CASE ENTRY
This is the first thing you must determine before beginning Case Entry
the Location of emergency
This protocol must be selected when the complaint description involves a disc or button battery ingestion
Protocol 23
Key Questions must be asked exactly as written to maintain this
Protocol Compliance
Alpha determinants indicate this level of acuity.
Low acuity/non-life-threatening. Code 2
This type of phrase helps keep callers calm while you update responders.
Action-reason statement
This Case Entry mistake most commonly delays CPR instructions.
Failing to recognize abnormal breathing (agonal, gasping, snoring)
This protocol should be selected when a fall is caused by fainting, near-fainting, or dizziness
Protocol 17
Key Questions may be discontinued in this situation
Scene Safety Issues
This determinant level indicates the highest priority.
Echo
PAIs must be read exactly as written to maintain this
Compliance
A caller is reporting a choking what is the follow up instruction and question required
Do not slap her/him on the back. Is s/he breathing or coughing at all?
This protocol selection rule applies when a complaint suggests a generalized seizure versus a sudden cardiac arrest.
Go to Protocol 12 when description strongly suggests a generalized seizure regardless of consciousness and breathing, going to Protocol 9 when the presentation is atypical for seizure and consistent with a cardiac arrest
Key Questions may be answered as “obvious” under this condition
When the caller has already explicitly stated the answer
Patient passed out, at the end of case entry is awake, and is actively fighting for air. This determinant code is
31-E-1
This customer service techniques provides reassurance without promising response time or outcome
Positive ambiguity
A 1st party caller exhibiting signs of fighting for each breath and using single words
Fast Track 1st Party OBVIOUS EXTREME RESPIRATORY DISTRESS
This condition should be presumed when a patient suddenly collapses and is unconscious, despite the caller reporting a fall.
Medical cardiac arrest
This is a common consequence of answering Key Questions incorrectly
Incorrect determinant code
1st party caller reports driving and is now experiencing vision problems, breathing normally. This determinant code is
28-C-6
This hysteria-control technique involves repeating a calming request verbatim along with the reason for the request
Repetitive persistence
2ND party hasn’t checked patients breathing
Go check and tell me what you find
This guiding rule determines which Chief Complaint Protocol should be selected when multiple symptoms are present.
Choosing the protocol that best fits the patient’s foremost symptom, with consideration given to priority symptoms.
This action is required when a caller’s response to a Key Question is vague, unclear, or ambiguous.
Re-asking or clarifying the Key Question
We are at a baseball game and the ball came into the stands and hit someone in the head. They are not awake and they are barely breathing. The determinant code is
30-D-1
This perception explains why even brief silences can escalate caller anxiety during emergencies
Seconds feel like minutes to callers