Provider Impresion

Question 1

Abdominal
Pain/Problems
(GI/GU)

Answer 1

For any pain or problem in the
abdominal/flank region that does not have
a more specific PI, includes post-surgical
complications.

Question 2

Agitated Delirium

Answer 2

For Agitated Delirium only. NOT for
psychiatric emergencies or other causes
of agitation without delirium.

Question 3

Airway Obstruction/
Choking

Answer 3

For any upper airway emergency
including choking, foreign body, swelling,
stridor, croup, and obstructed
tracheostomy

Question 4

Alcohol Intoxication

Answer 4

For alcohol intoxication if it is the primary
problem. Use of secondary PI if the
patient has another acute emergency.

Question 5

Allergic Reaction

Answer 5

For any simple allergic reaction that is
isolated to the skin (hives/ urticarial only)
and does not meet definition of
anaphylaxis

Question 6

ALOC - Not
Hypoglycemia or
Seizure

Answer 6

For altered mental status not attributed to
a more specific PI (i.e., cause unknown).
Use as secondary PI when cause known.

Question 7

Anaphylaxis

Answer 7

For anaphylaxis.

Question 8

Behavioral/
Psychiatric Crisis

Answer 8

For psychiatric crisis that is the primary
problem. NOT for anxiety/agitation
secondary to medical etiology, use PI
related to medical issue.

Question 9

Body Pain –
Non Traumatic

Answer 9

For pain not related to trauma that is not
localized to chest, abdomen, head, or
extremity.

Question 10

BRUE

Answer 10

For a brief resolved unexplained event
(BRUE). Patient must be ≤12 months of
age and back to baseline on assessment.

Question 11

Burns

Answer 11

For any burn injury to skin. For inhalation
injury use PI Inhalation Injury. Use with PI
Traumatic Injury if other trauma present.

Question 12

Carbon Monoxide

Answer 12

For suspected or known carbon monoxide
exposure.

Question 13

Cardiac Arrest –
Non-traumatic

Answer 13

For non-traumatic cardiac arrest in which
any resuscitation is initiated, NOT dead
on arrival.

Question 14

Cardiac
Dysrhythmia - Bradycardia

Answer 14

For any bradycardic rhythm <60bpm.

Question 15

Cardiac
Dysrhythmia - Tachycardia

Answer 15

For any tachydysrhythmia and for sinus
tachycardia (ST) of unclear etiology. NOT
for ST secondary to known cause – use
more specific PI (e.g., Fever)

Question 16

Chest Pain –
Not Cardiac

Answer 16

For musculoskeletal and pleuritic pain
and any chest pain that is NOT of
possible cardiovascular etiology.

Question 17

Chest Pain –
STEMI

Answer 17

For any suspected STEMI, with or without
chest pain.

Question 18

Chest Pain –
Suspected Cardiac

Answer 18

For any chest pain that is of possible
cardiovascular etiology but NOT STEMI
(e.g., NSTEMI, pericarditis, dissection).

Question 19

Childbirth (Mother)

Answer 19

For delivery or imminent delivery of a
fetus beyond the first trimester (12
weeks). For <12 weeks use PI Pregnancy
Complications.

Question 20

Cold / Flu
Symptoms

Answer 20

For minor respiratory illness in a patient
without shortness of breath or wheezing;
must have normal respiratory rate and O2
sat (if available).

Question 21

Diarrhea

Answer 21

For diarrhea without bleeding. NOT for
melena, use PI Upper GI Bleeding.

Question 22

Dizziness/Vertigo

Answer 22

For lightheadedness or vertigo, without
syncope.

Question 23

DOA – Obvious
Death

Answer 23

1210-P
For non-traumatic cardiac arrest found
dead on arrival such that no resuscitation
is initiated.

Question 24

Dystonic Reaction

Answer 24

For suspected dystonic reaction (i.e.,
reaction, typically from antipsychotic
medications, causing abnormal
contraction of head and neck muscles.)

Question 25

Electrocution

Answer 25

For any electrocution injury.

Question 26

ENT / Dental Emergencies

Answer 26

For a problem located in the ear, nose, throat area, except NOT epistaxis – use PI Epistaxis, NOT airway obstruction – use PI Airway Obstruction.

Question 27

Epistaxis

Answer 27

For any bleeding from the nares.

Question 28

Extremity Pain/ Swelling – Non Traumatic

Answer 28

For pain, swelling, or other non-traumatic problem of an extremity, includes rashes and non-traumatic bleeding (e.g., varicose vein bleed).

Question 29

Eye Problem – Unspecified

Answer 29

For any pain or problem of the eye or periorbital region, use with PI Traumatic Injury if a traumatic mechanism.

Question 30

Fever

Answer 30

For reported or tactile fever that is NOT suspected sepsis. For sepsis use PI Sepsis.

Question 31

Genitourinary Disorder – Unspecified

Answer 31

For urinary or genital related complaints, or for sexual assault, except NOT vaginal bleeding – use PI Vaginal Bleeding, NOT trauma-related – use PI Traumatic Injury.

Question 32

HazMat Exposure

Answer 32

For any hazardous material (chemical) exposure. May use with another PI (e.g., Inhalation Injury or Burns) when applicable.

Question 33

Headache – Non Traumatic

Answer 33

For non-traumatic headache or head pain.

Question 34

Hyperglycemia

Answer 34

For patients with primary concern for hyperglycemia and/or associated symptoms (blurred vision, frequent urination or thirst) without more specific PI and those requiring field treatment. DO NOT list for incidental finding of hyperglycemia related to another illness.

Question 35

Hypertension

Answer 35

For patients with primary concern for hypertension without symptoms related to a more specific PI. For symptomatic patients, use related PI as primary (e.g., Headache – Non-traumatic) and Hypertension as secondary. DO NOT list for incidental finding of hypertension.

Question 36

Hyperthermia

Answer 36

For environmental exposure causing hyperthermia, e.g., heat exhaustion and heat stroke, drugs may also be a contributing factor.

Question 37

Hypoglycemia

Answer 37

For glucose <60mg/dL.

Question 38

Hypotension

Answer 38

For SBP <90mmHg in adults or <70mmHg in children with transient low BP or rapidly responds to fluid resuscitation and without signs of shock.

Question 39

Hypothermia / Cold Injury

Answer 39

For environmental exposures causing hypothermia and/or frostbite injury.

Question 40

Inhalation Injury

Answer 40

For any signs/symptoms related to inhaling a gas or substance other than smoke or carbon monoxide.

Question 41

Lower GI Bleeding

Answer 41

For bleeding from the rectum and/or bright red bloody stools.

Question 42

Medical Device Malfunction – Fail

Answer 42

For a medical device that fails, including VADs, insulin pumps, and shunts. Usually for internal devices, may be used for vent failure if patient is asymptomatic. For symptomatic patients, use PI related to symptoms (e.g., Automated Internal Defibrillator firing – use PI associated with complaint such as Cardiac Dysrhythmia – Tachycardia).

Question 43

Nausea / Vomiting

Answer 43

1205-P For any nausea or vomiting without blood. Not for adverse reaction to opiate administration by EMS, manage with primary PI/TP.

Question 44

Newborn

Answer 44

For any newborn deliveries in the field.

Question 45

No Medical Complaint

Answer 45

For patients without any medical, psychiatric or traumatic complaint and no signs of illness on assessment. Usually reserved for non-transports.

Question 46

Overdose/ Poisoning/Ingestion

Answer 46

For any intentional or unintentional overdose/poisoning by any route, includes illicit substances and prescription medications, overdose and/or adverse reactions.

Question 47

Palpitations

Answer 47

1202-P For any patient complaint of palpitations (e.g., rapid heart rate beat, skipped beats, chest fluttering) with normal rate and rhythm on the ECG.

Question 48

Pregnancy Complications

Answer 48

For any pregnancy-related condition that is not labor. Includes vaginal bleeding in pregnancy, hypertension, and complications of delivery.

Question 49

Pregnancy / Labor

Answer 49

For contractions without imminent childbirth.

Question 50

Respiratory Arrest / Failure

Answer 50

For patients requiring positive-pressure ventilation and/or hypoxia despite 100% oxygen.

Question 51

Respiratory Distress / Bronchospasm

Answer 51

For COPD/asthma exacerbations and any bronchospasms/wheezing not from pulmonary edema.

Question 52

Respiratory Distress / Other

Answer 52

For patients with pulmonary disease that is not edema or bronchospasm, includes suspected pneumonia, PE, pneumothorax and non-pulmonary and unknown causes of respiratory distress.

Question 53

Respiratory Distress / Pulmonary Edema / CHF

Answer 53

For congestive heart failure exacerbation.

Question 54

Seizure – Active

Answer 54

For seizure witnessed by EMS, whether treated or not.

Question 55

Seizure – Postictal

Answer 55

For any seizure that stopped prior to EMS arrival and there is no further seizure activity during EMS contact.

Question 56

Sepsis

Answer 56

For patients with suspected sepsis (i.e., signs suggestive of sepsis including fever, tachycardia, suspected infection).

Question 57

Shock

Answer 57

For patients with poor perfusion not rapidly responsive to IV fluids.

Question 58

Smoke Inhalation

Answer 58

For patients with smoke inhalation.

Question 59

Stings / Venomous Bites

Answer 59

For snakes, scorpion, insects, and marine envenomations (stingrays, jelly fish). NOT for animal bites, use PI traumatic injury.

Question 60

Stroke / CVA / TIA

Answer 60

For suspected stroke or transient ischemic attack (stroke symptoms that resolve rapidly).

Question 61

Submersion / Drowning

Answer 61

For any submersion injury, including drowning and dive (decompression) emergencies.

Question 62

Syncope / Near Syncope

Answer 62

For syncope (transient loss of consciousness). NOT for cardiac arrest, use PI Cardiac Arrest – Non-traumatic only.

Question 63

Traumatic Arrest – Blunt

Answer 63

For cardiac arrest with blunt traumatic mechanism, including those declared deceased in the field by Ref. 814. NOT for trauma sustained after cardiac arrest, use PI Cardiac Arrest – Non- traumatic.

Question 64

Traumatic Arrest – Penetrating

Answer 64

For cardiac arrest with penetrating traumatic mechanism, including those declared deceased in the field by Ref. 814.

Question 65

Traumatic Injury

Answer 65

For any trauma-related injury including crush injury and conducted electrical weapons (CEW). May use in addition to another PI when medical condition also present (e.g., for syncope with trauma – use PI Syncope and PI Traumatic Injury; for CEW use in patient with agitated delirium – use PI Agitated Delirium and PI Traumatic Injury.

Question 66

Upper GI Bleeding

Answer 66

For vomiting blood or coffee ground emesis, and for melena (i.e., black, tarry stools).

Question 67

Vaginal Bleeding

Answer 67

For vaginal bleeding in the NON-pregnant patient. For vaginal bleeding in pregnancy use PI Pregnancy Complications.

Question 68

Weakness – General

Answer 68

For nonfocal weakness, general malaise, and any nonspecific ‘sick’ symptoms.