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Montgomery County (TX) EMS Codes and Priority Levels

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EMS Codes

01: ABDOMINAL PAIN 

   >1A1: Abdominal Pain
   >1C1: Fainting/Near Fainting (Age >/=50)
   >1C2: Female Fainting/Near Fainting (Age 12-50)
   >1C3: Male with Pain Above Navel (Age >/=35)
   >1C4: Female with Pain Above Navel (Age >/=45)
   >1D1: Not Alert

02: ALLERGIES/REACTIONS/ENVENOMATIONS 

   >2A1: No Difficulty Breathing/Swallowing
   >2A2: Spider Bite
   >2B1: Unknown Status
   >2C1: Difficulty Breathing/Swallowing
   >2C2: Special Medications/Injections Used
   >2D1: Severe Respiratory Distress
   >2D2: Not Alert
   >2D3: Condition Worsening
   >2D4: Swarming Attack
   >2D5: Snakebite
   >2E1: Ineffective Breathing

03: ANIMAL BITE/ATTACK 

   >3A1: Injury to Non-Dangerous Body Area
   >3A2: Non-Recent Injury (Elapsed Time >/=6 Hours)
   >3A3: Superficial Bites
   >3B1: Possible Injury to Dangerous Body Area
   >3B2: Serious Hemorrhage
   >3B3: Unknown Injuries
   >3D1: Unconscious/Cardiac or Respiratory Arrest
   >3D4: Large Animal
   >3D5: Exotic Animal
   >3D6: Multiple Animals

04: ASSAULT/SEXUAL ASSAULT 

   >A: Assault
   >S: Sexual Assault
   >4A1: Injury to Non-Dangerous Body Area
   >4A2: Non-Recent Injuries (Elapsed Time >/=6 Hours)
   >4B1: Injury to Dangerous Body Area
   >4B2: Serious Hemorrage
   >4B3: Unknown Status
   >4D1: Unconscious/Respiratory or Cardiac Arrest
   >4D2: Not Alert
   >4D3: Abnormal Breathing
   >4D4: Injury to Dangerous Body Area
   >4D5: Multiple Victims

05: BACK PAIN 

   >5A1: Non-Traumatic Back Pain
   >5A2: Non-Recent Traumatic Back Pain (Elapsed Time >/=6 Hours)
   >5C1: Fainting/Near Fainting (Age >/=50)
   >5D1: Not Alert

06: BREATHING PROBLEMS 

   >A: Asthma Attack
   >6C1: Abnormal Breathing
   >6C2: Cardiac History
   >6D1: Severe Respiratory Distress
   >6D2: Not Alert
   >6D3: Clammy
   >6E1: Ineffective Breathing

07: BURNS/EXPLOSIONS 

   >E: Explosion
   >F: Fire Present
   >7A1: Burns (7A2: Fire Alarm/Unknown Situation
   >7A3: Sunburn/Minor Burn (7B1: Unknown Status
   >7C1: Building Fire With Victims Inside
   >7C2: Difficulty Breathing
   >7C3: Burns (>/=18% of Body Area)
   >7D1: Unconscious/Cardiac or Respiratory Arrest
   >7D2: Severe Respiratory Arrest
   >7D3: Not Alert
   >7D4: Explosion
   >7D5: Multiple Victims

08: CARBON MONOXIDE/INHALATION/HAZMAT 

   >8A1: CO Detector Alarm (Without Priority Symptoms)
   >8B1: Alert Without Difficulty Breathing
   >8C1: Unconscious/Cardiac or Respiratory Arrest
   >8D2: Severe Respiratory Arrest
   >8D3: HAZMAT
   >8D4: Not Alert
   >8D5: Multiple Victims
   >8D6: Unknown Status

09: CARDIAC OR RESPIRATORY ARREST/DEATH 

   >9B1: Obvious Death Situation (Obvious Death)
   >9D1: Ineffective Breathing
   >9E1: Not Breathing
   >9E2: Breathing Uncertain
   >9E3: Hanging
   >9E4: Strangulation
   >9E5: Suffocation
   >9E6: Drowning
   >9O1: Expected Death (Obvious)

10: CHEST PAIN 

   >10A1: Normal Breathing (Age 10C1: Abnormal Breathing
   >10C2: Cardiac History
   >10C3: Narcotics-Related
   >10C4: Breathing Normally (Age >/=35)
   >10D1: Severe Respiratory Distress
   >10D2: Not Alert
   >10D3: Clammy

11: CHOKING 

   >11A1: Not Currently Choking
   >11D1: Not Alert
   >11D2: Abnormal Breathing (Partial Obstruction)
   >11E1: Choking Verified/Ineffective Breathing

12: CONVULSIONS/SEIZURES 

   >E: Epileptic
   >12A1: Not Currently Seizing/Breathing Regularly (Verified)
   >12B1: Breathing Regularly (Not Verified)
   >12C1: Pregnancy
   >12C2: Diabetic
   >12C3: Cardiac History
   >12D1: Not Breathing
   >12D2: Continuous/Multiple Seizures
   >12D3: Irregular Breathing
   >12D4: Breathing Regularly (Not Verified)

13: DIABETIC PROBLEMS 

   >C: Combative
   >13A1: Alert
   >13C1: Not Alert
   >13C2: Abnormal Behavior
   >13C3: Abnormal Breathing
   >13D1: Unconscious

14: NEAR DROWNING/DIVING/SCUBA ACCIDENT 

   >14A1: Alert, Breathing Normally (No Injuries, Out of Water)
   >14B1: Alert, Breathing Normally (Injuries/Still in Water)
   >14B2: Unknown Status
   >14C1: Alert, Abnormal Breathing
   >14D1: Unconscious
   >14D2: Not Alert
   >14D3: Diving-Suspected Neck Injury
   >14D4: Scuba Accident

15: ELECTROCUTION/LIGHTNING STRIKE 

   >E: Electrocution
   >L: Lightning Strike
   >15C1: Alert/Breathing Normally
   >15D1: Unconscious
   >15D2: Not Disconnected From Power
   >15D3: Power Not Off/Hazard Present
   >15D4: Long Fall
   >15D5: Not Alert
   >15D6: Abnormal Breathing
   >15D7: Unknown Status
   >15E1: Not Breathing/Ineffective Breathing

16: EYE PROBLEMS/INJURY 

   >16A1: Moderate Eye Injury
   >16A2: Minor Eye Injury
   >16A3: Medical Eye Injury
   >16B1: Severe Eye Injuries
   >16D1: Not Alert

17: FALLS 

   >J: Jumper
   >17A1: Injury to Non-Dangerous Body Area
   >17A2: Non-Recent Injury (Elapsed Time >/=6 Hours)
   >17B1: Possible Injury to Dangerous Body Area
   >17B2: Serious Hemorrhage
   >17B3: Unknown Status
   >17D1: Injury to Dangerous Body Area
   >17D2: Long Fall (Height >/=6 Feet)
   >17D3: Not Alert
   >17D4: Abnormal Breathing
   >17O1: Public Assist (No Injuries)

18: HEADACHE 

   >18A1: Breathing Normally
   >18B1: Unknown Status
   >18C1: Not Alert
   >18C2: Abnormal Breathing
   >18C3: Speech Problems
   >18C4: Sudden Onset of Severe Pain (Elapsed Time 18C5: Numbness/Paralysis
   >18C6: Change in Behavior (Elapsed Time 19A1: Heart Rate >/=50 BPM and 19A2: Chest Pain Age 19B1: Unknown Status
   >19C1: Firing of AICD (Automatic Internal Cardiac Defribulator)
   >19C2: Abnormal Breathing
   >19C3: Chest Pain (Age >/=35)
   >19C4: Cardiac History
   >19C5: Narcotics Related
   >19C6: Heart Rate /=13 BPM (W/O Priority Symptoms)
   >19D1: Severe Respiratory Distress
   >19D2: Not Alert
   >19D3: Clammy

20: HEAT/COLD EXPOSURE 

   >H: Heat Exposure
   >C: Cold Exposure
   >20A1: Alert
   >20B1: Change in Skin Color
   >20B2: Unknown Status
   >20C1: Cardiac History
   >20D1: Not Alert

21: HEMORRHAGE/LACERATION 

   >21A1: Non-Dangerous Hemorrhage
   >21A2: Minor Hemorrhage
   >21B1: Possibly Dangerous Hemorrhage
   >21B2: Serious Hemorrhage
   >21B3: Bleeding Disorder/Blood Thinners
   >21C1: Bleeding Through Tubes
   >21D1: Dangerous Hemorrhage
   >21D2: Not Alert
   >21D3: Abnormal Breathing

22: INDUSTRIAL/MACHINE ACCIDENTS/INACCESSIBLE ACCIDENT 

   >A: Above Ground
   >M: Multiple Victims
   >B: Both A & M
   >22B1: Unknown Situation
   >22D1: Life Status Questionable
   >22D2: Caught In Machinery
   >22D3: Multiple Victims

23: OVERDOSE/POISONING (INGESTION) 

   >A: Accidental
   >I: Intentional
   >O: Overdose
   >P: Poisoning/Poison Control Requested Response
   >23B1: Overdose (W/O Priority Symptoms)
   >23C1: Violent (Police Must Secure)
   >23C2: Not Alert
   >23C3: Abnormal Breathing
   >23C4: Antidepressants (Tricyclic)
   >23C5: Narcotics (Cocaine or Derivative)
   >23C6: Narcotics (Heroin)
   >23C7: Acid/Alkali (Lye)
   >23C8: Unknown Status
   >23C9: Poison Control-Requested Response
   >23D1: Unconscious
   >23D2: Severe Respiratory Distress

24: PREGNANCY/CHILDBIRTH/MISCARRIAGE 

   >24A1: 1st Trimester Hemorrhage or Miscarriage
   >24B1: Unknown Status
   >24B2: 1st Trimester Serious Hemorrhage
   >24D1: Breech or Cord
   >24D2: Head Visible/Out
   >24D3: Imminent Delivery (Term >/=5 Months/20 Weeks)
   >24D4: 3rd Trimester Hemorrhage
   >24D5: High-Risk Complications
   >24D6: Baby Born

25: PSYCHIATRIC/ABNORMAL BEHAVIOR/SUICIDE ATTEMPT 

   >V: Violent
   >W: Weapon
   >B: Both V & W
   >25A1: Non-Violent/Non-Suicidal
   >25B1: Violent (Police Must Secure)
   >25B2: Threatening Suicide
   >25B3: Near Hanging/Strangulation/Suffocation (Alert)
   >25B4: Unknown Status
   >25D1: Not Alert

26: SICK CALL (SPECIFIC DIAGNOSIS) 

   >26A1: No Priority Symptoms
   >26A2: Various Non-Priority Symptoms
   >26B1: Unknown Status
   >26C1: Cardiac History
   >26D1: Not Alert

27: STAB/GUNSHOT/PENETRATING TRAUMA 

   >G: Gunshot
   >P: Penetrating Wound
   >S: Stabbing
   >27A1: Non-Recent Peripheral Wound (Elapsed Time >/=6 Hours)
   >27B1: Non-Recent Single Central Wound (Elapsed Time >/=6 Hours)
   >27B2: Known Single Peripheral Wound
   >27B3: Serious Hemorrhage
   >27B4: Unknown Status
   >27D1: Unconscious/Cardiac or Respiratory Arrest
   >27D2: Not Alert
   >27D3: Central Wounds
   >27D4: Multiple Wounds
   >27D5: Multiple Victims

28: STROKE/CVA 

   >28A1: Breathing Normally
   >28B1: Unknown Status
   >28C1: Not Alert
   >28C2: Abnormal Breathing
   >28C3: Speech/Movement Problems
   >28C4: Numbness/Tingling
   >28C5: Stroke History
   >28C6: Breathing Normally (Age >/=35)

29: TRAFFIC/TRANSPORTATION ACCIDENTS 

   >29A1: 1st Party Caller with Injury to Non-Dangerous Body Area
   >29B1: Injuries
   >29B2: Multiple Victims (1 Unit Needed)
   >29B3: Multiple Victims (Additional Units Needed)
   >29B4: Victim with Serious Hemorrhage
   >29B5: Accident with Unknown Patient Status
   >29D1: Major Accident
   >29D1A: Aircraft
   >29D1B: Bus
   >29D1C: Subway
   >29D1D: Train
   >29D1E: Watercraft
   >29D2A: High Mechanism/ATV Accident
   >29D2B: Car vs. Motorcycle/Bicycle
   >29D2C: Pedestrian
   >29D2D: Ejection
   >29D2E: Personal Watercraft
   >29D2F: Rollover
   >29D2G: Vehicle off Bridge or From Height
   >29D3: HZMAT
   >29D4: Entrapment
   >29D5: Victim Not Alert

30: TRAUMATIC INJURIES (SPECIFIC) 

   >30A1: Injury to Non-Dangerous Body Area
   >30A2: Non-Recent Injury (Elapsed Time >/=6 Hours)
   >30B1: Possible Injury to Dangerous Body Area
   >30B2: Serious Hemorrhage
   >30D1: Injury to Dangerous Body Area
   >30D2: Not Alert
   >30D3: Abnormal Breathing

31: UNCONSCIOUS/NEAR FAINTING 

   >31A1: Single/Near Fainting Episode and Alert (Age 31C1: Alert with Normal Breathing
   >31C2: Cardiac History
   >31C3: Multiple Fainting Episodes
   >31C4: Single/Near fainting Episode (Age >/=35)
   >31C5: Female Age 12-50 with Abnormal Pain
   >31D1: Unconscious (At the end of a police interrogation)
   >31D2: Severe Respiratory Distress
   >31D3: Not Alert
   >31E1: Ineffective Breathing

32: UNKNOWN PROBLEM/SUBJECT DOWN 

   >32B1: Standing, Sitting, Moving, or Talking
   >32B2: Medical Alarm Notification
   >32B3: Unkown Status
   >32D1: Life Status Questionable

33: INTERFACILITY/PALLIATIVE CARE 

   >T: Transfer
   >33A1: Acuity I (No Priority Symptoms)
   >33A2: Acuity II (No Priority Symptoms)
   >33A3: Acuity III (No Priority Symptoms)
   >33C1: Not Alert (Acute Change)
   >33C2: Abnormal Breathing (Acute Onset)
   >33C3: Significant Hemorrhage/Shock
   >33C4: Possible AcuteHeart Problems or MI (Heart Attack)
   >33C5: Acute Severe Pain
   >33C6: Emergency Response Requested
   >33D1: Suspected Cardiac/Respiratory Arrest

Priority Levels

  • Priority 1: Medical Response w/Fire Department
  • Priotity 2: Medical Response Only
  • Priority 3: Non-Emergency Medical Response
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