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MPDS Protocol 26 Sick Person

Call - Processing

After the call-taker reads Case Entry Question 3 (CE3), a determination of whether or not to use Protocol 26 can be made.

(Be sure to capture a good synopsis of what the caller says and indicate it in the 'Caller Statement' section of ProQA and/or the 'Dispatch Comments' section of the CAD screen).

26 SICK PERSON (KQ'S)

1. Is s/he completely alert (responding appropriately)?

2. Is s/he breathing normally?

3. Is s/he bleeding or vomiting blood?

4. (Alert) Does s/he have any pain?

Notice how the KQ's address all the priority symptoms? If applicaple, you will be prompted to SHUNT to a more appropriate Protocol dependent upon the answer given.

Just remember, RULE 3 from Protocol 26

This Chief Complaint should be used for patients with an "unknown problem" who are with or near the caller (2nd party).

A bit of information from the Doc and his team at IAED...

Someone with any of the listed non-priority complaints may be anguished. To callers, these conditions may seem terrible and unbearable. However, there is little prehospital emergency providers can do for them that warrants a HOT, or worse, a maximal response.

p. 6.24 Principles of Emergency Medical Dispatch

Protocol 26 | Sick Person

What does the Academy say about a Sick Person ?

Subsequently, if the patient has one of the following NON-PRIORITY Complaints (OMEGA-level) ensure to select it from the drop down menu in ProQA.

PRIORITY SYMPTOMS

Definition

* Abnormal breathing

* Unconsciousness (or decreased level of consciousness)

* Chest pain in people of cardiac disease susceptible age (chest discomfort)

* SERIOUS hemorrhage

IAED defines a sick person, from a dispatch perspective, as a patient with a non-categorizable Chief Compliant who does not have an identifiable priority symptom.

If the patient has advised they have any of the following NON-PRIORITY Complaints (ALPHA-level), be sure to select it from the drop down menu in ProQA.

References

Clawson, J. J., Dernocoeur, K.B., Murray, C. (2015) Principles of Emergency Medical Dispatch 6th edition. Salt Lake City, UT. Priority Press.

ECG

62

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