/Penetrating Trauma (S, G, or P)

• 27-D-1 Unconscious or arrest
• 27-D-2 Not alert
• 27-D-3 Central wounds
• 27-D-4 Multiple wounds
• 27-D-5 Multiple victims
• 27-B-1 Non-recent injuries >6 hrs./ central wound
• 27-B-2 Known single peripheral wound
• 27-B-3 Serious hemorrhage
• 27-B-4 Unknown status (3rd party caller)
• 27-A-1 Non-recent >6 hrs. peripheral wounds

Stroke

• 28-C-1 Not alert
• 28-C-2 Abnormal breathing
• 28-C-3 Speech or movement problems
• 28-C-4 Numbness or tingling
• 28-C-5 Stroke history
• 28-C-6 Breathing normally > 35 y/o
• 28-B-1 Unknown status (3rd party caller)
• 28-A-1 Breathing normally < 35 y/o

Traffic Collision

• 29-D-1-A Major incident (aircraft)
• 29-D-1-B Major incident (bus)
• 29-D-1-D Major incident (train)
• 29-D-1-E Major incident (watercraft)
• 29-D-2-A High mechanism (all-terrain)
• 29-D-2-B High mechanism (motorcycle)
• 29-D-2-C High mechanism (auto-pedestrian)
• 29-D-2-D High mechanism (ejection)
• 29-D-2-E High mechanism (personal watercraft)
• 29-D-2-F High mechanism (rollovers)
• 29-D-2-G High mechanism (vehicle off bridge/height)
• 29-D-3 HAZMAT
• 29-D-4 Pinned
• 29-D-5 Not alert
• 29-B-1 Injuries
• 29-B-2 Multiple victims (one unit)
• 29-B-3 Multiple victims (additional units)
• 29-B-4 Serious hemorrhage
• 29-B-5 Unknown status (3rd party caller)
• 29-A-1 1st party caller w/ non-dangerous injury

Traumatic Injuries

• 30-D-1 Dangerous body area
• 30-D-2 Not alert
• 30-D-3 Abnormal breathing
• 30-B-1 Possibly dangerous body area
• 30-B-2 Serious hemorrhage
• 30-A-1 Not dangerous body area
• 30-A-2 Non-recent injuries>6 hrs.

Subject Unconscious

• 31-E-1 Ineffective breathing
• 31-D-1 Unconscious
• 31-D-2 Severe respiratory distress
• 31-D-3 Not alert
• 31-C-1 Alert w/ abnormal breathing
• 31-C-2 Cardiac history
• 31-C-3 Multiple fainting episodes
• 31-C-4 Single or near fainting episode & alert
• 31-C-5 Female 12-50 w/ abdominal pain
• 31-A-1

Medical Nature Unknown

• 32-D-1 Life status questionable
• 32-B-1 Standing, moving, sitting, or talking
• 32-B-2 Medical alert notification
• 32-B-3 Unknown status (3rd party caller)

Transfers

(T=Transfer/ I=Interfacility)

• 33-D-1 Suspected cardiac or respiratory arrest
• 33-C-1 Not alert (acute change)
• 33-C-2 Abnormal breathing
• 33-C-3 Significant hemorrhage or shock
• 33-C-4 Possible acute heart problems or MI
• 33-C-5 Acute severe pain
• 33-C-6 Emergency response requested
• 33-A-1 No priority symptoms

Non-EMD Calls

• Structure fire
• High angle rescue
• Confined space rescue
• Medical alarms
• Airport alarms