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Guidecard Cover
INDEX

State of New Jersey

Emergency Medical Dispatch Guidecards
















Approved by the

State of New Jersey Department of Health and
Senior Services

Office of Emergency Medical Services


Adopted by the

State of New Jersey Department of Law and Public
Safety

Office of Information Technology

Office of Emergency Telecommunications Services

January 2004/Updated April 2006




5
Guidecard Index
ALL CALLER
GUIDECARD INDEX
Traumatic Incident Types
ANIMAL BITES ASSAULT/DOMESTIC VIOLENCE/ SEXUAL
ASSAULT BLEEDING / LACERATION BURNS EYE PROBLEMS
/ INJURIES FALL VICTIM HEAT / COLD
EXPOSURE INDUSTRIAL ACCIDENT STABBING / GUNSHOT
VICTIM / ASSAULT TRAUMATIC INJURY VEHICULAR
RELATED INJURIES
Time / Life-Critical Events
CO POISONING / INHALATION / HAZMAT CARDIAC
ARREST / DOA - ADULT CPR INSTRUCTIONS -
CHILD CPR INSTRUCTIONS - INFANT CPR
INSTRUCTIONS CHOKING - ADULT CHOKING
INSTRUCTIONS - CHILD CHOKING INSTRUCTIONS -
INFANT CHOKING INSTRUCTIONS DROWNING
(POSSIBLE) ELECTROCUTION PREGNANCY / CHILDBIRTH
- CHILDBIRTH INSTRUCTIONS UNCONSCIOUS /
FAINTING - UNCONSCIOUS AIRWAY CONTROL
(NON-TRAUMA) INSTRUCTIONS - UNCONSCIOUS AIRWAY
CONTROL (TRAUMA) INSTRUCTIONS
Medical Chief Complaint Types
ABDOMINAL PAINS ALLERGIES/STINGS BACK PAIN
BREATHING PROBLEMS CHEST PAIN / HEART
PROBLEMS DIABETIC PROBLEMS HEADACHE OD/POISONINGS/
INGESTIONS PSYCHIATRIC / BEHAVIORAL
PROBLEMS SEIZURES / CONVULSIONS SICK
PERSON STROKE / CVA UNKNOWN / MAN DOWN
Miscellaneous
AIRCRAFT / TERRORISM HAZ MAT AEROMEDICAL
DISPATCH PROCEDURE
6
INDEX
The All Callers Interrogation Protocol
7
All Callers Interrogation
INDEX
8
All Callers Interrogation
INDEX
9
All Callers Interrogation
INDEX
10
INDEX
Chief Complaint Protocols
11
INDEX
Information found in each of the chief complaint
protocols.
12
Sample Guidecard
INDEX
KEY QUESTIONS!
BLS ONLY RESPONSE INDICATED!
ALS BLS RESPONSE INDICATED!
13
Sample Guidecard
INDEX
PROMPTS! (ADDITIONAL INDICATORS)
SHORT REPORT FOR RESPONDERS!
PRE-ARRIVAL (POST DISPATCH) INSTRUCTIONS!
14
INDEX
Detailed Review of Traumatic Incident Types
15
Traumatic Incident Types
INDEX
16
Traumatic Incident Types
INDEX
17
Traumatic Incident Types Specific Pediatric
Considerations
INDEX
18
INDEX
ALL CALLER
ANIMAL BITES ASSAULT/DOMESTIC VIOLENCE/ SEXUAL
ASSAULT BLEEDING / LACERATION BURNS EYE PROBLEMS
/ INJURIES FALL VICTIM HEAT / COLD
EXPOSURE INDUSTRIAL ACCIDENT STABBING / GUNSHOT
VICTIM / ASSAULT TRAUMATIC INJURY VEHICULAR
RELATED INJURIES
19
Animal Bites
INDEX
20
Animal Bites
INDEX
21
Animal Bites
INDEX
22
Assault / Domestic Violence / Sexual Assault
INDEX
23
Assault / Domestic Violence / Sexual Assault
INDEX
24
Assault / Domestic Violence / Sexual Assault
INDEX
25
Assault /Domestic Violence / Sexual Assault
INDEX
26
Assault /Domestic Violence / Sexual Assault
INDEX
27
Bleeding / Laceration
INDEX
28
Bleeding / Laceration
INDEX
29
Bleeding / Laceration
INDEX
30
Bleeding / Laceration
INDEX
31
Bleeding / Laceration
INDEX
32
Burns
INDEX
33
Burns
INDEX
34
Burns
INDEX
35
Burns
INDEX
36
Burns
INDEX
37
Burns
INDEX
38
Burns
INDEX
39
Burns
INDEX
40
INDEX
Eye Problems / Injuries
41
INDEX
Eye Problems / Injuries
42
INDEX
Eye Problems / Injuries
43
Eye Problems / Injuries
INDEX
44
Eye Problems / Injuries
INDEX
45
Fall Victim
INDEX
46
Fall Victim
INDEX
47
Fall Victim
INDEX
48
Fall Victim
INDEX
49
Heat / Cold Exposure
INDEX
50
Heat / Cold Exposure
INDEX
51
Heat / Cold Exposure
INDEX
52
Industrial Accidents
INDEX
53
Industrial Accidents
INDEX
54
Industrial Accidents
INDEX
55
Industrial Accidents
INDEX
56
Stabbing / Gunshot Victim / Assault
INDEX
57
Stabbing / Gunshot Victim / Assault
INDEX
58
Stabbing / Gunshot Victim / Assault
INDEX
59
Stabbing / Gunshot Victim / Assault
INDEX
60
INDEX
Traumatic Injury
61
Traumatic Injury
INDEX
62
Traumatic Injury
INDEX
63
Vehicular Related Injuries
INDEX
64
Vehicular Related Injuries
INDEX
65
Vehicular Related Injuries
INDEX
66
Vehicular Related Injuries
INDEX
67
INDEX
Detailed Review of Medical Chief Complaint Types
68
Medical Chief Complaints
INDEX
69
Medical Chief Complaints
INDEX
70
INDEX
ALL CALLER
71
INDEX
Abdominal Pain
72
INDEX
Abdominal Pain
73
INDEX
Abdominal Pain
74
Abdominal Pain
INDEX
75
Abdominal Pain
INDEX
76
INDEX
Allergies / Stings
77
Allergies / Stings
INDEX
78
Allergies / Stings
INDEX
79
Allergies / Stings
INDEX
80
Back Pain
INDEX
81
INDEX
Back Pain
82
Back Pain
INDEX
83
Back Pain
INDEX
84
INDEX
Breathing Problems
85
INDEX
Breathing Problems
86
INDEX
Breathing Problems
87
Breathing Problems
INDEX
88
Breathing Problems
INDEX
89
Chest Pain / Heart Problems
INDEX
90
Chest Pain / Heart Problems
INDEX
91
Chest Pain / Heart Problems
INDEX
92
Chest Pain / Heart Problems
INDEX
93
Chest Pain / Heart Problems
INDEX
94
Chest Pain / Heart Problems
INDEX
95
Chest Pain / Heart Problems
INDEX
96
Diabetic Problems
INDEX
97
Diabetic Problems
INDEX
98
INDEX
Diabetic Problems
99
INDEX
Diabetic Problems
100
INDEX
Diabetic Problems
101
Diabetic Problems
INDEX
102
Diabetic Problems
INDEX
103
Headache
INDEX
104
INDEX
Headache
105
Headache
INDEX
106
Headache
INDEX
107
OD / Poisoning / Ingestions
INDEX
108
OD / Poisoning / Ingestions
INDEX
109
OD / Poisoning / Ingestions
INDEX
110
OD / Poisoning / Ingestions
INDEX
111
OD / Poisoning / Ingestions
INDEX
112
INDEX
Psychiatric / Behavioral Problems
113
INDEX
Psychiatric / Behavioral Problems
114
INDEX
Psychiatric / Behavioral Problems
115
Psychiatric / Behavioral Problems
INDEX
116
Psychiatric / Behavioral Problems
INDEX
117
Seizures / Convulsions
INDEX
118
Seizures / Convulsions
INDEX
119
Seizures / Convulsions
INDEX
120
Seizures / Convulsions
INDEX
121
Seizures / Convulsions
INDEX
122
Seizures / Convulsions
INDEX
123
Seizures / Convulsions
INDEX
124
Sick Person
INDEX
125
Sick Person
INDEX
126
Sick Person
INDEX
127
Sick Person
INDEX
128
Stroke / CVA
INDEX
129
Stroke / CVA
INDEX
130
Stroke / CVA
INDEX
131
Stroke / CVA
INDEX
132
Unknown / Man Down
INDEX
133
Unknown / Man Down
INDEX
134
Unknown / Man Down
INDEX
135
Unknown / Man Down
INDEX
136
INDEX
Detailed Review of Time / Life-Critical Chief
Complaint Types
137
Time / Life-Critical Events
INDEX
138
Time / Life-Critical Events
INDEX
139
Time / Life-Critical Events
INDEX
140
Time / Life-Critical Events
INDEX
141
INDEX
ALL CALLER
142
CO / Inhalation / Haz Mat
INDEX
143
CO / Inhalation / Haz Mat
INDEX
144
CO / Inhalation / Haz Mat
INDEX
145
CO / Inhalation / Haz Mat
INDEX
146
CO / Inhalation / Haz Mat
INDEX
147
CO / Inhalation / Haz Mat
INDEX
148
CO / Inhalation / Haz Mat
INDEX
149
CO / Inhalation / Haz Mat
INDEX
150
Cardiac Arrest
INDEX
151
Cardiac Arrest
INDEX
152
Cardiac Arrest
INDEX
153
Cardiac Arrest
INDEX
154
Cardiac Arrest
INDEX
155
Adult CPR Instructions
INDEX
ADULT CPR INSTRUCTIONS
Begin CPR on the patient now. Ill stay on the
line if you need me until help arrives.
Do you have a cordless phone? Is there a phone
that may be closer to the patient? Can someone
there relay my instructions to you? If not Ill
give you the instructions, then return to the
phone. If Im not here, stay on the line.
OK
Begin attempts as best as possible.
COMPRESSION ONLY ENTRY POINT PAGE 3
(CONT.) ADULT CPR INSTRUCTIONS - Page 1 of 4
(4/06)
156
Adult CPR Instructions
INDEX
(RESUME)
BARE the chest. KNEEL at the patients
side. PINCH the nose SHUT with ONE HAND. With
your OTHER hand, LIFT the CHIN COMPLETELY COVER
their mouth with your mouth. GIVE TWO BREATHS OF
AIR into the patients LUNGS--just like youre
blowing up a balloon. Make sure the CHEST GENTLY
RISES. REMEMBER, FLAT on their BACK. BARE the
CHEST. PINCH the NOSE SHUT. With your OTHER hand,
LIFT the CHIN so the head BENDS BACK. GIVE TWO
BREATHS. THEN COME BACK TO THE PHONE! If Im not
here stay on the line.
OK
HYSTERICAL
Reported Patient Vomited
STOMA
Keep the patients head STRAIGHT COMPLETELY
COVER the STOMA with your mouth. COVER the
patients MOUTH and NOSE with your hand GIVE
TWO BREATHS OF AIR into the patients LUNGS.
Make sure the CHEST GENTLY RISES.
Turn his/her head to the side. Sweep it all out
with your fingers before you start
mouth-to-mouth.
Youre going to have to calm down to be able to
help!
(CONT.) ADULT CPR INSTRUCTIONS Page 2 of 4
(4/06)
157
Adult CPR Instructions
INDEX
(RESUME)
Did the CHEST RISE?
YES
NO
GO TO CHOKING ADULT INSTRUCTIONS ?
? CHOKING ADULT ENTRY POINT
? COMPRESSION ONLY ENTRY POINT
Open the machine and turn it on. Follow the voice
prompts and instructions from the machine. Use
large size pads on adults. Come back to the phone
when the machine tells you to do CPR and I will
help you.

• DO NOT OPERATE AED IN/OR AROUND
• Water, snow or ice.
• Bathtubs, pools or Jacuzzis.
• Metal, street ventilation gates.
• Hazardous materials.
• Any type of conductive medium.

(CONT.) ADULT CPR INSTRUCTIONS Page 3 of 4
(4/06)
158
Adult CPR Instructions
INDEX
(RESUME)
Put the HEEL of your HAND on the CENTER of
their CHEST, right BETWEEN the NIPPLES. Put
your OTHER HAND ON TOP of THAT hand. PUSH DOWN
on the HEELS of your hands, 1-½ to 2 inches. Do
it 30 times, PUSH HARD AND FAST. MAKE SURE the
HEEL of your hand is on the CENTER of their
chest, RIGHT BETWEEN THE NIPPLES. If not
performing MOUTH TO MOUTH breathing, ADVISE to
PUMP the CHEST 200 times and then come back to
the phone. IF WILLING TO PERFORM MOUTH TO
MOUTH BREATHING. Then, PINCH the NOSE SHUT and
LIFT the CHIN so the head BENDS BACK. TWO MORE
BREATHS and PUMP the CHEST 30 times. KEEP DOING
IT PUMP the CHEST 30 times. Then TWO BREATHS.
KEEP DOING IT UNTIL HELP CAN TAKE OVER. Ill
stay on the line.
OK
HYSTERICAL
Youre going to have to calm down to be able to
help!
CONTINUE TO ASSIST UNTIL HELP ARRIVES!
ADULT CPR INSTRUCTIONS Page 4 of 4 (4/06)
159
Child CPR (1-8 Yrs) Instructions
INDEX
CHILD CPR (1-8 YRS) INSTRUCTIONS
Begin CPR on the child now. Ill stay on the line
if you need me until help arrives.
Begin attempts as best possible.
COMPRESSION ONLY ENTRY POINT PAGE 3
(CONT.) CHILD CPR INSTRUCTIONS Page 1 of 4
(4/06)
160
Child CPR (1-8 Yrs) Instructions
INDEX
(RESUME)
Keep the patients head STRAIGHT COMPLETELY
COVER the STOMA with your mouth. COVER the
patients MOUTH and NOSE with your hand GIVE
TWO BREATHS OF AIR into the patients LUNGS.
Make sure the CHEST GENTLY RISES.
Turn his/her head to the side. Sweep it all out
with your fingers before you start
mouth-to-mouth.
Youre going to have to calm down to be able to
help!
(CONT.) CHILD CPR INSTRUCTIONS Page 2 of 4
(4/06)
161
Child CPR (1-8 Yrs) Instructions
INDEX
(RESUME)
Did the CHEST RISE?
GO TO CHOKING CHILD INSTRUCTIONS ?
YES
NO
? COMPRESSION ONLY ENTRY POINT
? CHOKING CHILD ENTRY POINT
Put the HEEL of ONE HAND on the CENTER of
the childs CHEST, right BETWEEN the NIPPLES.
PUSH DOWN FIRMLY, ONLY on the HEEL of your
hand, HALFWAY DOWN. Do it 30 times, PUSH
HARD AND FAST. Then, PINCH the NOSE SHUT
and LIFT the CHIN so the head TILTS BACK. (If
being performed). TWO MORE BREATHS and
PUMP the CHEST 30 times. KEEP DOING IT
PUMP the CHEST 30 times. Then TWO BREATHS. (If
being performed). KEEP DOING IT UNTIL HELP
CAN TAKE OVER. Ill stay on the line.
I CANT OR HYSTERICAL
OK
Youre going to have to calm down to be able to
help!
(CONT.) CHILD CPR INSTRUCTIONS Page 3 of 4
(4/06)
162
Child CPR (1-8 Yrs) Instructions
INDEX
(RESUME)
After 2 minutes of CPR
Open the machine and turn it on. Use child AED
pads if equipped. (If using adult pads on a child
be sure they do not touch each other). Follow the
voice prompts and instructions from the machine.
Come back to the phone when the machine tells you
to do CPR and I will help you again.

• DO NOT OPERATE AED IN/OR AROUND
• Water, snow or ice.
• Bathtubs, pools or Jacuzzis.
• Metal, street ventilation grates.
• Hazardous materials.
• Any type of conductive medium.

CONTINUE CPR. UNTIL HELP ARRIVES
(CONT.) CHILD CPR INSTRUCTIONS Page 4 of 4
(4/06)
163
Infant CPR (0-1 yr) Instructions
INDEX
INFANT CPR (0-1 yr) INSTRUCTIONS
Does anyone there know how to do INFANT CPR?
Begin CPR on the baby now. Ill stay on the
line if you need me until help arrives.
BRING THE BABY TO THE PHONE!
(CONT.) INFANT CPR INSTRUCTIONS Page 1 of 3
(4/06)
164
Infant CPR (0-1 yr) Instructions
INDEX
(RESUME)
Listen carefully. Ill tell you what to do.
Lay the baby FLAT on its back on a hard surface,
such as the floor or a table. BARE the babys
chest. Tilt the head back SLIGHTLY by LIFTING
the CHIN. TIGHTLY COVER the babys MOUTH AND
NOSE with your mouth. Blow 2 SMALL PUFFS of air
SLOWLY into the babys LUNGS. Make sure the
babys CHEST GENTLY RISES with each puff. Then
come back to the phone. If Im not here, stay on
the line.
OK
Reported Patient Vomited
HYSTERICAL
STOMA
Keep the patients head STRAIGHT COMPLETELY
COVER the STOMA with your mouth. COVER the
patients MOUTH and NOSE with your hand GIVE
TWO BREATHS OF AIR into the patients LUNGS.
Make sure the CHEST GENTLY RISES.
Turn his/her head to the side. Sweep it all out
with your fingers before you start
mouth-to-mouth.
Youre going to have to calm down to be able to
help!
(CONT.) INFANT CPR INSTRUCTIONS Page 2 of 3
(4/06)
165
Infant CPR (0-1 yr) Instructions
INDEX
(RESUME)
Did the CHEST RISE?
GO TO CHOKING INFANT INSTRUCTIONS ?.
YES
NO
? CHOKING INFANT ENTRY POINT
Listen carefully. Ill tell you what to do
next. Put your INDEX AND MIDDLE FINGERTIPS on
the CHEST, right BELOW the NIPPLE LINE. PUSH
HALFWAY DOWN. Do it thirty times RAPIDLY Hard and
Fast. THEN, Tilt the head back SLIGHTLY by
LIFTING the CHIN and GIVE TWO SMALL PUFFS of air
SLOWLY. Make sure the babys CHEST GENTLY RISES
with each puff. THEN, rapidly pump thirty more
times, and then give two more SLOW PUFFS. KEEP
DOING IT UNTIL HELP CAN TAKE OVER. Ill stay on
the line.
HYSTERICAL
OK
Youre going to have to calm down to be able to
help!
CONTINUE TO ASSIST UNTIL HELP ARRIVES!
INFANT CPR INSTRUCTIONS Page 3 of 3 (4/06)
166
Choking
INDEX
167
Choking
INDEX
168
Choking
INDEX
169
Choking
INDEX
170
Choking
INDEX
171
Choking
INDEX
172
Choking Adult Instructions
INDEX
CHOKING ADULT INSTRUCTIONS
START
PROMPT If the event is NOT WITNESSED and the
patient is UNCONSCIOUS Go to CPR ADULT.
Is the patient able to TALK or COUGH?
Reassess until help arrives
NO
YES
Listen carefully. Ill tell you what to do
next. Stand BEHIND the patient. Wrap
your arms AROUND the waist. Make a fist
with ONE hand and place the thumb side against
the STOMACH, in the MIDDLE, slightly
above the NAVEL. GRASP your fist with the
other hand. PRESS into the stomach with
QUICK, UPWARD thrusts. Repeat thrusts until
the item is expelled. If the patient
becomes unconscious, come back to the phone.
Is the patient CONSCIOUS?
NO
YES
Object dislodged.
Patient becomes unconscious.
(CONT.) ADULT CHOKING INSTRUCTIONS Page 1 of
4 (4/06)
173
Choking Adult Instructions
INDEX
(RESUME)
Is the patient? MOVING or BREATHING?
ROLL the patient on their SIDE and CHECK
BREATHING until help takes over.
NO
YES
Listen carefully, Ill tell you what to do.
Get the patient FLAT on their back on the floor.
PINCH the nose SHUT. With your OTHER hand,
LIFT the CHIN so the head BENDS BACK.
COMPLETELY COVER their mouth with your mouth.
GIVE TWO BREATHS OF AIR into the patients
LUNGS--just like youre blowing up a balloon.
Watch to see if the CHEST GENTLY RISES.
(CONT.) ADULT CHOKING INSTRUCTIONS Page 2 of
4 (4/06)
174
Choking Adult Instructions
INDEX
(RESUME)
Did the CHEST RISE?
Is the patient? MOVING or BREATHING?
ROLL the patient on their SIDE and CHECK
BREATHING until help takes over.
NO
YES
NO
YES
GO TO ADULT CPR INSTRUCTIONS ?
Repeat sequence one more time then proceed.
? CPR ENTRY POINT
(CONT.) ADULT CHOKING INSTRUCTIONS Page 3 of
4 (4/06)
175
Choking Adult Instructions
INDEX
(RESUME)
Put the HEEL of your HAND on the CENTER of their
CHEST, right BETWEEN the NIPPLES. Put your OTHER
HAND ON TOP of THAT hand. PUSH DOWN on the HEELS
of your hands, 1-½ to 2 inches. Do it 30 times,
PUSH HARD AND FAST. MAKE SURE the HEEL of your
hand is on the CENTER of their chest, RIGHT
BETWEEN THE NIPPLES. Then, PINCH the NOSE SHUT
and LIFT the CHIN so the head BENDS BACK. OPEN
THE MOUTH. If you see something, try to sweep it
out. DONT push the object backwards. TWO MORE
BREATHS and PUMP the CHEST 30 times. KEEP DOING
IT PUMP the CHEST 30 times. Then TWO
BREATHS OPEN THE MOUTH. If you see something, try
to sweep it out. DONT push the object
backwards...
GO TO ADULT CPR INSTRUCTIONS ?
ADULT CHOKING INSTRUCTIONS Page 4 of 4
(3/07)
176
Choking Child (1-8 Yrs) Instructions
INDEX
CHOKING CHILD (1-8yrs) INSTRUCTIONS
START
PROMPT If the event is NOT WITNESSED and the
child is UNCONSCIOUS Go to CPR CHILD.
Is the child able to TALK or COUGH?
NO
YES
Reassess until help arrives
Listen carefully. Ill tell you what to do
next. Stand BEHIND the child. Wrap
your arms AROUND the waist. Make a fist
with ONE hand and place the thumb side against
the STOMACH, in the MIDDLE, slightly
above the NAVEL. GRASP your fist with the
other hand. PRESS into the stomach with
QUICK, UPWARD thrusts. Repeat thrusts until
the item is expelled. If the child becomes
unconscious, come back to the phone.
Is the child CONSCIOUS?
NO
YES
Object dislodged.
Child becomes unconscious.
(CONT.) CHILD CHOKING INSTRUCTIONS Page 1
of 4 (4/06)
177
Choking Child (1-8 Yrs) Instructions
INDEX
(RESUME)
Is the child MOVING or BREATHING?
YES
NO
ROLL the child on their SIDE and CHECK
BREATHING until help takes over.
Listen carefully, Ill tell you what to do.
Get the child FLAT on their back on the floor.
PINCH the nose SHUT. With your OTHER hand,
LIFT the CHIN so the head TILTS BACK
COMPLETELY COVER their mouth with your mouth.
GIVE TWO BREATHS OF AIR into the childs
LUNGS--just like youre blowing up a balloon.
Watch to see if the CHEST GENTLY RISES.
(CONT.) CHILD CHOKING INSTRUCTIONS Page 2
of 4 (4/06)
178
Choking Child (1-8 Yrs) Instructions
INDEX
(RESUME)
Did the CHEST RISE?
Is the child MOVING or BREATHING?
NO
YES
ROLL the child on their SIDE and CHECK
BREATHING until help takes over.
NO
YES
GO TO CHILD CPR INSTRUCTIONS ?
Repeat sequence one more time then proceed.
? CPR ENTRY POINT
(CONT.) CHILD CHOKING INSTRUCTIONS Page 3
of 4 (4/06)
179
Choking Child (1-8 Yrs) Instructions
INDEX
(RESUME)
Put the HEEL of ONE HAND on the CENTER of the
childs CHEST, right BETWEEN the NIPPLES. PUSH
DOWN FIRMLY, ONLY on the HEEL of your hand,
HALFWAY DOWN. Do it 30 times, PUSH HARD AND
FAST. Then, PINCH the NOSE SHUT and LIFT the CHIN
so the head TILTS BACK. OPEN THE MOUTH. If you
see something, try to sweep it out. DONT push
the object backwards. TWO MORE BREATHS and PUMP
the CHEST 30 times. KEEP DOING IT PUMP the CHEST
30 times. OPEN THE MOUTH. If you see something,
try to sweep it out. DONT push the object
backwards. Then TWO BREATHS. (If being
performed). Ill stay on the line.
After 2 minutes of CPR
Is the child moving or breathing normally now?
NO
YES
ROLL the child on their SIDE and CHECK BREATHING
until help takes over.
GO TO CHILD CPR INSTRUCTIONS ? AED INSTRUCTIONS
CHILD CHOKING INSTRUCTIONS Page 4 of 4
(3/07)
180
Choking Infant (0-1 yr) Instructions
INDEX
CHOKING INFANT (0-1 yr) INSTRUCTIONS
START
PROMPT If the event is NOT WITNESSED and the
infant is UNCONSCIOUS Go to CPR INFANT.
BRING the BABY to the PHONE!
Is the baby CONSCIOUS?
NO
YES
Is the baby able to CRY or COUGH?
Roll the baby over on its side and check
for breathing until help takes over.
NO
YES
Listen carefully. Ill tell you what to do
next. Remove any clothing from the babys
chest, then PICK UP the baby. Do that, and
come back to the phone. If I am not here, STAY
ON THE LINE.
(CONT.) INFANT CHOKING INSTRUCTIONS Page
1 of 5 (4/06)
181
Choking Infant (0-1 yr) Instructions
INDEX
(RESUME)
Turn the baby FACE DOWN so it lies along your
forearm SUPPORT the babys JAW in your
HAND. Lower your arm onto your thigh so that
the babys head is LOWER than its chest. Use
the HEEL of your other HAND to strike the BACK 5
times FIRMLY, right between the shoulder
blades. Do that, and come back to the phone.
Roll the baby over on its side and check
for breathing until help takes over.
(CONT.) INFANT CHOKING INSTRUCTIONS Page
2 of 5 (4/06)
182
Choking Infant (0-1 yr) Instructions
INDEX
(RESUME)
Listen carefully. Ill tell you what to do.
Lay the baby FLAT on its back on a hard
surface, such as the floor or a table, and then
BARE the babys chest. Do that then come back
to the phone. If Im not here, stay on the line.
Tilt the head back SLIGHTLY by LIFTING the
CHIN. TIGHTLY COVER the babys MOUTH AND NOSE
with your mouth. Blow two SMALL PUFFS of air
SLOWLY into the babys LUNGS. Watch to see if
the CHEST GENTLY RISES.
Is the baby? BREATHING or CRYING?
ROLL the child on their SIDE and CHECK
BREATHING until help takes over.
NO
YES
? CPR ENTRY POINT
GO TO INFANT CPR INSTRUCTIONS ?
(CONT.) INFANT CHOKING INSTRUCTIONS Page
3 of 5 (4/06)
183
Choking Infant (0-1 yr) Instructions
INDEX
(RESUME)
Listen carefully. Ill tell you what to do
next. Put your INDEX AND MIDDLE FINGERTIPS on the
CHEST, right BELOW the NIPPLE LINE. PUSH HALFWAY
DOWN. Do it thirty times RAPIDLY Hard and
Fast. THEN, Tilt the head back SLIGHTLY by
LIFTING the CHIN LOOK INTO THE BABYS MOUTH, if
you see anything try to remove it with your
little finger by sweeping it out. DONT push the
object backwards GIVE TWO SMALL PUFFS of air
SLOWLY. . THEN, rapidly pump thirty more times,
LOOK INTO THE BABYS MOUTH, if you see anything
try to remove it with your little finger
by sweeping it out. DONT push the object
backwards Then give two more SLOW PUFFS. KEEP
DOING IT UNTIL HELP CAN TAKE OVER. Ill stay on
the line.
(CONT.) INFANT CHOKING INSTRUCTIONS Page
4 of 5 (3/07)
184
Choking Infant (0-1 yr) Instructions
INDEX
(RESUME)
ROLL the baby on their SIDE and CHECK BREATHING
until help takes over.
INFANT CHOKING INSTRUCTIONS Page 5 of 5
(3/07)
185
Drowning (Possible)
INDEX
186
Drowning (Possible)
INDEX
187
Drowning (Possible)
INDEX
188
Drowning (Possible)
INDEX
189
Drowning (Possible)
INDEX
190
Electrocution
INDEX
191
Electrocution
INDEX
192
Electrocution
INDEX
193
Electrocution
INDEX
194
Pregnancy / Childbirth
INDEX
195
Pregnancy / Childbirth
INDEX
196
Pregnancy / Childbirth
INDEX
197
Pregnancy / Childbirth
INDEX
198
Pregnancy / Childbirth
INDEX
199
Pregnancy / Childbirth
INDEX
200
Pregnancy / Childbirth
INDEX
201
Childbirth Instructions
INDEX
202
Childbirth Instructions
INDEX
203
Unconscious / Fainting
INDEX
204
Unconscious / Fainting
INDEX
205
Unconscious / Fainting
INDEX
206
Unconscious / Fainting
INDEX
207
Unconscious / Fainting
INDEX
208
Unconscious Patient Airway Control (Non-Trauma)
INDEX
209
Unconscious Patient Airway Control (Trauma)
INDEX
210
INDEX
ALL CALLER
211
Aircraft / Terrorism
INDEX
212
Aircraft / Terrorism
INDEX
Emergency Call from an Airborne Aircraft.
213
Aircraft / Terrorism
INDEX
Emergency Call from an Airborne Aircraft.
214
Aircraft / Terrorism
INDEX
Emergency Call from an Airborne Aircraft.
NORAD Air Defense Sector (Sector)
Contact information details outlined
below .                 SEADS Southeastern
states would call [phone]/5207. .          
       NEADS Northeastern states would call
[phone]/6802. .                 WADS
Western states would call (253)
382-4310/4311. .                 ANR Alaska
would call [phone]/6293.
The above phone numbers are privileged
phone numbers and should not be shared with
private citizens. These
numbers are for PSAP use only.
215
Aircraft / Terrorism
INDEX
Emergency Call from an Airborne Aircraft.
216
Aircraft / Terrorism
INDEX
Emergency Call from an Airborne Aircraft.
217
Aircraft / Terrorism
INDEX
Emergency Call from an Airborne Aircraft.
218
Aircraft / Terrorism
INDEX
Emergency Call from an Airborne Aircraft.
219
Aircraft / Terrorism
INDEX
Emergency Call from an Airborne Aircraft.
220
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft PSAP
receives a telephone call about a suspicious
airborne object or aircraft.
221
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
222
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
223
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
Was it a plane or helicopter?
224
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
Was it a plane or helicopter? High wing or low
wing?
225
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
Was it a plane or helicopter? High wing or low
wing? What color was it?
226
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
Was it a plane or helicopter? High wing or low
wing? What color was it? Did it have jet or
propeller engines?
227
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
Was it a plane or helicopter? High wing or low
wing? What color was it? Did it have jet or
propeller engines? How many engines did it have?
228
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
Was it a plane or helicopter? High wing or low
wing? What color was it? Did it have jet or
propeller engines? How many engines did it
have? How big was it?
229
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
Was it a plane or helicopter? High wing or low
wing? What color was it? Did it have jet or
propeller engines? How many engines did it
have? How big was it? Did it have any
distinguishing marks? Name on Fuselage,Tail
Number, Stripes, etc.
230
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
231
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
232
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
233
Aircraft / Terrorism
INDEX
Suspicious Airborne Object or Aircraft
234
Aircraft / Terrorism
INDEX
Aircraft Theft in Progress or Just Occurred
235
Aircraft / Terrorism
INDEX
Aircraft Theft in Progress or Just Occurred
236
Aircraft / Terrorism
INDEX
Aircraft Theft in Progress or Just Occurred
237
Aircraft / Terrorism
INDEX
238
Aircraft / Terrorism
INDEX
Contact information details outlined
below A.         SEADS Southeastern states
would call [phone]/5207. B.         NEADS
Northeastern states would call (315)
334-6311/6802. C.         WADS Western states
would call [phone]/4311. D.         ANR
Alaska would call [phone]/6293. The above
phone numbers are privileged phone numbers and
should not be shared with private citizens.
These numbers are for PSAP use only.
239
Hazmat Incident Guide
INDEX
240
Hazmat Incident Guide
INDEX
241
Hazmat Incident Guide
INDEX
242
Aeromedical Dispatch
INDEX
1-800-332-4356 REMCS (Newark)
243
ENVIRONMENTAL FACTORS
INDEX

• The time needed to transport a patient by ground
  to an appropriate facility poses a threat to the
  patients survival and recovery.
• Weather, road, and traffic conditions would
  seriously delay the patient's access to Advanced
  Life Support (ALS).
• Critical care personnel and equipment are needed
  to adequately care for the patient during
  transport.
• Falls of 20 feet or more.
• Motor vehicle accident (MVA) of 20 MPH or more
  without restraints.
• Rearward displacement of front of car by 20
  inches.
• Rearward displacement of front axle.
• Passenger compartment intrusion.
• Ejection of patient from vehicle.
• Rollover.

244
INDICATORS OF SEVERE ANATOMIC OR PHYSIOLOGIC
COMPROMISE
INDEX

• Unconsciousness or decreasing level of
  consciousness.
• Systolic blood pressure less than 90 mmHg.
• Respiratory rate less than 10 per minute or
  greater than 30 per minute.
• Glasgow Coma Score less than 10.
• Compromised airway.
• Penetrating injury to chest, abdomen, head,
  neck, or groin.
• Two or more femur or humerus fractures.
• Flail chest.
• Amputation of an extremity.

Aeromedical Dispatch
245
Aeromedical Dispatch
INDEX
246
Sample Guidecard
INDEX
247
Sample Guidecard
INDEX
248
The End
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END SHOW
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Title104
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Title104
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