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#REDIRECT [[Medical Priority Dispatch System]] {{R from merge}} |
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[[Image:Star_of_life2.svg|right|thumb|Star of Life]] |
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The Advanced Medical Priority Dispatch System (AMPDS), is a medically approved, unified system used to dispatch appropriate aid to medical emergencies including systematized caller interrogation and pre-arrival instructions. AMPDS is developed and marketed by Priority Dispatch Corporation which also has similar products for police and fire. |
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The output gives a main response category - '''A''' (Immediately Life Threatening), '''B''' (Urgent Call), '''C''' (Routine Call). This may well be linked to a performance targeting system such as [[Operational Research CONsultancy|ORCON]] where calls must be responded to within a given time period. For example, in the United Kingdom, calls rated as 'A' on AMPDS are targeted with getting a responder on scene within 8 minutes. |
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Each call is then assigned a sub-category or code, often used as a means of gathering [[statistics]] about performance. It also helps when analysing the calls for how the call was described by the informant, compared to the [[injury]] or [[illness]] found when the crew attend. This can then be used to help improve the questioning system which gives the AMPDS classification. |
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==Call categorisation== |
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{| style="background:LightYellow" class="wikitable" |
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|+ AMPDS Call categorisation |
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! Problem |
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! Category A |
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!Category B |
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!Category C |
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|- style="background:LemonChiffon" |
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| rowspan=5|'''[[Human abdomen|Abdominal]] [[Pain]]/Problems''' |
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| style="background:Gainsboro" rowspan=5| |
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| Not Alert |
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| [[Human abdomen|Abdominal]] Pain |
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|-style="background:LemonChiffon" |
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| [[Faint]]ing or near fainting |
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| style="background:Gainsboro" rowspan=4| |
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|-style="background:LemonChiffon" |
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| [[Female]]s with fainting 12-50 |
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|-style="background:LemonChiffon" |
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| [[Male]]s with pain above the [[navel]] > 35 |
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|-style="background:LemonChiffon" |
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| Females with pain above the [[navel]] > 45 |
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|- |
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| rowspan=7|'''[[Allergy|Allergies]]/[[Envenomation]]s''' |
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| Difficulty [[breath]]ing or [[swallowing]] |
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| Special [[medication]]s or injections used |
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| [[Spider]] bite |
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|- |
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| Severe respiratory distress |
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| Unknown status (3rd party caller) |
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| style="background:Gainsboro" rowspan=6| |
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|- |
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| Not Alert |
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| No difficulty [[breath]]ing or swallowing |
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|- |
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| Condition worsening |
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| style="background:Gainsboro" rowspan=4| |
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|- |
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| Swarming attack ([[bee]], [[wasp]], [[hornet]]) |
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|- |
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| [[Snakebite]] |
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|- |
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| Ineffective [[breath]]ing |
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|-style="background:LemonChiffon" |
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| rowspan=7|'''[[Animal bite]]s/attacks''' |
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| [[Unconsciousness|Unconscious]] or [[cardiac arrest|arrest]] |
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|Dangerous body area |
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|Non-dangerous body area |
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|-style="background:LemonChiffon" |
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| Not Alert |
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| Large Animal |
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| Not recent injury |
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|-style="background:LemonChiffon" |
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| style="background:Gainsboro" rowspan=5| |
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| Exotic animal |
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| Superficial bites |
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|-style="background:LemonChiffon" |
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| Attack or multiple animals |
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| style="background:Gainsboro" rowspan=4| |
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|-style="background:LemonChiffon" |
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| Possible dangerous body area |
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|-style="background:LemonChiffon" |
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| Serious [[Haemorrhage]] |
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|-style="background:LemonChiffon" |
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| Unknown status (3rd party caller) |
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|- |
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| rowspan=4|'''Assault, Sexual Assault''' |
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| [[Unconsciousness|Unconscious]] or [[cardiac arrest|Arrest]] |
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| Multiple Injuries |
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| Not dangerous body area |
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|- |
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| Not Alert |
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| Possible dangerous body area |
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| Not recent (>6 hours) |
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|- |
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| Abnormal [[breath]]ing |
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| Serious [[Haemorrhage]] |
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| style="background:Gainsboro" rowspan=2| |
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|- |
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| Dangerous Body Area |
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|Unknown status (3rd party caller) |
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|-style="background:LemonChiffon" |
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| rowspan=2|'''Back Pain''' |
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|style="background:Gainsboro" rowspan=2| |
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|Not Alert |
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|Non-traumatic |
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|-style="background:LemonChiffon" |
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| Fainting or near >50 |
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| Not recent traumatic (>6hrs) |
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|- |
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| rowspan=3|'''[[Breath]]ing Problems''' |
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|Severe Respiratory distress |
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|[[Clammy]] |
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|style="background:Gainsboro" rowspan=3| |
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|- |
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| Not Alert |
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| Abnormal [[Breath]]ing |
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|- |
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| Ineffective [[Breath]]ing |
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| Cardiac History |
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|-style="background:LemonChiffon" |
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| rowspan=8|'''[[Burn (injury)|Burns]], [[Scald]]s, [[Explosion]]''' |
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| [[Unconsciousness|Unconscious]] or [[cardiac arrest|Arrest]] |
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| Explosion |
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| [[Sunburn]] or minor (< hand size) |
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|-style="background:LemonChiffon" |
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| Severe respiratory distress |
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| Multiple victims |
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| style="background:Gainsboro" rowspan=7| |
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|-style="background:LemonChiffon" |
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| Not Alert |
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| Building [[fire]] - persons reported |
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|-style="background:LemonChiffon" |
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| style="background:Gainsboro" rowspan=5| |
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| Difficulty [[breath]]ing |
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|-style="background:LemonChiffon" |
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| [[Burn (injury)|Burns]] > 18% |
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|-style="background:LemonChiffon" |
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| Unknown status (3rd party caller) |
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|-style="background:LemonChiffon" |
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| [[Burn (injury)|Burns]] < 18% |
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|-style="background:LemonChiffon" |
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| [[Fire alarm]] (unknown status) |
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|- |
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| rowspan=4|'''[[Carbon Monoxide]], [[Hazchem]]''' |
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| [[Unconsciousness|Unconscious]] or [[cardiac arrest|Arrest]] |
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| Multiple victims |
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| style="background:Gainsboro" rowspan=4| |
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|- |
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| Severe respiratory distress |
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| Alert with difficulty [[breath]]ing |
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|- |
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| Not Alert |
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| Alert without difficulty [[breath]]ing |
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|- |
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| Unknown status (3rd party caller) |
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| [[Carbon monoxide]] detector alarm |
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|-style="background:LemonChiffon" |
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| rowspan=7|'''Cardiac or Respiratory arrest, [[Death]]''' |
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| Ineffective [[breath]]ing |
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| Obvious death unquestionable |
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| style="background:Gainsboro" rowspan=7| |
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|-style="background:LemonChiffon" |
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| Not [[breath]]ing at all |
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| Expected Death |
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|-style="background:LemonChiffon" |
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| [[Breath]]ing Uncertain ([[Agonal breathing|Agonal]]) |
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| style="background:Gainsboro" rowspan=5| |
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|-style="background:LemonChiffon" |
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| Hanging |
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|-style="background:LemonChiffon" |
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| Strangulation |
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|-style="background:LemonChiffon" |
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| Suffocation |
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|-style="background:LemonChiffon" |
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| Underwater |
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|- |
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| rowspan=8|'''Chest Pain''' |
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| Abnormal [[breath]]ing |
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| style="background:Gainsboro" rowspan=8| |
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| [[Breath]]ing normally <35 |
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|- |
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| Cardiac history |
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| style="background:Gainsboro" rowspan=7| |
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|- |
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|Cocaine |
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|- |
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|[[Breath]]ing normally > 35 |
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|- |
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|Severe respiratory distress |
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|- |
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|Not Alert |
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|- |
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|Clammy |
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|- |
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|[[Nausea]] or [[vomit]]ing |
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|-style="background:LemonChiffon" |
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|rowspan=2|'''Choking''' |
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| Not alert |
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| Abnormal [[breath]]ing |
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| Not choking now |
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|-style="background:LemonChiffon" |
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| Verified/ineffective [[breath]]ing |
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|style="Background:Gainsboro"| |
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|style="Background:Gainsboro"| |
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|- |
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| rowspan=5|'''Convulsions, Fitting''' |
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| Pregnancy |
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| Diabetic |
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| style="background:Gainsboro" rowspan=5| |
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|- |
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| Not [[breath]]ing |
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| Cardiac History |
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|- |
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|Continuous or multiple fitting |
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| [[Breath]]ing regularly not verified < 35 |
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|- |
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| Irregular [[breath]]ing |
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| Not seizing now and [[breath]]ing regularly |
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|- |
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| [[Breath]]ing regularly not verified > 35 |
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| |
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|-style="background:LemonChiffon" |
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|rowspan=3|'''Diabetic Problems''' |
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|[[Unconsciousness|Unconscious]] |
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|Not Alert |
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|Alert |
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|-style="background:LemonChiffon" |
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|style="background:Gainsboro" rowspan=2| |
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|Abnormal Behaviour |
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|style="background:Gainsboro" rowspan=2| |
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|-style="background:LemonChiffon" |
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|Abnormal [[breath]]ing |
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|- |
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|rowspan=4|'''Drowning, Diving,SCUBA accident''' |
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|Unknown status (3rd party call) |
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|SCUBA accident |
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|style="background:Gainsboro" rowspan=4| |
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|- |
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|[[Unconsciousness|Unconscious]] |
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|Alert with abnormal [[breath]]ing |
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|- |
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|Not Alert |
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|Alert and [[breath]]ing normally (injuries or in water) |
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|- |
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|Diving or suspected neck injury |
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|Alert and [[breath]]ing normally (No injuries) |
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|-style="background:LemonChiffon" |
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|rowspan=8|'''Electrocution, Lightning''' |
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|[[Unconsciousness|Unconscious]] |
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|Alert and [[breath]]ing normally |
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|style="Background:Gainsboro" rowspan=8| |
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|-style="background:LemonChiffon" |
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|Not disconnected from the power |
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|style="Background:Gainsboro" rowspan=7| |
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|-style="background:LemonChiffon" |
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|Power not off - hazard present |
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|-style="background:LemonChiffon" |
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|Long fall > 6ft |
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|-style="background:LemonChiffon" |
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|Not Alert |
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|-style="background:LemonChiffon" |
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|Abnormal [[breath]]ing |
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|-style="background:LemonChiffon" |
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|Unknown status (3rd party caller) |
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|-style="background:LemonChiffon" |
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|Not [[Breath]]ing/Ineffective [[breath]]ing |
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|- |
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|rowspan=3|'''Eye Problems''' |
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|style="Background:Gainsboro" rowspan=3| |
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|Not Alert |
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|Medical Eye Problem |
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|- |
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|Severe eye injuries |
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|Minor eye injuries |
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|- |
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|Moderate eye injuries |
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|style="Background:Gainsboro"| |
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|-style="background:LemonChiffon" |
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|rowspan=4|'''Falls''' |
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|Dangerous Injuries |
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|Long fall > 6ft |
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|Not dangerous injuries |
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|-style="background:LemonChiffon" |
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|Not Alert |
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|Possible dangerous body area |
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|Not recent (>6 hours) |
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|-style="background:LemonChiffon" |
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|Abnormal [[breath]]ing |
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|Serious Haemorrhage |
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|style="Background:Gainsboro" rowspan=2| |
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|-style="background:LemonChiffon" |
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|style="Background:Gainsboro"| |
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|Unknown status(3rd party caller) |
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|- |
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|rowspan=7|'''Headache''' |
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|style="Background:Gainsboro" rowspan=7| |
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|Not alert |
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|Normal [[breath]]ing |
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|- |
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|Abnormal [[breath]]ing |
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|style="Background:Gainsboro" rowspan=6| |
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|- |
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|Speech problems |
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|- |
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|Sudden on set of pain <3hrs |
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|- |
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|[[Numb]]ness or [[paralysis]] |
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|- |
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|Change in behaviour >3hrs |
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|- |
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|Unknown status (3rd party caller) |
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|-style="background:LemonChiffon" |
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|rowspan=6|'''Heart Problems''' |
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|Chest Pains > 35 |
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|Firing of [[Implantable cardioverter-defibrillator|AICD]] |
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|Chest Pain < 35 |
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|-style="background:LemonChiffon" |
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|Severe respiratory distress |
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|Abnormal [[breath]]ing |
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|Heart rate > 50 and < 130 |
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|-style="background:LemonChiffon" |
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|Not Alert |
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|Cardiac History |
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|style="Background:Gainsboro" rowspan=4| |
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|-style="background:LemonChiffon" |
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|Clammy |
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|[[Cocaine]] |
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|-style="background:LemonChiffon" |
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|style="Background:Gainsboro" rowspan=2| |
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|Heart rate <50 or >130bpm |
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|-style="background:LemonChiffon" |
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|Unknown status (3rd party caller) |
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|- |
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|rowspan=4|'''Haemorrhage/Laceration''' |
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|[[Haemorrhage]] through tubes |
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|Possible Dangerous [[Haemorrhage]] |
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|Minor [[Haemorrhage]] |
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|- |
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|Dangerous [[Haemorrhage]] |
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|Serious [[Haemorrhage]] |
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|Not dangerous [[Haemorrhage]] |
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|- |
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|Not Alert |
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|Bleeding disorder or thinners |
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|style="Background:Gainsboro" rowspan=2| |
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|- |
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|Abnormal [[Breath]]ing |
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|style="Background:Gainsboro"| |
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|-style="background:LemonChiffon" |
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|rowspan=4|'''Heat/Cold Exposure''' |
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|style="Background:Gainsboro" rowspan=4| |
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|Not Alert |
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|Alert |
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|-style="background:LemonChiffon" |
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|Cardiac History |
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|style="Background:Gainsboro" rowspan=3| |
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|-style="background:LemonChiffon" |
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|Change in skin colour |
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|-style="background:LemonChiffon" |
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|Unknown status (3rd party caller) |
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|- |
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|rowspan=2|'''Industrial or Machinery Accident''' |
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|Life Status Questionable |
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|Multiple Victims |
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|style="Background:Gainsboro" rowspan=2| |
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|- |
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|Caught in Machinery (Unknown Status) |
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|Unknown situation (not caught in machinery) |
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|-style="background:LemonChiffon" |
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|rowspan=10|'''Overdose, Poisoning, Ingestion''' |
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|[[Unconsciousness|Unconscious]] |
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|Violent (Police must secure) |
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|style="Background:Gainsboro" rowspan=10| |
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|-style="background:LemonChiffon" |
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|Severe Respiratory Distress |
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|Not Alert |
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|-style="background:LemonChiffon" |
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|style="Background:Gainsboro" rowspan=8| |
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|-style="background:LemonChiffon" |
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|Abnormal [[Breath]]ing |
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|-style="background:LemonChiffon" |
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|[[Antidepressant]]s |
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|-style="background:LemonChiffon" |
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|[[Cocaine]] (or derivative) |
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|-style="background:LemonChiffon" |
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|[[Narcotics]] ([[heroin]]) |
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|-style="background:LemonChiffon" |
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|[[Acid]] or [[Alkali]] ([[lye]]) |
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|-style="background:LemonChiffon" |
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|Unknown status (3rd Party Caller) |
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|-style="background:LemonChiffon" |
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|Poison control request response |
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|- |
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|rowspan=5|'''Pregnancy, Childbirth, Miscarriage''' |
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|Breech or Cord |
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|Head visible/out |
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|1st trimester or miscarriage |
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|- |
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|Imminent Delivery (>5 months/20weeks) |
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|2nd Trimester haemorrhage or miscarriage |
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|style="Background:Gainsboro" rowspan=4| |
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|- |
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|Baby Born |
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|1st trimester serious haemorrhage |
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|- |
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|3rd trimester haemorrhage |
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|Labour (delivery not imminent. >5 months |
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|- |
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|High risk of complications |
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|Unknown status (3rd party caller) |
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|-style="background:LemonChiffon" |
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|rowspan=5|'''Psychiatric, Suicide attempt''' |
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|style="Background:Gainsboro" rowspan=5| |
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|Not Alert |
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|Non-violent and non-suicidal |
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|-style="background:LemonChiffon" |
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|Violent (police must secure) |
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|style="Background:Gainsboro" rowspan=4| |
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|-style="background:LemonChiffon" |
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|Threatening Suicide |
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|-style="background:LemonChiffon" |
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|Near hanging, strangulation or suffocation (alert) |
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|-style="background:LemonChiffon" |
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|Unknown status |
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|- |
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|rowspan=28|'''Sick Person''' |
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|style="Background:Gainsboro" rowspan=28| |
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|Not Alert |
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|No priority symptoms |
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|- |
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|Cardiac History |
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|[[Deaf]]ness |
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|- |
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|Unknown status (3rd party caller) |
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|[[Defecation]] |
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|- |
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|style="Background:Gainsboro" rowspan=25| |
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|[[Earache]] |
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|- |
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|[[Enema]] |
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|- |
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|[[Gout]] |
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|- |
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|[[Haemorrhoid]]s |
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|- |
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|[[Hepatitis]] |
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|- |
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|[[Hiccup]]s |
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|- |
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|[[Hungry]] |
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|- |
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|Nervous |
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|- |
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|[[Boil]]s |
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|- |
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|Object stuck (nose, ear, vagina, rectum, penis) |
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|- |
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|Object swallowed (not choking) |
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|- |
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|[[Penis]] problem or pain |
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|- |
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|[[Rash]] or skin disorder |
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|- |
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|Sore Throat |
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|- |
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|[[Toothache]] |
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|- |
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|Transportation only |
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|- |
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|[[sexually transmitted disease|Venereal disease]] |
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|- |
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|Wound infected |
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|- |
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|Bumps (non traumatic) |
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|- |
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|Can't sleep |
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|- |
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|Can't urinate |
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|- |
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|[[Catheter]] problem |
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|- |
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|[[Constipation]] |
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|- |
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|[[Cramp]]s or [[spasm]]s |
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|- |
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|Cut off ring request |
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|-style="background:LemonChiffon" |
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|rowspan=5|'''Stabbing, Gunshot, Penetrating Trauma''' |
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|[[Unconsciousness|Unconscious]] or Arrest |
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|Multiple victims |
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|Not recent (>6 hours) single peripheral wound |
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|-style="background:LemonChiffon" |
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|Not Alert |
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|Not Recent (>6 hours) single central wound |
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|style="Background:Gainsboro" rowspan=4| |
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|-style="background:LemonChiffon" |
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|Central wounds |
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|Known single peripheral wound |
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|-style="background:LemonChiffon" |
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|Multiple Wounds |
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|Serious [[Haemorrhage]] |
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|-style="background:LemonChiffon" |
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|style="Background:Gainsboro"| |
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|Unknown status (3rd party caller) |
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|- |
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|rowspan=8|'''Stroke, CVA''' |
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|style="Background:Gainsboro" rowspan=8| |
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|Not Alert |
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|style="Background:Gainsboro" rowspan=8| |
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|- |
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|Abnormal [[breath]]ing |
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|- |
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|Speech or movement problems |
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|- |
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|Numbness or tingling |
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|- |
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|Stroke history |
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|- |
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|[[Breath]]ing normally > 35 |
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|- |
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|Unknown status (3rd party caller) |
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|- |
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|[[Breath]]ing Normally <35 |
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|-style="background:LemonChiffon" |
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|rowspan=11|'''Traffic & transportation accidents''' |
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|High Mechanism - Ejection |
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|Major Incident |
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|style="Background:Gainsboro" rowspan=11| |
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|-style="background:LemonChiffon" |
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|Not Alert |
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|High Mechanism |
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|-style="background:LemonChiffon" |
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|style="Background:Gainsboro" rowspan=9| |
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|High Mechanism |
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|-style="background:LemonChiffon" |
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|HAZMAT |
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|-style="background:LemonChiffon" |
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|Pinned or trapped victim |
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|-style="background:LemonChiffon" |
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|Injuries |
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|-style="background:LemonChiffon" |
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|Multiple victims (one unit) |
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|-style="background:LemonChiffon" |
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|Multiple victims (additional units) |
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|-style="background:LemonChiffon" |
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|Serious [[Haemorrhage]] |
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|-style="background:LemonChiffon" |
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|Unknown status (3rd party caller) |
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|-style="background:LemonChiffon" |
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|1st party caller with non-dangerous injury |
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|- |
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|rowspan=3|'''Traumatic Injuries (specific)''' |
|||
|Dangerous body area |
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|Serious [[Haemorrhage]] |
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|Not Dangerous Injury |
|||
|- |
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|Not Alert |
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|Possibly dangerous body area |
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|Not recent (>6 hours) |
|||
|- |
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|Abnormal [[breath]]ing |
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|style="Background:Gainsboro"| |
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|style="Background:Gainsboro"| |
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|-style="background:LemonChiffon" |
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|rowspan=5|'''[[Unconsciousness|Unconscious]] or fainting (near)''' |
|||
|Multiple [[faint]]ing episodes |
|||
|Alert with abnormal [[breath]]ing |
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|Single fainting episode (age <35) |
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|-style="background:LemonChiffon" |
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|[[Unconsciousness|Unconscious]] |
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|Cardiac history |
|||
|style="Background:Gainsboro" rowspan=4| |
|||
|-style="background:LemonChiffon" |
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|Severe respiratory distress |
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|Single or near [[faint]]ing. Alert >35 |
|||
|-style="background:LemonChiffon" |
|||
|Not Alert |
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|Females 12-50 with abdominal pain |
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|-style="background:LemonChiffon" |
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|Ineffective [[breath]]ing |
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|style="Background:Gainsboro"| |
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|- |
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|rowspan=3|'''Unknown problem or 3rd party report''' |
|||
|Life status questionable |
|||
|Standing, sitting, moving or talking |
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|style="Background:Gainsboro" rowspan=3| |
|||
|- |
|||
|style="Background:Gainsboro" rowspan=2| |
|||
|Medical Alert notification |
|||
|- |
|||
|Unknown status (3rd party caller) |
|||
|} |
|||
==References== |
|||
*Department of Health - AMPDS Call Categorisation Vers 11 (April 2005) |
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[[Category:Emergency medicine]] |
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