CLINICAL GUIDELINES
CG-34
EMD DETERMINANTS
VERSION 13
Page 1 of 11
Last Revision:
03/01/2016
Card 1: Abdominal Pain/Problems
01A01 Abdominal Pain
01A02 Testical or groin Pain (male)
01C01 SUSPECTED aortic aneurysm
(tearing/ripping pain) ≥ 50
01C02 Known aortic aneurysm
01C03 Fainting or near fainting ≥ 50
01C04 Females with fainting or near fainting 12–
50
01C05 Males with pain above navel ≥ 35
01C06 Females with pain above navel ≥ 45
01D01 Not alert
01D02 Ashen or gray color reported ≥ 50
Card 2: Allergies (Reactions)/ Envenomations (Stings, Bites)
Suffix I: Injection administered or advised
Suffix M: Medication administered or advised
02A01 No difficulty breathing or swallowing (rash
hives or itching may be present)
02A02 Spider bite
02B01 Unknown status/Other codes not
applicable
02C01
02C02
02D01
02D02
02D03
02D04
02E01
Difficulty breathing or swallowing
History of severe allergic reaction
Not alert
DIFFICULTY SPEAKING BETWEEN BREATHS
Swarming ATTACK (bee, wasp, hornet)
Snakebite
INEFFECTIVE BREATHING
Card 3: Animal Bites / Attacks
03A01 NOT DANGEROUS body area
03A02 NON-RECENT (≥ 6hrs) injuries (without
priority symptoms)
03A03 SUPERFICIAL bites
03B01 POSSIBLY DANGEROUS body area
03B02 SERIOUS hemorrhage
03B03 Unknown status/Other codes not
applicable
03D01 Arrest
03D02 Unconscious
03D03 Not Alert
03D04 Chest or Neck injury (with difficulty
breathing)
03D05 DANGEROUS body area
03D06 Large animal
03D07 EXOTIC animal
03D08 MAULING or multiple animals
03D09 Attack in progress
Card 4: Assault/Sexual Assault/Stun Gun
Suffix A: Assault
Suffix S: Sexual Assault
Suffix T: Stun Gun
04A01 NOT DANGEROUS body area with
deformity
04A02 NOT DANGEROUS body area
04A03 NON-RECENT (≥ 6hrs) injuries (without
priority symptoms)
04B01 POSSIBLY DANGEROUS body area
04B02 SERIOUS hemorrhage
04B03 Unknown status/Other codes not
applicable
04D01 Arrest
04D02 Unconscious
04D03 Not Alert
04D04 Chest or Neck injury (with difficulty
breathing)
04D05 Multiple victims
CLINICAL GUIDELINES
CG-34
EMD DETERMINANTS
VERSION 13
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03/01/2016
Card 5: Back Pain (Non-Traumatic or Non-Recent Trauma)
05A01 NON-TRAUMATIC back pain
05A02 NON-RECENT (≥ 6hrs) traumatic back pain
(without priority symptoms)
05C01 SUSPECTED aortic aneurysm
(tearing/ripping pain) ≥ 50
05C02
05C03
05C04
05D01
05D02
Diagnosed aortic aneurysm
Fainting or near fainting ≥ 50
Difficulty breathing
Not alert
Ashen or gray color reported ≥ 50
Card 6: Breathing Problems
Suffix A: Asthma
Suffix E: Emphysema (COPD)
Suffix O: Other lung problems
06C01 Abnormal breathing
06C02 Tracheostomy (no obvious distress)
06D01
06D02
06D03
06D04
06D05
06E01
Not alert
DIFFICULTY SPEAKING BETWEEN BREATHS
CHANGING COLOR
Clammy or cold sweats
Tracheostomy (obvious distress)
INEFFECTIVE BREATHING
Card 7: Burns (Scalds) / Explosion (Blast)
Suffix E: Explosion
Suffix F: Fire Present
Suffix W: Fireworks
07A01 Burns < 18% body area
07A02 Fire alarm (unknown situation)
07A03 MINOR burns
07A04 Sunburn
07A05 NON-RECENT (≥ 6hrs) burns/injuries
(without priority symptoms)
07B01 Blast injuries (without priority symptoms)
07B02 Unknown status/Other codes not
applicable
07C01
07C02
07C03
07C04
07D01
07D02
07D03
07D04
07D05
07E01
Suffix C: Chemical
Suffix B: Biological
Suffix R: Radiological
Suffix N: Nuclear
Suffix G: Smell of gas/fumes
Suffix M: Carbon monoxide
Suffix S : Suicide attempt (only carbon monoxide)
Suffix T: Suicide attempt (other toxic substances)
Suffix U: Unknown
08B01 Alert without difficulty breathing
08C01 Alert with difficulty breathing
08D01
08D02
08D03
08D04
08D05
08D06
Fire with persons reported inside
Difficulty breathing
Burns ≥ 18% body area
SIGNIFICANT FACIAL burns
Multiple victims
Arrest
Unconscious
Not alert
DIFFICULTY SPEAKING BETWEEN BREATHS
PERSON ON FIRE
Card 8: Carbon Monoxide / Inhalation / Hazmat / CBRN
Arrest
Unconscious
Not alert
DIFFICULTY SPEAKING BETWEEN BREATHS
Multiple victims
Unknown status/Other codes not
applicable
08O01 Carbon monoxide detector alarm (without
priority symptoms)
08O02 Carbon monoxide detector alarm (alarm
only, no scene contact)
CLINICAL GUIDELINES
CG-34
EMD DETERMINANTS
VERSION 13
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Card 9: Cardiac or Respiratory Arrest / Death
Suffix a: Cold and stiff in a warm environment
Suffix b: Decapitation
Suffix c: Decomposition
Suffix d: Incineration
Suffix e: NON-RECENT death
Suffix f: Severe injuries obviously incompatible
with life
Suffix g: Non-recent death confirmed greater than
one hour and exact time of death provided
Suffix x: Terminal Illness
Suffix y: DNR (Do not Resuscitate) Order
09O01 EXPECTED DEATH unquestionable (x
through z)
09B01 OBVIOUS DEATH unquestionable (a
through h)
09D01 INEFFECTIVE BREATHING
09D02 OBVIOUS or EXPECTED DEATH
questionable (a through h; x through z)
09E01 Not breathing at all
09E02 UNCERTAIN BREATHING (AGONAL)
09E03 Hanging
09E04 Strangulation
09E05 Suffocation
Card 10: Chest Pain (Non-Traumatic)
10A01
10C01
10C02
10C03
Breathing normally < 35
Abnormal breathing
Cocaine
Breathing normally ≥ 35
10D01
10D02
10D03
10D04
10D05
Not alert
DIFFICULTY SPEAKING BETWEEN BREATHS
CHANGING COLOR
Clammy or cold sweats
Heart attack or angina history
Card 11: Choking
Suffix F: Food
Suffix O: Object/Toy
Suffix C: Candy/Sweets/Gum
Suffix M: Milk/Liquid (non-toxic)
Suffix U: Unknown
11A01 Not choking now (can talk or cry, is alert
and breathing normally)
11D01 Abnormal breathing (PARTIAL obstruction)
11D02 Not alert
11E01 COMPLETE obstruction/INEFFECTIVE
BREATHING
Card 12: Convulsions / Seizures
Suffix E: Epileptic or Previous history of seizures
12A01 Not seizing now and effective breathing
verified (known seizure disorder)
12A02 Not seizing now and effective breathing
verified (seizure disorder unknown)
12A03 Not seizing now and effective breathing
verified (≤ 6, confirmed no seizure
disorder)
12A04 FOCAL seizure (alert)
12A05 Impending seizure (aura)
12C02 Pregnancy
12C03 Diabetic
12C04 Not seizing now and effective breathing
verified (> 6, confirmed no seizure
disorder)
12C05 History of STROKE or brain tumor
12C06 OVERDOSE/POISONING (ingestion)
12C07 ATYPICAL seizure
12D01 Not breathing (after Key Questioning)
12D02 CONTINUOUS or MULTIPLE seizures
CLINICAL GUIDELINES
CG-34
12B01 Effective breathing not verified < 35
12C01 FOCAL seizure (not alert)
EMD DETERMINANTS
VERSION 13
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12D03 AGONAL/INEFFECTIVE BREATHING
12D04 Effective breathing not verified ≥ 35
Card 13: Diabetic Problems
Suffix C: Combative or Aggressive
13A01 Alert and behaving normally
13C01 Not alert
13C02 Abnormal behavior
13C03 Abnormal breathing
13D01 Unconscious
Card 14: Drowning (Near) / Diving / Scuba Accident
Suffix D: DIVING injury (not underwater)
Suffix F: Floodwater rescue
Suffix I: Ice Rescue
Suffix S: SCUBA accident (not underwater)
Suffix W: SWIFT water rescue
14A01 Alert and breathing normally (no injuries
and out of water)
14B01 Alert and breathing normally (injuries or in
water)
14B02 OBVIOUS DEATH (submersion >6hrs)
14B03 Unknown status/Other codes not
applicable
14C01
14D01
14D02
14D03
14D04
14D05
14D06
14E01
14E02
Alert with abnormal breathing
Unconscious
Underwater (SPECIALIZED rescue)
Stranded (SPECIALIZED rescue)
Just resuscitated and/or defibrillated
(external)
Not alert
Suspected neck injury
Arrest
Underwater (DOMESTIC rescue)
Card 15: Electrocution / Lightning
Suffix E: Electrocution
Suffix L: Lightning
15C01 Alert and breathing normally
15D01 Multiple victims
15D02 Unconscious
15D03 Not disconnected from power
15D04 Power not off or hazard present
15D05
15D06
15D07
15D08
15D09
EXTREME FALL (≥ 30ft/10m)
LONG FALL
Not alert
Abnormal breathing
Unknown status/Other codes not
applicable
15E01 NOT BREATHING/INEFFECTIVE BREATHING
Card 16: Eye Problems / Injuries
16A01 MODERATE eye injuries
16A02 MINOR eye injuries
16A03 MEDICAL eye problems
16B01 SEVERE eye injuries
16D01 Not alert
CLINICAL GUIDELINES
CG-34
EMD DETERMINANTS
VERSION 13
Page 5 of 11
Last Revision:
03/01/2016
Card 17: Falls
Suffix A: Accessibility concerns/difficulty
Suffix E: Environmental problems (rain, heat, cold)
Suffix G: On the ground or floor
Suffix J: Jumper (suicide attempt)
Suffix P: Public place (street, parking garage,
market)
17A01 NOT DANGEROUS body area with
deformity
17A02 NOT DANGEROUS body area
17A03 NON-RECENT (≥ 6hrs) injuries (without
priority symptoms)
17A04 PUBLIC ASSIST (no injuries and no priority
symptoms)
17B01 POSSIBLY DANGEROUS body area
17B02 SERIOUS hemorrhage
17B03 Unknown status/Other codes not
applicable
17D01 EXTREME FALL (≥ 30ft/10m)
17D02 Arrest
17D03 Unconscious
17D04 Not alert
17D05 Chest or Neck injury (with difficulty
breathing)
17D06 LONG FALL
Suffix C: PARTIAL evidence of stroke (<6 hours)
Suffix D: PARTIAL evidence of stroke (≥ 6 hours)
Suffix E: PARTIAL evidence of stroke (Unknown
hours)
Suffix F: STRONG evidence of stroke (<6 hours)
Suffix G: Greater than 6 hours since the symptoms
started
Suffix H: STRONG evidence of stroke (≥ 6 hours)
Suffix I: STRONG evidence of stroke (Unknown
hours)
Suffix J: CLEAR evidence of stroke (<6 hours)
Suffix K: CLEAR evidence of stroke (≥ 6 hours)
Suffix L: Less than 6 hours since the symptoms
started
Suffix M: CLEAR evidence (Unknown hours)
Suffix U:Unknown when the symptoms started
Suffix X: No test evidence of stroke (<6 hours)
Suffix Y: No test evidence of stroke (≥6 hours)
Suffix Z: No test evidence of stroke (Unknown
hours)
18A01 Breathing normally
18B01 Unknown status/Other codes not
applicable
18C01 Not alert
18C02 Abnormal breathing
18C03 Speech problems
18C04 Sudden onset of severe pain
18C05 Numbness
18C06 Paralysis
18C07 Change in behavior (≤ 3hrs)
19A01 Heart rate ≥ 50 bpm and < 130 bpm
(without priority symptoms)
19A02 Chest pain/discomfort < 35 (without
priority symptoms)
19C01 Firing of A.I.C.D.
19C02 Abnormal breathing
19C03 Chest pain ≥ 35
19C04 Cardiac history
19C05 Cocaine
19C06 Heart rate < 50 bpm or ≥ 130 bpm
(without priority symptoms)
19C07 Unknown status/Other codes not
applicable
19D01 Not alert
19D02 DIFFICULTY SPEAKING BETWEEN BREATHS
19D03 CHANGING COLOR
19D04 Clammy or cold sweats
19D05 Just resuscitated and/or defibrillated
(external)
Card 18: Headache
Card 19: Heart Problems / A.I.C.D.
CLINICAL GUIDELINES
CG-34
EMD DETERMINANTS
VERSION 13
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03/01/2016
Card 20: Heat / Cold Exposure
Suffix H: Heat Exposure
Suffix C: Cold Exposure
20A01 Alert
20B01 Change in skin color
20B02 Unknown status/Other codes not
applicable
20C01 Heart attack or angina history
20D01 Not alert
20D02 Multiple victims (with priority symptoms)
Suffix M: MEDICAL
Suffix T: TRAUMA
21A01 NOT DANGEROUS hemorrhage
21A02 MINOR hemorrhage
21B01 POSSIBLY DANGEROUS hemorrhage
21B02 SERIOUS hemorrhage
21B03 Bleeding disorder
21B04 Blood thinners
21C01
21C02
21D01
21D02
21D03
21D04
21D05
Suffix A: Above Ground
Suffix B: Below ground
Suffix M: Multiple Victims
Suffix X: Both Above ground & Multiple victims
Suffix Y: Both Below ground & Multiple victims
22A01 No longer trapped (no injuries)
22B01 No longer trapped (unknown injuries)
22B02 PERIPHERAL ENTRAPMENT only
22B03 Unknown status (investigation)/Other
codes not applicable
22D01 Mechanical/Machinery/Object
ENTRAPMENT
22D02 Trench collapse
22D03 Structure collapse
22D04 Confined space ENTRAPMENT
22D05 Inaccessible terrain situation
22D06 Mudslide/Avalanche
Card 21: Hemorrhage / Lacerations
Hemorrhage through TUBES
Hemorrhage of dialysis fistula
Arrest
Unconscious
Not alert
DANGEROUS hemorrhage
Abnormal breathing
Card 22: Inaccessible Incident / Other Entrapments (Non-Vehicle)
Card 23: Overdose / Poisoning (Ingestion)
Suffix A: Accidental
Suffix I:Intentional
Suffix V: Violent or Combative
Suffix W: Weapons
23O01 POISONING (without priority symptoms)
23B01 OVERDOSE (without priority symptoms)
23C01 Not alert
23C02 Abnormal breathing
23C03 Antidepressants (tricyclic)
23C04 Cocaine methamphetamine (or
derivatives)
23C05 Narcotics (heroin)
23C06 Acid or alkali (lye)
23C07 Unknown status/Other codes not
applicable
23C08 Poison Control request for response
23D01 Unconscious
23D02 CHANGING COLOR
CLINICAL GUIDELINES
CG-34
EMD DETERMINANTS
VERSION 13
Page 7 of 11
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Card 24: Pregnancy / Childbirth / Miscarriage
Suffix M: Multiple birth
24O01 Waters broken (no contractions or
presenting parts)
24A01 1st TRIMESTER hemorrhage or
MISCARRIAGE
24B01 Labor (delivery not imminent ≥ 6
months/24 weeks)
24B02 Unknown status/Other codes not
applicable
24C01 2nd TRIMESTER hemorrhage or
MISCARRIAGE
24C02 1st TRIMESTER SERIOUS hemorrhage
24C03 Abdominal pain/cramping (<6months/24
weeks and no fetus or tissue)
24C04 Baby born (no complications)
24D01 BREECH or CORD
24D02 Head visible/out
24D03 IMMINENT delivery (≥ 6 months/24 weeks)
24D04 3rd TRIMESTER hemorrhage
24D05 HIGH RISK complications
24D06 Baby born (complications with baby)
24D07 Baby born (complications with mother)
Card 25: Psychiatric / Abnormal Behavior / Suicide Attempt
Suffix V: Violent
Suffix W: Weapons
Suffix B: Both Violent and Weapons
25A01 Non-suicidal and alert
25A02 Suicidal (not threatening) and alert
25B01 SERIOUS hemorrhage
25B02 Non-SERIOUS or MINOR hemorrhage
25B03 THREATENING SUICIDE
25B04 Jumper (threatening)
25B05 Near hanging strangulation or suffocation
(alert without difficulty breathing)
25B06 Unknown status/Other codes not
applicable
25D01 Not alert
25D02 DANGEROUS hemorrhage
25D03 Near hanging strangulation or suffocation
(alert with difficulty breathing)
Card 26: Sick Person (Specific Diagnosis)
26O02
26O03
26O04
26O05
26O06
26O07
26O08
Boils
Bumps (non-traumatic)
Can't sleep
Can't urinate (without abdominal pain)
Catheter (in/out without hemorrhaging)
Constipation
Cramps/spasms/joint pain (in extremities
and non-traumatic)
26O09 Cut-off ring request
26O10 Deafness
26O11 Defecation/diarrhea
26O12 Earache
26O13 Enema
26O14 Gout
26O15 Hemorrhoids/piles
26O16 Hepatitis
26O17 Hiccups
26O18 Itching
26O19 Nervous
26O20 Object stuck (nose ear vagina rectum
penis)
26O21 Object swallowed (without choking or
difficulty breathing can talk)
26O22 Painful urination
26O23 Penis problems/pain
26O24 Rash/skin disorder (without difficulty
breathing or swallowing)
26O25 Sexually transmitted disease (STD)
26O26 Sore throat (without difficulty breathing or
swallowing)
26O27 Toothache (without jaw pain)
26O28 Wound infected (focal or surface)
26A05 General weakness
26A06 Nausea
26A07 New onset of immobility
26A08 Other pain (non-OMEGA-level)
CLINICAL GUIDELINES
CG-34
...Card 26 continued…
26A09
26A10
26A11
26A12
26A01
Transportation only
Unwell/ill
Vomiting
Possible meningitis
No priority symptoms (complaint
conditions 2-12 not identified)
26A02 Blood pressure abnormality
(asymptomatic)
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26A03 Dizziness/vertigo
26A04 Fever/chills
26B01 Unknown status/Other codes not
applicable
26C01 ALTERED LEVEL OF CONSCIOUSNESS
26C02 Abnormal breathing
26C03 Sickle cell crisis/Thalassemia
26C04 Autonomic dysrefelxia/hyperrreflexia
26D01 Not alert
Card 27: Stab / Gunshot / Penetrating Trauma
Suffix S: Stab
Suffix G: Gunshot
Suffix P: Penetrating Trauma
Suffix X: Self-inflicted GSW (intentional)
Suffix Y: Self-inflicted stab (intentional)
27A01 NON-RECENT (≥ 6hrs) PERIPHERAL wounds
(without priority symptoms)
27B01 NON-RECENT (≥ 6hrs) single CENTRAL
wound
27B02 Known single PERIPHERAL wound
27B03 SERIOUS hemorrhage
27B04 Unknown status/Other codes not
applicable
27B05 OBVIOUS DEATH
27D01 Arrest
27D02 Unconscious
27D03 Not alert
27D04 CENTRAL Wounds
27D05 Multiple WOUNDS
27D06 Multiple victims
Card 28: Stroke (CVA) / Transient Ischemic Attack (TIA)
Suffix C: PARTIAL evidence of stroke (<6 hours)
Suffix D: PARTIAL evidence of stroke (≥ 6 hours)
Suffix E:PARTIAL evidence of stroke (Unknown
hours)
Suffix F: STRONG evidence of stroke (<6 hours)
Suffix G: Greater than 6 hours since the symptoms
started
Suffix H: STRONG evidence of stroke (≥ 6 hours)
Suffix I:STRONG evidence of stroke (Unknown
hours)
Suffix J: CLEAR evidence of stroke (<6 hours)
Suffix K: CLEAR evidence of stroke (≥ 6 hours)
Suffix L: Less than 6 hours since the symptoms
started
Suffix M: CLEAR evidence (Unknown hours)
Suffix U: Unknown when the symptoms started
Suffix X: No test evidence of stroke (<6 hours)
Suffix Y: No test evidence of stroke (≥6 hours)
Suffix Z: No test evidence of stroke (Unknown
hours)
28A01 Breathing normally < 35
28C01 Not alert
28C02 Abnormal breathing
28C03 Sudden speech problems
28C04 Sudden weakness or numbness (one side)
28C05 Sudden paralysis or facial droop (one side)
28C06 Sudden loss of balance or coordination
28C07 Sudden vision problems
28C08 Sudden onset of severe headache
28C09 STROKE history
28C10 TIA (mini-stroke) history
28C11 Breathing normally ≥ 35
28C12 Unknown status/Other codes not
applicable
CLINICAL GUIDELINES
CG-34
EMD DETERMINANTS
VERSION 13
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Last Revision:
03/01/2016
Card 29: Traffic / Transportation Accidents
Suffix V: Multiple patients
Suffix U: Unknown number of patients
Suffix Y: Multiple patients and Additional response
required
Suffix X: Unknown number of patients and
Additional response required
Suffix a: Aircraft
Suffix b: Bus
Suffix c: Subway/Metro
Suffix d: Train
Suffix e: Watercraft
Suffix f: Multi-vehicle (≥ 10) pile-up
Suffix g: Street car/Tram/Light rail
Suffix h: Vehicle vs. building
Suffix k: All-terrain/snowmobile
Suffix l: Auto-bicycle/motorcycle
Suffix m: Auto-pedestrian
Suffix n: Ejection
Suffix o: Personal watercraft
Suffix p: Rollovers
Suffix q: Vehicle off bridge/height
Suffix r: possible death at scene
Suffix s: Sinking vehicle/Vehicle in floodwater
Suffix t: Train/Light rail vs. pedestrian
29O01 No injuries (confirmed)
29A01 1st party caller with injury to NOT
DANGEROUS body area
29A02 No injuries reported (unconfirmed or > 5
persons involved)
29B01 Injuries
29B02 SERIOUS hemorrhage
29B03 Other hazards
29B04 LOW MECHANISM (1st or 2nd party caller)
29B05 Unknown status/Other codes not
applicable
29D01 MAJOR INCIDENT (a through h)
29D02 HIGH MECHANISM (k through t)
29D03 HIGH VELOCITY impact
29D04 HAZMAT
29D05 Pinned (trapped) victim
29D06 Not alert
Card 30: Traumatic Injuries (Specific)
30A01 NOT DANGEROUS body area with
deformity
30A02 NOT DANGEROUS body area
30A03 NON-RECENT (≥ 6hrs) injuries (without
priority symptoms)
30B01 POSSIBLY DANGEROUS body area
30B02 SERIOUS hemorrhage
30B03 Unknown body area (remote patient
location)
30D01 Arrest
30D02 Unconscious
30D03 Not alert
30D04 Chest or Neck injury (with difficulty
breathing)
30D05 HIGH VELOCITY impact/MASS injury
Card 31: Unconscious / Fainting (Near)
31A01 Fainting episode(s) and alert ≥ 35 (without
cardiac history)
31A02 Fainting episode(s) and alert < 35 (with
cardiac history)
31A03 Fainting episode(s) and alert < 35 (without
cardiac history)
31C01 Alert with abnormal breathing
31C02 Fainting episode(s) and alert ≥ 35 (with
cardiac history)
31C03 Females 12–50 with abdominal pain
31D01 Unconscious – AGONAL/INEFFECTIVE
BREATHING
31D02 Unconscious – Effective breathing
31D03 Not alert
31D04 CHANGING COLOR
31E01 INEFFECTIVE BREATHING
CLINICAL GUIDELINES
CG-34
EMD DETERMINANTS
VERSION 13
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Card 32: Unknown Problem (Man Down)
32B01 Standing sitting moving or talking
32B02 Medical Alarm (Alert) notifications (no
patient information)
32B03 Unknown status/Other codes not
applicable
32B04 Caller's language not understood (no
interpreter in center)
32D01 LIFE STATUS QUESTIONABLE
Card 33: Transfer / Interfacility / Palliative Care
Suffix T: Transfer/Interfacility
Suffix P: Palliative Care
33A01 ACUITY I (no priority symptoms)
33A02 ACUITY II (no priority symptoms)
33A03 ACUITY III (no priority symptoms)
33C01 Not alert (acute change)
33C02 Abnormal breathing (acute onset)
33C03 Significant hemorrhage
33C04 Shock
33C05 Possible acute heart problems or MI (heart
attack)
33C06 Acute severe pain
33C07 Emergency response requested
33D01 Suspected cardiac or respiratory arrest
33D02 Just resuscitated and/or defibrillated
(external)
Suffix h: Auto-bicycle
Suffix I:Motorcycle
Suffix j:Auto-pedestrian
Suffix k: Ejection
Suffix l: pinned
Suffix m: Rollovers
Suffix n: Vehicle off bridge/height
34O01 No injuries (refer to Police)
34A01 NOT DANGEROUS injuries (1st party &
single occupant)
34B01
34B02
34B03
34B04
34B05
Suffix S: Level 0 (surveillance only)
Suffix A: Level 1 (low)
Suffix B: Level 2 (moderate)
Suffix C: Level 3 (high)
36A01 Chest pain < 35 with single flu symptom
36A02 Chest pain < 35 with multiple flu
symptoms
36A03 Flu symptoms only (cough fever chills or
sweats sore throat diarrhea unusual total
body aches headache etc.)
36C01 Abnormal breathing with single flu
symptom or Asthma/COPD
36C02 Abnormal breathing with multiple flu
symptoms
36C03 Chest pain/discomfort ≥ 35 with single flu
symptom
36C04 Chest pain/discomfort ≥ 35 with multiple
flu symptoms
36C05 HIGH RISK conditions
36D01 INEFFECTIVE BREATHING with flu
symptoms
36D02 DIFFICULTY SPEAKING BETWEEN BREATHS
with flu symptoms
36D03 Not alert with flu symptoms
36D04 CHANGING COLOR with flu symptoms
Card 34: ACN (Automatic Crash Notification)
34D01
34D02
34D03
34D04
Injuries involved
Multiple victims (one unit)
Multiple victims (additional units)
Airbag/Other Automatic Sensor (no voice)
Unknown situation/Other codes not
applicable
HIGH MECHANISM (h through n)
Unconscious or Not alert
NOT BREATHING/INEFFECTIVE BREATHING
LIFE STATUS QUESTIONABLE
Card 36: Pandemic Flu
CLINICAL GUIDELINES
CG-34
EMD DETERMINANTS
VERSION 13
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Card 37: Interfacility Evaluation / Transfer
Suffix A: Additional personnel
Suffix S: Special equipment
Suffix B: Both Additional personnel & Special
equipment
37A01 EVALUATION: Conscious and breathing
with no priority symptom
37A02 TRANSFER level I: BLS transfer from
hospital to hospital
37A03 TRANSFER level II: BLS transfer from
hospital to nursing home
37A04 TRANSFER level III: BLS transfer from
hospital to home/hospice care
37B01 EVALUATION: Possibly dangerous
area/hemorrhage
37B02 TRANSFER: BLS transfer to specialty care
such as Psychiatric Facility
37C01 Acute onset of priority symptom(s)
37C02 Suspected acute heart problems or MI
(heart attack)
37C03 Suspected STROKE (≤ 6 hours)
37C04 Medication management required
37C05 Emergency response requested
37C06 EVALUATION: Acute onset with priority
symptoms
37C07 TRANSFER level I: ALS transfer from
hospital to hospital
37C08 TRANSFER level II: ALS transfer from
hospital to nursing home
37C09 TRANSFER level III: BLS transfer from
hospital to home/hospice care
37D01 NOT BREATHING/INEFFECTIVE BREATHING
37D02 EVALUATION: Suspected cardiac arrest or
other call needing first responders added
37D03 TRANSFER: Neonatal Transfer.