a justification for paramedic upgrade...

A JUSTIFICATION FOR PARAMEDIC UPGRADE

FOR THE OCONTO FIRE DEPARTMENT

Andrew Hoppe

Oconto Fire Rescue Department

Oconto, WI

Prepared for:

Lawrence T. Bennett Esq. University of Cincinnati

College of Applied Science Firefighter Safety and Risk Management

32 FST 279

Certification Statement:

I hereby certify that this paper constitutes my own product, that where the

language of others is set forth, quotation marks so indicate, and that appropriate

credit is given where I have used the language, ideas, expressions, or writings of

another.

Signed: Andrew J. Hoppe

Abstract

This report examines the need for a paramedic level ambulance service in

the City of Oconto, Wisconsin. Current EMS service is provided by the Oconto Fire

Department at the Advanced EMT Level. The department has been recognizing a

demand for paramedic level service in recent years. The severity in the types of

EMS calls has been increasing along with a demand from the local hospital for a

local paramedic service to transport patients to larger hospitals for definitive care.

Evaluative research on Oconto Fire Department ambulance run data in 2009 is

conducted in an attempt to identify those calls worthy of a paramedic level

assessment or intervention. Evaluative research was also conducted on hospital

patients who required paramedic level ground transport to other hospitals in

2009 in an attempt to confirm the demand from the local hospital.

The report reveals conclusive evidence of the demand for a paramedic

ambulance service in the City of Oconto and recommends proceeding further

towards an EMS upgrade by conducting further research on costs versus benefits

and seeking potential funding sources.

Table of Contents

Introduction 5

Background and Significance 7

Procedures 9

Results 13

Discussion 15

Recommendations 17

References 19

Appendix 20

Introduction

The Oconto Fire Department has been recognizing an increase in the

demand for advanced life support care. Pubic demand and expectations for

complete care are on the rise while fire fighters are recognizing their own

shortcomings in their EMT skill sets as they treat patients with more severe and

complex cases. The local hospital in Oconto is in great demand for a readily

available ALS service to support its mission and transport their patients to

definitive care hospitals while the private ALS service based out of the nearby

larger city looks to extend its services further north.

This report examines the need for paramedic level EMS service for the City

of Oconto, Wisconsin. An evaluative research method was conducted on the

nature and severity of ambulance runs provided by Oconto Fire Department in

2009. The research attempted to answer the question, “How many patients

treated by Oconto Fire Department could have benefited from a paramedic level

assessment or skill in 2009?” Additionally, the research attempted to answer the

question, “How many patients transferred from Oconto Hospital and Medical

Center could have been transported by an Oconto Fire Department ALS ground

unit in 2009?”

This report focuses on the need for paramedic level service, but since cost

is always a primary factor when considering a project of this nature, this report

touches on this subject as well. Many unknown variables involved with cost exist

for the Oconto Fire Department and will be listed in detail in the

recommendations section. These intangible factors made it impossible to

conduct a thorough cost/benefit analysis at the time of this report. However,

interviews and information was obtained from comparable fire departments in

Wisconsin that successfully upgraded to the paramedic level in the last five years

as well as ambulance billing data and will be shared in this report as well.

Background and Significance

The City of Oconto, Wisconsin is located thirty miles north of the City of

Green Bay on the shores of Green Bay. Fire protection and EMS service for the

area is provided by the Oconto Fire Rescue Department through a combination

service. Six fulltime line personnel staff the station 24/7 in shifts of two. A

fulltime fire chief oversees sixteen additional paid-per-call fire fighters, eight of

which are also EMTs.

As part of the fire department, the Oconto Ambulance Service serves the

City of Oconto and its three surrounding townships with what is now known

nationally as the Advanced EMT level service. The service provides customary

EMT interventions along with IV therapy and a limited about of drugs.

Recognizing a need in 2004, the service upgraded its skill level from EMT-Basic to

the Advanced level in 2005. In addition to an improvement in patient care, the

city has enjoyed an increase in revenue from the additional billable amount

allowed by Medicare for IV therapy.

The only hospital in the city, Oconto Hospital and Medical Center, is a four

bed hospital with a clinical lab, X-Ray with CT, and a level-IV trauma room. Due to

its size and limited capabilities, often, patients are transferred by ground or air to

more definitive care hospitals in Green Bay after being treated and stabilized

locally. A number of Oconto Hospital’s patients require ALS service when

transferred to other hospitals. Since Oconto Fire Department cannot provide this

service, a private ambulance service responds from the Green Bay area to

transport. On many occasions, critical patients must wait thirty minutes or more

for a ground unit to arrive when the helicopter is unavailable due to weather or

committed to other calls.

While not quantifiable from this report, the public expectation for complete

EMS care is rising, especially the expectations from a fulltime fire department.

EMTs are witnessing the disappointment on the faces of patients or family

members when they find out that the EMT is unable to treat their pain or stabilize

their cardiac condition. Meanwhile, the private ALS service responds to rural

areas in the adjacent jurisdiction fifteen miles south of the city from their station

located in the suburbs of Green Bay. In a manner similar to other fire

departments around the country, Oconto Fire Department must deal with

competing privatization as well. Fire fighters view this as a direct threat to their

job security and are eager to match or exceed the service level of any

competition.

Procedures

Ambulance run data analysis was conducted by using the department’s

electronic web-based run reporting system. The system was set to list all 911

calls in 2009 along with the patient’s chief complaint, the transport mode to the

hospital, and the EMT’s primary impression and secondary impression (figure 1).

Figure 1

Call Number Chief Complaint Transport mode to hospital

Primary Impression

Secondary Impression

(See Appendix for report)

Ten major categories were screened for in the EMT’s Primary Impression or

Secondary Impression: Cardiac Emergencies, Pulse-less Non-Breathers, Allergic

Reactions, Respiratory Distress, Trauma, Drug Overdose, Strokes, Abdominal Pain,

Seizures, and Altered Level of Consciousness. For the purpose of this report,

these ten patient conditions were considered to have potentially benefitted from

a paramedic level assessment or intervention. The transport mode to the hospital

was considered whenever the severity of the call was in question. For example,

trauma encompasses a wide range of injuries and could be a simple cut to the

finger or massive head and chest trauma from a motor vehicle accident. Knowing

whether or not the EMT chose to use lights and siren to the hospital reveals the

EMT’s impression of the severity of the call. In an attempt to show the severity of

the calls, a second analysis was also conducted on the same data using only those

calls that were transported with lights and siren.

Patient transfers from Oconto Hospital and Medical Center were also

analyzed. At the department’s request, the hospital conducted an internal

analysis of patients transferred from their facility. A total of all patient transfers

were compiled and analyzed for critical care criteria. Patients falling into the

critical care category were assumed to have been transferred by helicopter or the

helicopter’s ground equivalent with specialized personnel and equipment

operating above the paramedic level. The remaining number of patient transfers

was given to the department for analysis. The department was able to use this

data against the department’s own data to determine the remaining number of

patients that were transferred by paramedic ground units.

In order to gain an inside perspective and a general idea of cost, an

interview was conducted with Antigo Fire Department in Antigo, Wisconsin.

Antigo is comparable in size in the region and successfully upgraded to the

paramedic level five years ago. Plenty of advice was shared. The initiative started

from the bottom up at their department. The union organized a study, performed

all the ground work and presented it to the management along with some

concessions on overtime expenses associated with the training. The city council

agreed, and have been happy with the service ever since. The city has also been

reaping a large reward in the revenues generated from patient transfers from

their local hospital.

Antigo shared a cost/benefit analysis of Merrill Fire Department, another

city comparable in size to Antigo. In 2005, the cost for that department to

upgrade eight fulltime fire fighter/EMTs to paramedic was $125,000, including all

necessary equipment. Merrill Fire Department needed to do fundraising drives in

order to meet this cost and was successful in completing their upgrade. Their

study found that about 33% of their patients could have benefitted from a

paramedic level service.

Finally, the department’s billing company provided information on the

various billing rates. Since the department is already able to bill at the Medicare

ALS1 rate whenever an IV is started, an obvious revenue increase is not readily

apparent. However, the paramedic level allows for an additional billable rate at

the ALS2 level. In order to bill at this level, it must be medically necessary to

administer at least three different IV medications or provide one or more of the

following ALS procedures: manual defibrillation/cardioversion, endotracheal

intubation, central venous line, cardiac pacing, chest decompression, surgical

airway, or intraosseous line. The most frequent billable ALS2 situation that

Oconto Fire Department would encounter is cardiac patients with certain

conditions and Pulse-less Non-Breathers. The number of cardiac and PNB calls in

2009 is presented subsequently.

Results

Out of the 502 scene response calls in 2009, 309 of them, or 62%, fit into

the ten criteria listed that were considered call types that may have benefitted

from a paramedic level assessment or skill. A breakdown can be seen in figure 2.

Figure 2.

PRIMARY OR SECONDARY IMPRESSION COUNT

Cardiac Emergencies 41

Pulse-less Non-Breathers 16

Anaphylaxis 4

Respiratory Distress 50

Trauma 73

Drug Overdose 17

Strokes 13

Abdominal Pain/Problems 20

Seizures 30

Altered LOC/Unresponsive 45

TOTAL 309

Secondly, in an attempt to show the severity of the calls, the same data was

filtered to show only those patients that were transported emergent with lights

and siren. 183 of the 502 patients, or 36%, were serious enough to warrant

emergent transport, see figure 3.

Figure 3.

PRIMARY OR SECONDARY IMPRESSION COUNT

Cardiac Emergencies 32

Pulse-less Non-Breathers 16

Anaphylaxis 1

Respiratory Distress 30

Trauma 38

Drug Overdose 10

Strokes 12

Abdominal Pain/Problems 10

Seizures 15

Altered LOC/Unresponsive 19

TOTAL 183

Finally, patient transfers that did not require specialized critical care from

Oconto Hospital and Medical Center consisted of 94 patients by ground

ambulance in 2009. Oconto Fire Department was able to transfer 62 of those

patients, or 66%, with their current level of service, leaving 32 patients, or 34%,

transferred by another paramedic agency as seen in figure 4.

Figure 4.

NON-CRITICAL CARE TRANSFERS FROM OHMC COUNT

Oconto Fire Dept. (Advanced EMT) (66%) 62

Other Agency (Paramedic) (34%) 32

Total 94

Discussion

62% is a very significant amount of patients requiring paramedic level 911-

response. Even if an error was made in the data analysis and only half the

number of patients needed a paramedic, the department would be at the same

results as those found in Merrill, Wisconsin where a successful paramedic

program is in place. Furthermore, the severity report shows that at least 36% of

these patients were critical enough for emergent transport.

From an interfacility perspective, one out of every three patients

transferred from Oconto Hospital and Medical Center required a paramedic level

service. As an average, these patients must wait at least one hour from the time

that the call is made to the transferring agency, until the time they arrive at a

definitive care facility. A local paramedic service would be able to cut this time in

half. Interfacility transfers are an excellent source of additional revenue. It would

be logical to assume that the City of Oconto could expect this dollar amount to

increase by approximately one-third.

ALS2 billable calls would most likely occur with certain cardiac calls, PNBs,

or in situations when IV access absolutely must be established and the

paramedics cannot start one successfully using conventional IV methods in the

patient’s arms or legs. These types of calls most likely account for less than 10%

of all Oconto Fire Department’s EMS calls, but they are life saving interventions

that cannot be measured fiscally.

The billing company submitted a comparison of rates with five other clients

in the region. In nearly every category, Oconto charges less than other paramedic

level services, (see appendix). As an option, these charges could be increased to

current standards in order to expedite the cost recovery for the paramedic

upgrade.

The data shows a compelling need for paramedic level service for the

Oconto area and the Oconto Hospital and Medical Center. Patient care could

drastically improve both in the field and out the doors of the hospital if a

paramedic service were locally available. After the initial start-up costs, a

paramedic system would be self-sustainable since the patients are billed directly

for any medications and equipment used. Over a time to be determined through

further cost analysis, the city will see the upgrade cost become offset from an

increase in revenue generated through interfacility transports and ALS2 billable

rates.

Recommendations

Additional research is required in order for the Oconto Fire Department to

move forward. A detailed cost analysis must be conducted. Current revenues

must be more closely compared to the potential revenues that would be

generated at the paramedic level. Upgrade costs must be compiled. The fire

fighters union and the city must reach an agreement for training pay, benefits,

and any potential salary increases. Oconto Hospital expressed a desire to support

the paramedic upgrade and must be involved and consulted for its resources.

Based on the results and financial support received from the union, city, and

hospital, grants or fundraising activities may or may not be needed. Fortunately,

the State of Wisconsin provides for a 2-year grace period for EMS organizations

attempting to reach 24/7 paramedic coverage. This factor can be a major selling

point to financial investors since the cost to upgrade could potentially be spread

over two years. Once an upgrade plan is finally in place, the Wisconsin EMS

Division must be contacted for permission and approval. Protocols, Operational

Plans, Exposure Control Plans and Standard Operating Procedures would need to

be updated during the upgrade process.

Lastly, within two years after the upgrade, the original problem presented

by this report should be revisited to check for improvements in patient care,

revenue generated and hospital support.

References

None.

Appendix

Courtesy of Lifequest Technologies

Type of

Service

Req Call

Number Chief Complaint Transport Mode From Scene Provider

Impression Provider Secondary

Impression

911 Response (Scene)

112-

090101-

001-001

Low Blood Sugar Lights and Sirens Diabetic Symptoms

(Hypoglycemia) Not Applicable

112-

090101-

001-002

BACK PAIN No Lights or Sirens Traumatic Injury Not Applicable

112-

090103-

001-004

Not Feeling Well No Lights or Sirens Unknown Problem Syncope/Fainting

112-

090104-

001-005

Fall No Lights or Sirens Other Not Applicable

112-

090104-

001-006

Slipped and fell Lights and Sirens Pain Not Applicable

112-

090104-

001-007

Possible Infection No Lights or Sirens Weakness Not Applicable

112-

090107-

001-009

NONE Not Applicable No Apparent

Illness/Injury Not Applicable

112-

090107-

001-001

Diarrhea No Lights or Sirens General Malaise Abdominal

Pain/Problems

112-

090107-

001-010

No Lights or Sirens Hypotension Not Applicable

112-

090107-

001-012

chest pain No Lights or Sirens Weakness Chest Pain/Discomfort

112-

090107-

001-015

Flu No Lights or Sirens Unknown Problem Not Applicable

112-

090108-

001-016

Weakness No Lights or Sirens Weakness Not Applicable

112-

090108-

Pain No Lights or Sirens Pain Not Applicable

001-017

112-

090110-

001-019

Pain Lights and Sirens Pain Abdominal

Pain/Problems

112-

090110-

001-020

Anxiety No Lights or Sirens Weakness Not Applicable

112-

090112-

001-022

Fall No Lights or Sirens Not Applicable Not Applicable

112-

090113-

001-023

SEIZURE Lights and Sirens Seizure Not Applicable

112-

090114-

001-025

Not Available Weakness Not Applicable

112-

090114-

001-026

Difficulty Breathing No Lights or Sirens Respiratory Distress Not Applicable

112-

090114-

001-027

Possible GI Bleed No Lights or Sirens G.I. Bleed Not Applicable

112-

090114-

001-030

Back Pain No Lights or Sirens Back Pain (Non-

Traumatic) Not Applicable

112-

090116-

001-031

Chest Pain Lights and Sirens Chest

Pain/Discomfort Not Applicable

112-

090118-

001-032

CHEST PAIN Lights and Sirens Chest


112-

090119-

001-003

Altered LOC Lights and Sirens Altered Level of

Consciousness Cardiac Rhythm

Disturbance

112-

090122-

001-033

Nose bleed No Lights or Sirens Other Not Applicable

112-

090123-

001-034

LACERATED LIP Not Applicable Traumatic Injury Not Applicable

112-

090123-

001-035

CANT URINATE No Lights or Sirens Other Not Applicable

112-

090126-

001-038

GENERAL WEAKNESS Not Available Weakness Not Applicable

112-

090126-

001-039

difficulty breathing Lights and Sirens Nausea/Vomiting

(Unknown Etiology) Respiratory Distress

112-

090127-

001-004

Convulsions Lights and Sirens Abdominal

Pain/Problems Seizure

112-

090127-

001-040

Not Applicable No Apparent


112-

090127-

001-042

Blurred Vision No Lights or Sirens Unknown Problem Behavioral/Psychiatric

Disorder

112-

090127-

001-043

Unresponsive Not Applicable Other CNS Problem Unknown Problem

112-

090128-

001-044

Difficulty Breathing Lights and Sirens Respiratory Distress Not Applicable

112-

090130-

001-045


Traumatic) Respiratory Distress

112-

090203-

001-048

Cramps No Lights or Sirens Dehydration Not Recorded

112-

090203-

001-049

Weakness Lights and Sirens Respiratory Distress Not Recorded

112-

090204-

001-050

Not Applicable Other Not Applicable

112-

090205-

001-051

Loss of Balance No Lights or Sirens Weakness Not Recorded

112-

090206-

001-005

R Forearm Fracture No Lights or Sirens Traumatic Injury Not Applicable

112-

090209-

001-052

Hemroids No Lights or Sirens Other Not Recorded

112-

090209-

001-053

Evaluation No Lights or Sirens Other Not Recorded

112-

090209-

001-054

Confusion Lights and Sirens Stroke/CVA Not Recorded

112-

090210-

001-055

FEELS LIKE HE WON'T

MAKE IT THRU THE NIGHT Not Known No Apparent

Illness/Injury Not Available

112-

090210-

001-056

Abdominal Pain No Lights or Sirens Traumatic Injury Not Applicable

112-

090211-

001-057

Possible R Hip Fracture No Lights or Sirens Pain Not Recorded

112-

090213-

001-060

Cellulities No Lights or Sirens Pain Not Recorded

112-

090214-

001-006

PNB Lights and Sirens Cardiac Arrest Traumatic Injury

112-

090215-

001-061

Combative Lights and Sirens Diabetic Symptoms

(Hypoglycemia) Not Recorded

112-

090215-

001-063

Left Elbow Injury Not Known Traumatic Injury Not Recorded

112-

090215-

001-064

Stroke Lights and Sirens Stroke/CVA Not Recorded

112-

090215-

001-065

Chest Pain No Lights or Sirens Chest

Pain/Discomfort Not Recorded

112-

090216-

001-066

No Lights or Sirens Back Pain (Non-

Traumatic) Not Recorded

112-

090216-

001-067

MAN DOWN No Lights or Sirens Seizure Not Recorded

112-

090217-

001-068

Suicide/Hanging Lights and Sirens Traumatic Injury Not Recorded

112-

090218-

001-069

Back Pain Initial No Lights or Sirens,

Upgraded to Lights and Sirens Substance/Drug

Abuse Traumatic Injury

112-

090219-

001-070

POSSIBLE

PNEUMOTHORAX Not Known Other Not Recorded

112-

090219-

001-071

Breathing difficulty No Lights or Sirens Respiratory Distress Not Recorded

112-

090221-

001-072

PNB Lights and Sirens Cardiac Arrest Airway Obstruction

112-

090221-

001-073

Altered level of consciousness Lights and Sirens Altered Level of

Consciousness Not Recorded

112-

090221-

001-074

Feet Hurt Not Known Weakness Not Recorded

112-

090222-

001-075

HIP PAIN Not Applicable Pain Not Applicable

112-

090223-

001-076

Possible CVA Lights and Sirens Stroke/CVA Not Recorded

112-

090224-

001-077

Vomiting No Lights or Sirens Nausea/Vomiting

(Unknown Etiology) Not Recorded

112-

090224-

001-078

PASSED OUT No Lights or Sirens Unconscious Not Recorded

112-

090225-

001-079

head pain Initial No Lights or Sirens,

Upgraded to Lights and Sirens Headache Not Recorded

112-

090226-

001-080

WEAKNESS No Lights or Sirens Other Illness/Injury Not Recorded

112-

090226-

001-081

LEFT HIP PAIN No Lights or Sirens Traumatic Injury Not Recorded

112-

090227-

001-082

Painic Attack No Lights or Sirens Other Not Recorded

112-

090301-

001-083

Weakness/Dizziness Lights and Sirens Weakness Not Recorded

112-

090302-

001-085

R. Pinky Finger Pain Not Applicable No Apparent

Illness/Injury Traumatic Injury

112-

090302-

001-086

vomiting blood Lights and Sirens Abdominal

Pain/Problems Other Abdominal/GI

Problem

112-

090302-

001-007

Altered Mental Status Lights and Sirens Traumatic Injury Not Applicable

112-

090303-

001-087

slip from recliner Not Applicable No Apparent


112-

090303-

001-088

LOW BLOOD SUGAR Not Known Diabetic Symptoms


112-

090306-

001-089

Altered LOC No Lights or Sirens Altered Level of


112-

090307-

001-091



112-

090308-

001-092

lower back pain Not Known Not Recorded Not Recorded

112-

090308-

001-093

DIFFICULTY BREATHING No Lights or Sirens Respiratory Distress Not Recorded

112-

090310-

001-094

Weakness Lights and Sirens Hypovolemia/Shock Not Known

112-

090310-

001-095

Neck Pain No Lights or Sirens Traumatic Injury Not Known

112-

090310-

001-096

Tingling in L Hand No Lights or Sirens Allergic Reaction Unknown Problem

112-

090313-

001-098

Coughing Blood Lights and Sirens Unknown Problem Not Recorded

112-

090314-

001-008

R Hip Pain No Lights or Sirens Traumatic Injury Not Applicable

112-

090315-

001-099

Difficulty breathing No Lights or Sirens Respiratory Distress Not Recorded

112-

090315-

001-100

Seizure Lights and Sirens Seizure Not Recorded

112-

090319-

001-103

Flu Symptoms No Lights or Sirens Weakness Nausea/Vomiting

(Unknown Etiology)

112-

090320-

001-009

Possible GI Bleed Lights and Sirens Weakness Not Applicable

112-

090323-

001-105

Fall No Lights or Sirens Altered Level of


112-

090323-

001-106

Weakness Lights and Sirens Weakness Not Recorded

112-

090322-

001-104



112-

090327-

001-108

weakness No Lights or Sirens Weakness Not Recorded

112-

090330-

001-109

Abdomen pain No Lights or Sirens Abdominal

Pain/Problems Not Recorded

112-

090330-

001-110

fall/seizure No Lights or Sirens Unknown Problem Not Recorded

112-

090330-

001-111

weakness Lights and Sirens CHF (Congestive

Heart Failure) Weakness

112-

090331-

001-112

Seizure Lights and Sirens Seizure TIA (Transient

Ischemic Attack)

112-

090331-

001-113

Dizziness No Lights or Sirens Weakness Not Recorded

112-

090401-

001-114

Possible Right Hip Fracture No Lights or Sirens Other Not Recorded

112-

090401-

001-011

Just Dont Feel Right Initial No Lights or Sirens,

Upgraded to Lights and Sirens Substance/Drug

Abuse G.I. Bleed

112-

090401-

001-010

Seizure Lights and Sirens Seizure Not Applicable

112-

090403-

001-116

Unresponsive Lights and Sirens Other Not Recorded

112-

090403-

001-117

fall Not Applicable Not Applicable Not Applicable

112-

090403-

001-118



112-

090404-

001-119

chest pain Lights and Sirens Chest


112-

090405-

001-120

DIFFICULTY BREATHING No Lights or Sirens Other Not Recorded

112-

090405-

001-012

Diffauty breathing Lights and Sirens Not Applicable Not Applicable

112-

090405-

001-121

NONE Not Applicable Other Not Applicable

112-

090406-

001-013

Chest pain No Lights or Sirens Weakness Not Applicable

112-

090407-

001-014


Pain/Discomfort Other Illness/Injury

112-

090408-

001-126

breathing difficulty Lights and Sirens Respiratory Distress Not Recorded

112-

090408-

001-127

neck pain No Lights or Sirens Back Pain (Non-


112-

090409-

001-128


112-

090410-

001-129

Bleeding No Lights or Sirens Pain Not Recorded

112-

090411-

001-130

Fall Lights and Sirens Pain Not Recorded

112-

090411-

001-131

UNCONSCIOUS Not Applicable Traumatic Injury Not Applicable

112-

090412-

001-133

General Weakness Not Known Weakness Not Recorded

112-

090413-

001-015

Blood in Stool No Lights or Sirens G.I. Bleed Not Applicable

112-

090414-

001-134

Leg Pain No Lights or Sirens Pain Not Recorded

112-

090414-

001-135

Abdomen Pain No Lights or Sirens Abdominal


112-

090415-

001-136

PNB Lights and Sirens Cardiac Arrest Not Applicable

112-

090415-

001-137

Not Applicable Not Applicable Not Applicable

112-

090415-

001-138

chest pain Lights and Sirens Pain Not Recorded

112-

090416-

001-018

R Hip Pain No Lights or Sirens Traumatic Injury Not Applicable

112-

090416-

001-139

overdose No Lights or Sirens Other Not Recorded

112-

090417-

001-142

Stroke Lights and Sirens Stroke/CVA Not Recorded

112-

090419-

001-019

Vomiting Blood No Lights or Sirens G.I. Bleed Not Applicable

112-

090416-

001-141

bleeding No Lights or Sirens Other Not Recorded

112-

090420-

001-145

STOMACH ACHE Not Known Not Recorded Not Recorded

112-

090420-

001-146

STOMACH PAIN Not Known Other Not Recorded

112-

090421-

001-147

Difficulty Breathing Lights and Sirens Respiratory Distress Not Recorded

112-

090421-

001-148

Back Pain Lights and Sirens Traumatic Injury Not Recorded

112-

090422-

001-149

Nausea/Dizziness No Lights or Sirens Nausea/Vomiting

(Unknown Etiology) Not Recorded

112-

090423-

001-151

Semi responsvie Lights and Sirens Unconscious Respiratory Arrest

112-

090423-

001-152

Back Pain No Lights or Sirens Pain Weakness

112-

090424-

001-153

Chest discomfort No Lights or Sirens Chest


112-

090425-

001-154

PNB Not Applicable Obvious Death Not Applicable

112-

090425-

001-020

Abdominal Pain Lights and Sirens Abdominal

Pain/Problems Not Applicable

112-

090426-

001-155

LETHARGIC Not Known Other Not Available

112-

090427-

001-156

Back Pain No Lights or Sirens Pain Not Recorded

112-

090429-

001-157

difficulty breathing No Lights or Sirens Respiratory Distress Not Recorded

112-

090430-

001-158

low blood sugar Not Known Not Recorded Not Recorded

112-

090501-

001-159

Doesn't feel well No Lights or Sirens ETOH Abuse Not Recorded

112-

090504-

001-160

bleeding No Lights or Sirens Other Not Recorded

112-

090504-

001-161

Fall No Lights or Sirens Other Not Recorded

112-

090504-

001-163

MVA No Lights or Sirens Syncope/Fainting Not Recorded

112-

090504-

001-164

Back Spasms No Lights or Sirens Back Pain (Non-


112-

090507-

001-165

unresponsive No Lights or Sirens Not Recorded Not Recorded

112-

090507-

001-166

FALL No Lights or Sirens Other Not Recorded

112-

090507-

001-167

UNCONSCIOUSNESS Lights and Sirens Traumatic Injury Not Recorded

112-

090509-

001-168

Chest pain No Lights or Sirens Chest

Pain/Discomfort Pain

112-

090510-

001-171

Hip Pain No Lights or Sirens Pain Not Recorded

112-

090510-

001-172

Trouble breathing Lights and Sirens Respiratory Distress Not Recorded

112-

090511-

001-173

LEG PAIN No Lights or Sirens Pain Not Recorded

112-

090511-

001-174

WEAKNESS No Lights or Sirens Weakness Other Illness/Injury

112-

090512-

001-176

Vaginal Bleeding Not Known Other OB/Gyn Not Recorded

112-

090515-

001-178

Seizure Lights and Sirens Not Recorded Not Recorded

112-

090516-

001-179

Syncope No Lights or Sirens Syncope/Fainting Behavioral/Psychiatric

Disorder

112-

090516-

001-180

seizure No Lights or Sirens Seizure Not Recorded

112-

090516-

001-181

ankle pain No Lights or Sirens Pain Not Recorded

112-

090517-

001-182

Drug Overdose Lights and Sirens Unconscious Not Recorded

112-

090518-

001-183

Altered LOC No Lights or Sirens Diabetic Symptoms


112-

090519-

001-021

Back Pain Initial Lights and Sirens,

Downgraded to No Lights or

Sirens

Back Pain (Non-

Traumatic) Cardiac Rhythm

Disturbance

112-

090523-

001-184

Leg pain No Lights or Sirens Pain Not Recorded

112-

090523-

001-186

Back/leg pain No Lights or Sirens Not Recorded Not Recorded

112-

090527-

001-190

Abdominal Pain Lights and Sirens Weakness Abdominal

Pain/Problems

112-

090526-

001-189

Altered Mental Status Lights and Sirens Cardiac Rhythm

Disturbance Unknown Problem

112-

090526-

001-188

Weakness Lights and Sirens Syncope/Fainting Unknown Problem

112-

090528-

001-192

Left ankle pain No Lights or Sirens Pain Not Recorded

112-

090528-

001-196

Difficulty Breathing Not Known Respiratory Distress Not Recorded

112-

090529-

001-197

Faint No Lights or Sirens Syncope/Fainting Not Recorded

112-

090529-

001-198

Difficulty breathing No Lights or Sirens Respiratory Distress Not Recorded

112-

090531-

001-022

Weakness No Lights or Sirens ETOH Abuse Not Applicable

112-

090531-

001-200

SLURRED SPEECH Lights and Sirens Other Illness/Injury Not Recorded

112-

090528-

001-193

Pressure in the head No Lights or Sirens Other CNS Problem Not Recorded

112-

090528-

001-195



112-

090601-

001-201

Aggressive Behavior No Lights or Sirens Other Not Recorded

112-

090601-

001-202

Altered Mental Status No Lights or Sirens Other Not Recorded

112-

090603-

001-204

back pain No Lights or Sirens Back Pain (Non-


112-

090603-

001-205

Difficulty breathing Lights and Sirens Respiratory Distress Not Recorded

112-

090605-

001-207

Seizure No Lights or Sirens Seizure Not Recorded

112-

090605-

001-208

Difficulty Breathing Lights and Sirens Respiratory Distress Not Recorded

112-

090605-

001-209

Low Blood Sugar Lights and Sirens Diabetic Symptoms


112-

090605-

001-210

Leg Pain R&L No Lights or Sirens Unknown Problem Not Recorded

112-

090607-

001-212

PNB Lights and Sirens Cardiac Arrest Not Recorded

112-

090607-

001-213

Hip Pain Lights and Sirens Traumatic Injury Not Recorded

112-

090607-

001-214

lump on her chest No Lights or Sirens Pain Not Recorded

112-

090611-

001-215

Dyspnea No Lights or Sirens Respiratory Distress Not Recorded

112-

090611-

001-216

Abnormal Heart Rhythm Lights and Sirens Cardiac Rhythm

Disturbance Not Recorded

112-

090611-

001-217

pain in groin Not Known Weakness Pain

112-

090612-

001-218

Altered Metal Status No Lights or Sirens Seizure ETOH Abuse

112-

090614-

001-220

hip pain Lights and Sirens Pain Not Recorded

112-

090615-

001-222

Foot Pain No Lights or Sirens Pain Not Recorded

112-

090616-

001-224

Left arm pain No Lights or Sirens Pain Not Recorded

112-

090614-

001-221

seizures Lights and Sirens Not Recorded Not Recorded

112-

090617-

001-225

Head Laceration No Lights or Sirens Traumatic Injury Not Recorded

112-

090620-

001-024

Eye Pain No Lights or Sirens Behavioral/Psychiatri

c Disorder Not Applicable

112-

090623-

001-228

Right side pain Not Applicable Traumatic Injury Not Applicable

112-

090623-

001-229

No Lights or Sirens Unknown Problem Not Recorded

112-

090625-

001-230

Fuzzy Feeling No Lights or Sirens Poisoning/Drug

Ingestion No Apparent

Illness/Injury

112-

090625-

001-231

hyperventilating No Lights or Sirens Respiratory Distress Not Recorded

112-

090625-

001-232

couldn't move No Lights or Sirens Dehydration Not Recorded

112-

090626-

001-234

seizure No Lights or Sirens Syncope/Fainting Not Recorded

112-

090627-

001-236

leg weakness No Lights or Sirens Weakness Not Recorded

112-

090627-

001-237

none Not Applicable Not Applicable Not Applicable

112-

090628-

001-238

Ankle injury No Lights or Sirens Pain Not Applicable

112-

090628-

001-239

PNB No Lights or Sirens Obvious Death Not Recorded

112-

090629-

001-240

CHEST PAIN Not Known Chest


112-

090630-

001-241

Bump to the head No Lights or Sirens Traumatic Injury Not Applicable

112-

090630-

001-242

DIABETIC COMA Initial Lights and Sirens,

Downgraded to No Lights or

Sirens

Diabetic Symptoms


112-

090630-

001-243

DIFFICULTY BREATHING No Lights or Sirens Respiratory Distress Not Recorded

112-

090630-

001-244



112-

090701-

001-245

PNB Not Applicable Cardiac Arrest Not Recorded

112-

090702-

001-246

Fall No Lights or Sirens Pain Not Recorded

112-

090702-

001-247

Diffculty Breathing No Lights or Sirens Chest


112-

090702-

001-248

car accident Not Applicable Not Applicable Not Applicable

112-

090702-

001-249



112-

090704-

001-251

seizure Not Applicable Seizure Not Applicable

112-

090704-

001-253

ATV Accident Not Applicable Traumatic Injury Not Applicable

112-

090704-

001-254

ATV Accident Lights and Sirens Traumatic Injury Not Recorded

112-

090707-

001-255

PAIN RIGHT HIP Not Known Traumatic Injury Not Applicable

112-

090707-

001-256

ANXIETY Lights and Sirens Behavioral/Psychiatri


112-

090709-

001-257


112-

090709-

001-258

back pain Lights and Sirens Traumatic Injury Not Recorded

112-

090709-

001-259

bsck pain Lights and Sirens Pain Not Recorded

112-

090709-

001-260

difficulty breathing No Lights or Sirens Respiratory Distress Not Recorded

112-

090709-

001-261

Transfer to Country House No Lights or Sirens Not Applicable Not Recorded

112-

090711-

001-262

Possible Overdose Lights and Sirens Poisoning/Drug

Ingestion Not Recorded

112-

090712-

001-263

Possible Overdose Not Applicable Poisoning/Drug

Ingestion Not Applicable

112-

090712-

001-025

Difficulty Breathing Lights and Sirens Asthma Respiratory Distress

112-

090713-

001-264



112-

090714-

001-266

Fall No Lights or Sirens Not Recorded Not Recorded

112-

090715-

001-267

None Not Applicable Not Applicable Not Applicable

112-

090715-

001-268

Low Blood Sugar No Lights or Sirens Diabetic Symptoms


112-

090715-

001-269



112-

090717-

001-270

ALOC Lights and Sirens Diabetic Symptoms

(Hypoglycemia) Chest Pain/Discomfort

112-

090717-

001-271

Left Shoulder Pain Lights and Sirens Traumatic Injury Not Recorded

112-

090719-

001-272

Vomiting No Lights or Sirens ETOH Abuse Unknown Problem

112-

090719-

001-273

pain No Lights or Sirens Pain Not Recorded

112-

090721-

001-274

BACK PAIN Not Known Back Pain (Non-


112-

090722-

001-275

blood in stool No Lights or Sirens G.I. Bleed Not Recorded

112-

090722-

001-277

MVA No Lights or Sirens Pain Not Recorded

112-

090722-

001-278

Weakness No Lights or Sirens Weakness Not Recorded

112-

090723-

001-280

Chest tightness Lights and Sirens Chest


112-

090723-

001-281

CONFUSION Not Known Other Not Available

112-

090723-

001-286

Arm and back pain Lights and Sirens Traumatic Injury Pain

112-

090724-

001-285



112-

090725-

001-286

Slip and Fall/Lift Assist Not Applicable No Apparent


112-

090726-

001-286

pain No Lights or Sirens Weakness Not Recorded

112-

090727-

001-289

Chest pain Lights and Sirens Chest


112-

090729-

001-287

Fall Lights and Sirens Pain Not Recorded

112-

090801-

001-289

Seizure Lights and Sirens Syncope/Fainting Not Recorded

112-

090802-

001-290

Fall No Lights or Sirens Pain Not Applicable

112-

090802-

001-292

none Not Applicable Not Applicable Not Applicable

112-

090803-

001-293

Chest pain Lights and Sirens Respiratory Distress Chest Pain/Discomfort

112-

090804-

001-294

CONFUSION No Lights or Sirens Other ETOH Abuse

112-

090804-

001-290

POSSIBLE STROKE Not Known Headache Not Applicable

112-

090805-

001-296

L Wrist Pain Not Applicable Traumatic Injury Not Applicable

112-

090806-

001-291

WEAKNESS Not Known Vaginal Hemorrhage Not Applicable

112-

090806-

001-297

Overdose Lights and Sirens Poisoning/Drug


112-

090806-

001-298

low back pain Lights and Sirens Pain Not Applicable

112-

090807-

001-292



112-

090808-

001-299

None Not Applicable No Apparent


112-

090808-

001-300

Fall Lights and Sirens Other Illness/Injury Not Applicable

112-

090808-

001-301

laceration No Lights or Sirens Behavioral/Psychiatri


112-

090808-

001-302

Left hip pain No Lights or Sirens Back Pain (Non-


112-

090808-

001-303

ALOC No Lights or Sirens Altered Level of

Consciousness Not Applicable

112-

090810-

001-293

Intoxicated Lights and Sirens Substance/Drug

Abuse Not Recorded

112-

090813-

001-305



112-

090813-

001-294

Burns Lights and Sirens Pain Not Recorded

112-

090812-

001-304

Overdose Lights and Sirens Other Not Applicable

112-

090814-

001-306

shortness of breath No Lights or Sirens Respiratory Distress Not Applicable

112-

090815-

001-296

Cut wraists Not Applicable Not Applicable Not Applicable

112-

090815-

001-297



112-

090816-

001-298


112-

090816-

001-299

PNB Not Applicable Obvious Death Not Recorded

112-

090816-

001-300

WEAKNESS Not Known Not Recorded Not Recorded

112-

090816-

001-301

POSSIBLE OD Not Known Poisoning/Drug


112-

090816-

001-302

Intoxicated/Fall No Lights or Sirens Substance/Drug

Abuse Not Recorded

112-

090817-

001-307

Headache No Lights or Sirens Traumatic Injury Behavioral/Psychiatric

Disorder

112-

090817-

001-308

Dizziness No Lights or Sirens Allergic Reaction Nausea/Vomiting

(Unknown Etiology)

112-

090818-

001-309



112-

090818-

001-311

RIGHT HIP PAIN No Lights or Sirens Pain Not Applicable

112-

090818-

001-310

Left Hip pain No Lights or Sirens Pain Not Applicable

112-

090818-

001-312



112-

090820-

001-313

bleeding Not Applicable Other Not Applicable

112-

090820-

001-304

D.O.A Not Available Obvious Death Not Recorded

112-

090821-

001-305

Abdominal Pain No Lights or Sirens Abdominal


112-

090823-

001-027

Left side numbness No Lights or Sirens Behavioral/Psychiatri

c Disorder Stroke/CVA

112-

090823-

001-306

OVERDOSE Lights and Sirens Poisoning/Drug


112-

090824-

001-314

difficulty breathing No Lights or Sirens Respiratory Distress Not Applicable

112-

090825-

001-307

Pain Lights and Sirens Traumatic Injury Pain

112-

090826-

001-308

Difficulty Breathing Not Known Respiratory Distress Not Recorded

112-

090826-

001-318

Abdominal pain No Lights or Sirens Abdominal


112-

090826-

001-319



112-

090827-

001-309

Passed out Not Applicable Unknown Problem Not Applicable

112-

090828-

001-310

Weakness No Lights or Sirens Weakness Not Recorded

112-

090828-

001-320

PAIN TO BOTH FEET No Lights or Sirens Pain Not Applicable

112-

090828-

001-321

N/A No Lights or Sirens Not Applicable Not Applicable

112-

090829-

001-322

BLEEDING FROM BACK OF

HEAD Lights and Sirens Traumatic Injury Not Applicable

112-

090830-

001-323

Difficulty Breathing Lights and Sirens Respiratory Distress Other

112-

090831-

001-311

weak Lights and Sirens Weakness Cancer

112-

090901-

001-324

ABDOMINAL PAIN No Lights or Sirens Abdominal


112-

090901-

001-325

SEPSIS Initial No Lights or Sirens,

Upgraded to Lights and Sirens Diabetic

Hyperglycemia Altered Level of

Consciousness

112-

090902-

001-312


112-

090902-

001-326

POSSIBLE SEIZURE No Lights or Sirens Other Illness/Injury Seizure

112-

090902-

001-327

FALL Not Applicable No Apparent

Illness/Injury No Apparent

Illness/Injury

112-

090902-

001-313

Fall No Lights or Sirens Traumatic Injury Not Recorded

112-

090903-

001-314

Weakness/Pain No Lights or Sirens Weakness Pain

112-

090904-

001-329

Lower leg pain No Lights or Sirens CHF (Congestive

Heart Failure) Other Cardiovascular

Problem

112-

090905-

001-331

Difficulty Breathing Lights and Sirens Respiratory Distress COPD

(Emphysema/Chronic

Bronchitis)

112-

090905-

001-332

fall Not Applicable Other Not Applicable

112-

090905-

001-333

breathing problem No Lights or Sirens Respiratory Distress Not Applicable

112-

090905-

001-334

hyperglycemia Lights and Sirens Diabetic

Hyperglycemia Hypothermia

112-

090906-

001-316

Stab Wound Lights and Sirens Traumatic Injury Not Recorded

112-

090909-

001-318

Lower Right Abdominal Pain Lights and Sirens Abdominal


112-

090909-

001-335

ABDOMINAL PAIN Lights and Sirens Abdominal


112-

090910-

001-336

abdominal swelling Lights and Sirens Abdominal

Pain/Problems Other

112-

090912-

001-319

problem breathing Lights and Sirens Respiratory Distress Pain

112-

090912-

001-320

low blood sugar Lights and Sirens Diabetic Symptoms


112-

090913-

001-337

Difficulty breathing No Lights or Sirens Respiratory Distress Respiratory Distress

112-

090913-

001-321

Low blood sugar Lights and Sirens Unconscious Not Recorded

112-

090913-

001-338

Fall Lights and Sirens Altered Level of

Consciousness Pain

112-

090914-

001-322

don't feel right Lights and Sirens Altered Level of


112-

090915-

001-323

Possible Overdose No Lights or Sirens Substance/Drug

Abuse Not Recorded

112-

090915-

001-324

Seizures No Lights or Sirens Unknown Problem Substance Drug

Abuse

112-

090917-

001-339



112-

090918-

001-340

Fall Lights and Sirens Altered Level of

Consciousness Other

112-

090919-

001-342

fall Not Applicable Not Applicable Not Applicable

112-

090919-

001-343

shortness of breath No Lights or Sirens Other Not Applicable

112-

090920-

001-344

Should and Arm Pain No Lights or Sirens Pain Pain

112-

090920-

001-345

Difficulty breathing Lights and Sirens Respiratory Distress CHF (Congestive

Heart Failure)

112-

090920-

001-346


Pain/Discomfort Other

112-

090921-

001-325

Hip pain No Lights or Sirens Pain Not Recorded

112-

090921-

001-326

Possible Psych No Lights or Sirens No Apparent

Illness/Injury Not Recorded

112-

090921-

001-327

Low Blood Sugar Not Known Diabetic Symptoms


112-

090921-

001-347

LOW HEMOGLOBIN Initial No Lights or Sirens,

Upgraded to Lights and Sirens Other Traumatic Injury

112-

090923-

001-350

DOA Not Applicable Obvious Death Not Applicable

112-

090923-

001-351



112-

090923-

001-352

Pain right shoulder and chest No Lights or Sirens Pain Pain

112-

090924-

001-353

CHEST PAIN Lights and Sirens Traumatic Injury Chest Pain/Discomfort

112-

090924-

001-354

Breathing No Lights or Sirens Chest

Pain/Discomfort Other

112-

090924-

001-356

Neck Pain Lights and Sirens Traumatic Injury Other

112-

090925-

001-357

Labor/Delivery Lights and Sirens Pregnancy/OB

Delivery Not Applicable

112-

090925-

001-328



112-

090925-

001-329



112-

090925-

001-330



112-

090925-

001-358

couldn't walk up steps into

home No Lights or Sirens Not Applicable Not Applicable

112-

090925-

001-359



112-

090926-

001-360

CARDIAC ARREST Not Applicable Cardiac Arrest Cancer

112-

090927-

001-361

Weakness No Lights or Sirens Weakness Respiratory Distress

112-

090927-

001-030

Genetalia Pain No Lights or Sirens Sexual Assault/Rape Not Applicable

112-

090929-

001-362

LEFT SHOULDER PAIN No Lights or Sirens Toxic Exposure Pain

112-

090930-

001-031

Temporary Unresponsiveness No Lights or Sirens No Apparent


112-

090930-

001-331

Possible overdose Lights and Sirens Poisoning/Drug


112-

091001-

001-332

Chest Pain Lights and Sirens Weakness Chest Pain/Discomfort

112-

091004-

001-363

DIFFICULTY BREATHING No Lights or Sirens Respiratory Distress Other Illness/Injury

112-

091004-

001-364

Dizziness Lights and Sirens Allergic Reaction Not Known

112-

091006-

001-365

patient ambulates with

difficulty Not Applicable Unknown Problem Not Applicable

112-

091006-

001-366

POSSIBLE CVA Lights and Sirens Stroke/CVA Not Applicable

112-

091006-

001-367

WEAKNESS No Lights or Sirens Weakness Back Pain (Non-

Traumatic)

112-

091006-

001-368

Low blood sugar Lights and Sirens Diabetic Symptoms

(Hypoglycemia) Diabetic Symptoms

(Hypoglycemia)

112-

091007-

001-334

Right Knee Dislocation No Lights or Sirens Other Illness/Injury Not Recorded

112-

091009-

001-371

edema lower extremity No Lights or Sirens Altered Level of

Consciousness Weakness

112-

091010-

001-372

Abdominal pain Lights and Sirens OB/Delivery Abdominal

Pain/Problems

112-

091011-

001-335

Laceration to hand No Lights or Sirens Traumatic Injury Not Recorded

112-

091012-

001-373

R HIP PAIN No Lights or Sirens Traumatic Injury No Apparent

Illness/Injury

112-

091011-

001-336

Flu like symptoms Not Applicable Weakness Not Applicable

112-

091012-

001-374

PNB Lights and Sirens Cardiac Arrest Traumatic Injury

112-

091012-

001-376

Upset stomach No Lights or Sirens Abdominal

Pain/Problems Nausea/Vomiting

(Unknown Etiology)

112-

091013-

001-337

Head Trauma Lights and Sirens Traumatic Injury Not Recorded

112-

091014-

001-380

Weakness No Lights or Sirens Back Pain (Non-

Traumatic) Weakness

112-

091014-

001-381


Pain/Discomfort Respiratory Distress

112-

091015-

001-338

Possible Stroke Lights and Sirens Stroke/CVA Not Recorded

112-

091018-

001-382

NECK PAIN Lights and Sirens Pain Other

112-

091019-

001-340

Fall Not Applicable Other Not Applicable

112-

091019-

001-383

Pain All over No Lights or Sirens Pain Not Applicable

112-

091020-

001-385

SEIZURE Lights and Sirens Seizure Chest Pain/Discomfort

112-

091020-

001-386

Seizure No Lights or Sirens Seizure Not Known

112-

091020-

001-387

Seizures No Lights or Sirens Weakness Not Known

112-

091021-

001-341

Seizure Not Applicable Seizure Not Applicable

112-

091021-

001-388

FALL Lights and Sirens Traumatic Injury Pain

112-

091021-

001-389



112-

091021-

001-393

N/A Not Applicable Not Applicable Not Applicable

112-

091021-

001-394


112-

091021-

001-395


112-

091021-

001-396


112-

091021-

001-342


112-

091021-

001-343

Possible MI Lights and Sirens Chest


112-

091022-

001-397

BLOODY NOSE No Lights or Sirens Other Not Applicable

112-

091022-

001-035

Pain in ankle Lights and Sirens Pain Not Applicable

112-

091023-

001-399

none Not Applicable No Apparent


Illness/Injury

112-

091023-

001-400

Pain to back of head Not Applicable Traumatic Injury Not Applicable

112-

091023-

001-401

Sore jaw No Lights or Sirens Pain Not Applicable

112-

091023-

001-402

ALOC No Lights or Sirens Altered Level of


112-

091023-

001-403

difficulty breathing Lights and Sirens Respiratory Distress Not Applicable

112-

091024-

001-404

Fall Not Applicable Other Other

112-

091027-

001-406

weakness No Lights or Sirens Weakness Not Applicable

112-

091027-

001-407

D.O.A. Not Applicable Obvious Death Not Applicable

112-

091027-

001-344

Uncontrollable Bowel Lights and Sirens Respiratory Distress Not Recorded

112-

091027-

001-408

DIFFICULTY BREATHING Lights and Sirens Respiratory Distress Not Applicable

112-

091027-

001-409

pain in left knee No Lights or Sirens Pain Pain

112-

091028-

001-410

Respiratory Distress Lights and Sirens Respiratory Distress Other

112-

091028-

001-411

FALL Not Applicable No Apparent


112-

091029-

001-412

ABDOMINAL PAIN No Lights or Sirens Abdominal

Pain/Problems Back Pain (Non-

Traumatic)

112-

091029-

001-413

SEIZURE Lights and Sirens Seizure Not Applicable

112-

091029-

001-414

Altered Level of

Consciousness No Lights or Sirens Altered Level of


112-

091029-

001-415

Depression No Lights or Sirens Other Not Applicable

112-

091101-

001-416

Respiratory distress Lights and Sirens Respiratory Distress Respiratory Distress

112-

091101-

001-417

None Not Applicable Unknown Problem Not Available

112-

091102-

001-345

Possible Overdose Lights and Sirens Poisoning/Drug


112-

091102-

001-347

Fall Not Applicable Other Not Applicable

112-

091102-

001-418

LOW BLOOD SUGAR Lights and Sirens Diabetic Symptoms

(Hypoglycemia) Unconscious

112-

091104-

001-419

Bilateral Knee Pain No Lights or Sirens Pain Not Applicable

112-

091104-

001-420

Neck Pain Lights and Sirens Pain Not Applicable

112-

091105-

001-421

CUT ABOVE RIGHT EYE No Lights or Sirens Traumatic Injury Not Applicable

112-

091105-

001-423

Difficulty breathing No Lights or Sirens Respiratory Distress Not Applicable

112-

091105-

001-424

unresponsive Lights and Sirens Fever Altered Level of

Consciousness

112-

091105-

001-422

Altered Mental Status No Lights or Sirens Altered Level of

Consciousness Dehydration

112-

091106-

001-425

Lethargic Lights and Sirens Poisoning/Drug


112-

091106-

001-426

Back pain No Lights or Sirens Back Pain (Non-

Traumatic) Back Pain (Non-

Traumatic)

112-

091106-

001-427

ALOC Lights and Sirens Altered Level of


112-

091107-

001-428

PULSELESSINESS Lights and Sirens Cardiac Arrest Cardiac Arrest

112-

091108-

001-431

N/A Not Applicable Not Applicable Not Available

112-

091021-

001-391

LOW BLOOD SUGAR Not Applicable Not Applicable Not Applicable

112-

091108-

001-350

D.O.A. Not Applicable Unconscious Not Recorded

112-

091110-

001-432

LETHARGIC Lights and Sirens Altered Level of

Consciousness Traumatic Injury

112-

091110-

001-433

ALCOC No Lights or Sirens Altered Level of


112-

091110-

001-434

difficulty breathing Not Applicable Respiratory Distress Not Applicable

112-

091111-

001-435

difficulty breathing No Lights or Sirens Respiratory Distress Not Applicable

112-

091113-

001-436


Pain/Discomfort Chest Pain/Discomfort

112-

091114-

001-437

BREATHING PROBLEMS Lights and Sirens Respiratory Distress Not Applicable

112-

091115-

001-438

Not Applicable No Apparent


Illness/Injury

112-

091115-

001-439

Pain in lower back and neck Not Available Traumatic Injury Not Applicable

112-

091115-

001-440

Bleeding from cut above right

eye No Lights or Sirens Traumatic Injury Not Applicable

112-

091115-

001-441

GOUT No Lights or Sirens Other Pain

112-

091116-

001-443

R Side Tingling Lights and Sirens Stroke/CVA Unknown Problem

112-

091116-

001-444

Sweating, weak pulse No Lights or Sirens Weakness Unknown Problem

112-

091116-

001-445

hypoglycemia No Lights or Sirens Diabetic Symptoms


112-

091118-

001-446

Sores No Lights or Sirens Other Not Applicable

112-

091119-

001-351



112-

091119-

001-447

Weakness No Lights or Sirens Weakness Fever

112-

091120-

001-448

Dizziness Lights and Sirens Unknown Problem Cardiac Rhythm

Disturbance

112-

091122-

001-449

Trauma to face No Lights or Sirens Traumatic Injury Not Applicable

112-

091123-

001-450

Altered Mental Status No Lights or Sirens Seizure Altered Level of

Consciousness

112-

091123-

001-451

None No Lights or Sirens Not Applicable Not Known

112-

091123-

001-452

difficulty breathing No Lights or Sirens Respiratory Distress Fever

112-

091124-

001-352

Respiratory distress Lights and Sirens Respiratory Distress Not Recorded

112-

091124-

001-453

Seizure Lights and Sirens Seizure Altered Level of

Consciousness

112-

091126-

001-454

LIP PAIN Not Applicable No Apparent


Illness/Injury

112-

091128-

001-455

difficulty breathing Lights and Sirens Respiratory Distress Not Applicable

112-

091129-

001-457

fast heart rate Lights and Sirens Not Applicable Unknown Problem

112-

091201-

001-458

Problems breathing No Lights or Sirens Respiratory Distress Not Known

112-

091203-

001-459

PAIN NOSE No Lights or Sirens Pain Not Applicable

112-

091203-

001-353

Possible overdose No Lights or Sirens Substance/Drug

Abuse Not Recorded

112-

091204-

001-460

PNB Not Applicable Obvious Death Traumatic Injury

112-

091207-

001-461

Lethargic Lights and Sirens Altered Level of


112-

091207-

001-466

Numbness Lights and Sirens Stroke/CVA Not Known

112-

091207-

001-467

ABDOMINAL PAIN Lights and Sirens Abdominal

Pain/Problems Pain

112-

091210-

001-472

Not Applicable

112-

091210-

001-473

MVA Lights and Sirens Traumatic Injury Not Applicable

112-

091211-

001-474

Seizure Lights and Sirens Seizure Not Applicable

112-

091212-

001-475

weakness Lights and Sirens Stroke/CVA Weakness

112-

091212-

001-354


112-

091212-

001-477

Laceration to back of head No Lights or Sirens Traumatic Injury Altered Level of

Consciousness

112-

091212-

001-479

unresponsive/fainting No Lights or Sirens Altered Level of


112-

091213-

001-480

Pressure in stomach and side No Lights or Sirens Pain Abdominal

Pain/Problems

112-

091213-

001-481

Chest Pain Lights and Sirens Pain Chest Pain/Discomfort

112-

091214-

001-482

CHESTPAIN Lights and Sirens Chest

Pain/Discomfort Pain

112-

091214-

001-355

Possible Acute MI Lights and Sirens Chest


112-

091215-

001-483

REPLACE FEEDING TUBE No Lights or Sirens Other Other

112-

091215-

001-484

DIFFICULTY BREATHING Not Applicable No Apparent


112-

091215-

001-485

Left Hip Pain No Lights or Sirens Traumatic Injury Not Applicable

112-

091216-

001-486

FROST BITE Lights and Sirens Hypothermia Traumatic Injury

112-

091216-

001-487

seizure Lights and Sirens Seizure Not Applicable

112-

091217-

001-488

Alter mental status Lights and Sirens Altered Level of

Consciousness Not Known

112-

091219-

001-356

Low Blood Sugar Not Applicable Diabetic Symptoms


112-

091219-

001-489

Left knee pain Lights and Sirens Pain Traumatic Injury

112-

091222-

001-491

Right Side Pain No Lights or Sirens Allergic Reaction Respiratory Distress

112-

091223-

001-493

Fall No Lights or Sirens Not Applicable Weakness

112-

091226-

001-495

Problems Breathing No Lights or Sirens Respiratory Distress Not Known

112-

091226-

001-496

Pain in penis No Lights or Sirens Pain Other

112-

091227-

001-357

Possible broken right ankle Not Known Traumatic Injury Not Recorded

112-

091226-

001-497

Difficulty Breathing No Lights or Sirens Respiratory Distress Not Applicable

112-

091227-

001-498

SEIZURE No Lights or Sirens Other Not Known

112-

091227-

001-500

POSS SEIZURE No Lights or Sirens Seizure Other

112-

091229-

001-501

Seizure No Lights or Sirens Seizure Not Known

112-

091229-

001-502



112-

091230-

001-503

Stab wound to face Lights and Sirens Traumatic Injury Not Known

112-

091230-

001-504

OVERDOSE Lights and Sirens Poisoning/Drug

Ingestion Altered Level of

Consciousness

112-

091230-

001-505

Seizure No Lights or Sirens Seizure Not Applicable

112-

091230-

001-360

Neurological No Lights or Sirens Other CNS Problem Pain

112-

091231-

001-361



112-

091231-

001-506

neck pain No Lights or Sirens Pain Not Applicable

112-

091231-

001-507

Stroke Lights and Sirens Stroke/CVA Headache

112-

091231-

001-508

L HIP PAIN No Lights or Sirens Traumatic Injury No Apparent

Illness/Injury

112-

091231-

001-509

Confusion No Lights or Sirens Altered Level of

Consciousness Other

Total: 496

Flagdown/Walk-in Emergent

112-

090407-

001-124

Seizure Lights and Sirens Seizure Traumatic Injury

112-

090924-

001-355

Impalement Lights and Sirens Traumatic Injury Not Applicable

112-

091002-

001-333

Laceration to head Not Applicable Traumatic Injury Patient Assist Only

112-

091002-

001-032

unresponsive Lights and Sirens Unconscious Not Applicable

Total: 4

Flagdown/Walk-in Non-emergent

112-

090613-

001-219

weakness/dizzy Not Applicable Not Applicable Weakness

112-

090904-

001-330

ABDOMEN PAIN No Lights or Sirens Traumatic Injury Not Applicable

Total: 2

Interfacility Transfer (Scheduled)

112-

090825-

001-317

DIFFICULTY BREATHING Lights and Sirens Other Illness/Injury No Apparent

Illness/Injury

Total: 1

Interfacility Transfer (Unscheduled)

112-

090105-

001-008

GI BLEED No Lights or Sirens G.I. Bleed Not Applicable

112-

090107-

001-014

Bowel Obstruction Not Applicable Bowel Obstruction Not Applicable

112-

090107-

001-002

Difficulty Breathing No Lights or Sirens Asthma Not Applicable

112-

090109-

001-018

No Lights or Sirens Not Applicable Not Applicable

112-

090112-

001-021

Headache No Lights or Sirens Headache Not Applicable

112-

090114-

001-024

pain right knee Not Applicable Not Applicable Not Applicable

112-

090114-

001-028

chest pain Not Applicable Unknown Problem Not Applicable

112-

090126-

001-037

abdomen Pain No Lights or Sirens Abdominal


112-

090127-

001-041

GI Bleed No Lights or Sirens G.I. Bleed Not Applicable

112-

090131-

001-047

L Ankle Fracture No Lights or Sirens Traumatic Injury Not Applicable

112-

090213-

001-059

GI bleed No Lights or Sirens G.I. Bleed Not Recorded

112-

090215-

001-062

GI Bleed Not Known Other Not Recorded

112-

090306-

001-090

POSSIBLE PE No Lights or Sirens Other Not Recorded

112-

090311-

001-097



112-

090316-

001-101

Respitory distress No Lights or Sirens Weakness Not Recorded

112-

090327-

001-107

Back pain No Lights or Sirens Back Pain (Non-


112-

090402-

001-115

low pulse No Lights or Sirens Other Not Recorded

112-

090407-

001-125

POSSIBLE STROKE No Lights or Sirens Not Recorded Not Recorded

112-

090411-

001-132

ORGAN SHUT DOWN Lights and Sirens Substance/Drug

Abuse Other Illness/Injury

112-

090414-

001-016

Abdominal Pain No Lights or Sirens Traumatic Injury Abdominal

Pain/Problems

112-

090415-

001-017

R Hip Fracture No Lights or Sirens Traumatic Injury Not Applicable

112-

090420-

001-143

STOMACH ACHE Not Known Not Recorded Not Recorded

112-

090420-

001-144

PATIENT TRANSFER Not Known Not Recorded Not Recorded

112-

090422-

001-150

hand weakness No Lights or Sirens Weakness Not Recorded

112-

090510-

001-169

Abdominal Pain No Lights or Sirens Not Recorded Not Recorded

112-

090510-

001-170

Alcohol addiction No Lights or Sirens Not Applicable Not Recorded

112-

090526-

001-187

Can't swallow No Lights or Sirens Other Not Recorded

112-

090528-

001-194

diabetic No Lights or Sirens Diabetic

Hyperglycemia Not Recorded

112-

090601-

001-203

FURTHER EVALUATION Not Known Other Not Recorded

112-

090604-

001-206

Weakness No Lights or Sirens Weakness Pain

112-

090607-

001-211


112-

090615-

001-223

foot pain No Lights or Sirens Pain Not Recorded

112-

090620-

001-023

L side numbness Initial No Lights or Sirens,

Upgraded to Lights and Sirens Stroke/CVA Not Applicable

112-

090625-

001-233

dehydration No Lights or Sirens Dehydration Not Recorded

112-

090703-

001-250

shortness of breath No Lights or Sirens Respiratory Distress Not Recorded

112-

090713-

001-265

high blood alcohol Not Known ETOH Abuse Not Recorded

112-

090722-

001-276

Labor Pains No Lights or Sirens Pregnancy/OB

Delivery Abdominal

Pain/Problems

112-

090723-

001-279

pain No Lights or Sirens Pain Not Recorded

112-

090723-

001-283

Bowel Obstruction No Lights or Sirens Other Abdominal/GI

Problem Not Recorded

112-

090723-

001-284

Hip Dislocation No Lights or Sirens Pain Not Recorded

112-

090729-

001-288

Hip Dislocation No Lights or Sirens Pain Not Recorded

112-

090730-

001-026

Lethargic No Lights or Sirens Traumatic Injury No Apparent

Illness/Injury

112-

090813-

001-026

L Hip Pain No Lights or Sirens Traumatic Injury Not Applicable

112-

090820-

001-303

Lower back pain No Lights or Sirens Unknown Problem Not Recorded

112-

090824-

001-316

weakness Lights and Sirens Weakness Pain

112-

090825-

001-028

Weakness Lights and Sirens Other

Cardiovascular

Problem

Not Applicable

112-

090908-

001-317

bone stuck in mouth No Lights or Sirens Other Not Recorded

112-

090918-

001-341

Left Leg Pain Lights and Sirens Traumatic Injury Not Applicable

112-

090922-

001-348

GI Bleed No Lights or Sirens G.I. Bleed Not Applicable

112-

090922-

001-349

BACK PAIN No Lights or Sirens Back Pain (Non-

Traumatic) Pain

112-

091006-

001-369

Weakness No Lights or Sirens Weakness Weakness

112-

091012-

001-033

Altered Mental Status Lights and Sirens Traumatic Injury TIA (Transient

Ischemic Attack)

112-

091013-

001-377

edema No Lights or Sirens Cancer Not Applicable

112-

091014-

001-378

unresponsive No Lights or Sirens Stroke/CVA Stroke/CVA

112-

091023-

001-036

Influenza No Lights or Sirens Diabetic

Hyperglycemia Other Illness/Injury

112-

091115-

001-442

Liver Problems No Lights or Sirens Sepsis Other

112-

091129-

001-456

Not Applicable

112-

091207-

001-465

weakness &SOB No Lights or Sirens Not Applicable Not Applicable

112-

091208-

001-468

Fever No Lights or Sirens Other Not Known

112-

091209-

001-469

Rectal Bleed No Lights or Sirens G.I. Bleed Not Applicable

112-

091210-

001-470

POSSIBLE PE No Lights or Sirens Respiratory Distress Pain

112-

091223-

001-492

Hemorrhoids No Lights or Sirens Other Abdominal/GI

Problem Pain

Total: 62

Medical Transport

112-

090318-

001-102

hip/upper leg pain No Lights or Sirens Traumatic Injury Not Recorded

112-

090406-

001-122

Transport Home No Lights or Sirens Not Applicable Not Recorded

112-

090523-

001-185

burns No Lights or Sirens Not Recorded Not Recorded

112-

090531-

001-199

None No Lights or Sirens No Apparent

Illness/Injury Not Recorded

112-

090622-

001-226


112-

090726-

001-288

None. Transport Only No Lights or Sirens No Apparent


112-

090906-

001-315

lower back pain Not Applicable Not Applicable Not Applicable

112-

091107-

001-348

Unresponsive No Lights or Sirens Not Applicable Not Applicable

112-

091227-

001-499

Fracture No Lights or Sirens Traumatic Injury Traumatic Injury

Total: 9

Not Applicable

112-

090107-

001-013

Chest Pain Not Applicable Chest


112-

090130-

001-046

Upper Left Rib pain No Lights or Sirens Back Pain (Non-

Traumatic) Pain

112-

090416-

001-140

Disoriented No Lights or Sirens Unknown Problem Not Applicable

112-

091017-

001-339

Patient Transfer Not Applicable Abdominal


Total: 4

Standby

112-

090125-

001-036


112-

090511-

001-175

Bloody nose Not Applicable Not Applicable Not Applicable

112-

091220-

001-490

Breathing Problems Lights and Sirens Respiratory Distress Smoke Inhalation

Total: 3

Grand Total: 581

Search Criteria: Incident Date >= 01/01/09 00:00:00 AND Incident Date <= 12/31/09 23:59:59 AND Service Name in

Oconto (City of) Ambulance Service AND Service Name in Oconto (City of) Ambulance Service

a justification for paramedic upgrade...

Documents