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These codes are use to describe the cheif complaint and condition of the pt
 
These codes are use to describe the cheif complaint and condition of the pt
  
*1 - Abdominal Pain/Problems
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[[Media:Dispatch Protocols - ProQA.doc]]
            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
 

Revision as of 18:11, 12 June 2012

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. ANB - Bases and Hospitals1.jpg

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

Media:Dispatch Protocols - ProQA.doc