INDEX State of New Jersey Emergency Medical Dispatch Guidecards Approved by the State of New Jersey Department of Health and Se n ior Services Office of Emergency Medical S ervices Adopted by the State of New Jersey Office of In formation Technology O ffice of Emergency Telecommunications Services January 2012 Ver 1.3 ALL GUIDECARD INDEX CALLER Traumatic Incident Types Time / Life-Critical Events • CO POISONING / INHALATION • ANIMAL BITES • CARDIAC ARREST / DOA • ASSAULT/DOMESTIC VIOLENCE / SEXUAL - ADULT CPR INSTRUCTIONS • BLEEDING / LACERATION - CHILD CPR INSTRUCTIONS • BURNS - INFANT CPR INSTRUCTIONS • EYE PROBLEMS / INJURIES • CHOKING • FALL VICTIM - ADULT CHOKING INSTRUCTIONS • HEAT / COLD EXPOSURE - CHILD CHOKING INSTRUCTIONS • INDUSTRIAL ACCIDENT - INFANT CHOKING INSTRUCTIONS • STABBING / GUNSHOT VICTIM / ASSAULT • DROWNING (POSSIBLE) • TRAUMATIC INJURY • ELECTROCUTION • VEHICULAR RELATED INJURIES • PREGNANCY / CHILDBIRTH - CHILDBIRTH INSTRUCTIONS • UNCONSCIOUS / FAINTING - UNCONSCIOUS AIRWAY CONTROL (NON-TRAUMA) Medical Chief Complaint Types INSTRUCTIONS • ABDOMINAL PAINS - UNCONSCIOUS AIRWAY CONTROL (TRAUMA) • ALLERGIES / STINGS INSTRUCTIONS • BACK PAIN • BREATHING PROBLEMS Miscellaneous • CHEST PAIN / HEART PROBLEMS • DIABETIC PROBLEMS • HEADACHE • AIRCRAFT / TERRORISM • OD/POISONINGS / INGESTIONS • HAZMAT • PSYCHIATRIC / BEHAVIORAL PROBLEMS • VEHICLE IN WATER • SEIZURES / CONVULSIONS • AIR MEDICAL DISPATCH PROCEDURE • SICK PERSON • STROKE / CVA • UNKNOWN / PERSON DOWN All Callers Interrogation INDEX ALL 1. “Where is your emergency?” (Address or Location) CALLERS 2. “What is the number you are calling from?” 3. “What is the emergency?” INTERROGATION 4. “What is your name?” 5. Determine age and sex of patient 6. “Is the patient conscious?” (Able to talk) YES NO Dispatch ALS & BLS 7.” Is the patient breathing NORMALLY?” 7.” Is the patient breathing NORMALLY?” YES NO / UNCERTAIN NO UNCERTAIN YES Determine chief Go to complaint and turn to Go to Go to Go to CPR appropriate card. BREATHING Instructions for UNCONSCIOUS/ CARDIAC PROBLEMS age group FAINTING ARREST/DOA ALL CALLERS INTERROGATION - Page 1 of 1 (01/12) INDEX Traumatic Incident Types ALL CALLER ANIMAL BITES ASSAULT/DOMESTIC VIOLENCE/ SEXUAL BLEEDING / LACERATION BURNS EYE PROBLEMS / INJURIES FALL VICTIM HEAT / COLD EXPOSURE INDUSTRIAL ACCIDENT STABBING / GUNSHOT VICTIM / ASSAULT TRAUMATIC INJURY VEHICULAR RELATED INJURIES Animal Bites INDEX ANIMAL BITES State of New Jersey EMD Guidecards Version 01/12 K “Is the animal contained?” E “Is the patient bleeding?” Y “What type of animal bit the patient?” Q IF YES, U “Is the patient short of breath or does it “Can it be controlled with E hurt to breathe?” pressure?” S “How long ago did they receive T I “What part of the body was bitten?” the bite?” O N S SIMULTANEOUS ALS/BLS BLS DISPATCH D Unconscious/not breathing normally. Controlled bleeding. I Decreased level of consciousness. S Uncontrolled bleeding, after attempts to control. Swelling at bite site. P Serious neck or face bites from animal attacks. A Bites from known poisonous animals. Bite below neck, non-poisonous. T C H Animal Bites INDEX Contain the animal, if possible. For snake bites: Lock away any pets. Apply direct pressure to the wound. Do not elevate extremity. If severe bleeding go to Do not use ice. Do not attempt to remove venom. For jellyfish stings: If little or no bleeding, irrigate human and Wash with vinegar or baking soda. animal bites with copious amounts of water. If the patient’s condition changes, call me back Keep patient calm and still. Prompts Has law enforcement been notified? Has Animal Control been notified? Assault /Domestic Violence / INDEX Sexual Assault ASSAULT / DOMEST IC, SEXUAL State of New Jersey EMD Guidecards Version 1/04 K “Is the assailant nearby?” “What part of the patient is injured?” e y “Are you safe?” “Is the patient bleeding?” IF YES, Go to BLEEDING/LACERATION Q “Was it a physical assault vs. sexual assault?” u e “How was the victim assaulted?” s (Stabbing, gunshot or major trauma go to t I appropriate card) o n s SIMULTANEOUS ALS/BLS BLS DISPATCH D Unconscious/not breathing normally. Penetrating/crushing injury to hands or feet. I Decreased level of consciousness. Isolated extremity fracture. s Crushing injury (except to hands or feet.) Minor injuries. p Puncture injury (head, neck, torso, thigh.) Unknown injuries. a Multiple extremity fractures. Concerned caller without apparent injuries to victim. t Femur (thigh) fracture. Police request stand-by/check for injuries. c Uncontrolled bleeding. h Assault /Domestic Violence / INDEX Sexual Assault Remain in a safe place, away from the assailant. Advise patient not to change clothing, bathe or shower. Obtain description of assailant(s), Keep patient warm. Have patient lie down and keep calm. Gather patient medications, if possible. Do not touch weapons. Do not allow the patient any food or drink. If the patient’s condition changes, call me back. Prompts Has law enforcement been notified? Relay details of incident and description of assailant(s). FOLLOW AIR MEDICAL DISPATCH GUIDELINES Sexual Assault- non-injured, Follow County SART Protocols Domestic Violence- non-injured, Follow local police protocols Bleeding / Laceration INDEX BLEEDING / LACERATION State of New Jersey EMD Guidecards Version 1/12 K “Where is the bleeding from?” “How much blood can you see?” e y If the patient is female with vaginal bleeding “How long have they been bleeding?” “Could she be pregnant?” Q If YES, go to PREGNANCY/CHILDBIRTH “Is blood squirting out?” (arterial bleeding) u e “Does she have pain in the abdomen” “Is the patient a hemophiliac (a bleeder)?” s If YES consider ABDOMINAL PAIN t I o n s SIMULTANEOUS ALS/BLS BLS DISPATCH Decreased level of consciousness. D Any arterial bleeding. Minor bleeding from any other area that can be controlled I Bleeding with history of Hemophilia. by direct pressure. S Rectal bleeding with significant blood loss. P Vomiting blood or coffee ground material. A Bleeding from mouth with difficulty breathing. T Bleeding from the neck, groin, or armpit with significant C blood loss. H Vaginal bleeding if over 20 weeks pregnant, associated with lower abdominal pain or fainting. Bleeding / Laceration INDEX BLEEDING / LACERATION Pre-Arrival Instructions If bleeding, use clean cloth and apply pressure directly over wound. Do not remove. If cloth becomes If teeth, locate, DO NOT touch the root, and place soaked, add more to what is already there. them in container with milk or clean water. Elevate bleeding extremities. Cover patient with blanket and try to keep them calm. If nosebleed, tell the patient to apply direct pressure by pinching the nose tightly between their index finger Nothing to eat or drink. and thumb, sit forward and hold it until help arrives. Attempt to spit out blood, swallowing may make Advise patient not to move. patient nauseous. Gather patient medications, if possible. Locate any amputated part(s) and place in clean plastic bag, NOT ON ICE. If the patient’s condition changes, call me back. DO NOT add ice. Prompts Any bleeding that cannot be controlled by direct pressure should be considered critical. FOLLOW AIR MEDICAL Use of tourniquets cannot be properly instructed over the phone. They DISPATCH GUIDELINES should be used only by people who have had proper training.