New Hampshire Medical Codes

New Hampshire Medical Codes

Abdominal Pain / Problems

• 1-A-1 Abdominal pain
• 1-C-1 Males (age 35 and older)
• 1-C-2 Females (age 45 and older)
• 1-C-3 Not alert
• 1-C-4 Females with fainting (ages 12 to 50)

Allergies / Hives / Medical Reactions / Stings

• 2-A-1 No difficulty breathing or swallowing (rash, hives, or itching may be present)
• 2-B-1 Unknown symptoms (3rd party situation)
• 2-C-1 Difficulty breathing or swallowing
• 2-D-1 Severe respiratory distress
• 2-D-2 Not alert
• 2-D-3 Condition worsening

Animal Bites / Attacks

• 3-A-1 Superficial or minor bites
• 3-A-2 Spider or insect bites
• 3-B-1 Peripheral bites with serious hemorrhage
• 3-B-2 Unknown injuries (3rd party situation)
• 3-D-1 Severe central bites
• 3-D-2 Large carnivore
• 3-D-3 Zoo animal
• 3-D-4 Exotic animal
• 3-D-5 Any snake
• 3-D-6 Attacks or multiple animals

Assault / Rape

• 4-A-1 Not dangerous injuries
• 4-A-2 Non-recent injuries (six hours or more)
• 4-B-1 Possibly dangerous injuries
• 4-B-2 Serious hemorrhage
• 4-B-3 Unknown injuries (police not present)
• 4-D-1 Multiple victims
• 4-D-2 Dangerous injuries
• 4-D-3 Not alert
• 4-D-4 Abnormal breathing

Back Pain (Non-Traumatic)

• 5-A-1 Non-traumatic back pain
• 5-A-2 Non-recent traumatic back pain (six hours or more)
• 5-C-1 Fainting (age 50 and older and non-traumatic)
• 5-D-1 Not alert

Breathing Problems

• 6-C-1 Difficulty breathing
• 6-C-2 Asthma
• 6-C-3 Cardiac history
• 6-D-1 Severe respiratory distress
• 6-D-2 Not alert
• 6-D-3 Sweaty or changing color

Burns / Explosion

• 7-A-1 Small burns (less than 18 percent)
• 7-A-2 Sunburn or minor burns (hand size or less)
• 7-B-1 Unknown extent (3rd party situation)
• 7-C-1 Difficulty breathing
• 7-C-2 Large burns (18 percent or greater)
• 7-D-1 Multiple victims
• 7-D-2 Severe respiratory distress
• 7-D-3 Not alert
• 7-D-4 Explosion

Carbon Monoxide / Inhalation / HazMat

• 8-B-1 Alert and breathing normally
• 8-C-1 Alert with abnormal breathing
• 8-D-1 Multiple victims
• 8-D-2 Not alert
• 8-D-3 Hazmat
• 8-D-4 Unknown status (3rd party situation)

Cardiac / Respiratory Arrest

• 9-B-1 Obvious death situation (unquestionable)
• 9-D-1 Suspected cardiac arrest
• 9-D-2 Suspected respiratory arrest

Chest Pain

• 10-A-1 Normal breathing (age 34 and younger)
• 10-C-1 Normal breathing (age 35 and older)
• 10-C-2 Abnormal breathing
• 10-C-3 Cocaine
• 10-C-4 Cardiac history
• 10-D-1 Severe respiratory distress
• 10-D-2 Not alert
• 10-D-3 Sweaty or changing color

Choking

• 11-A-1 Not choking now (can talk or cry [for infant], is alert and breathing normally)
• 11-D-1 Choking
• 11-D-2 Abnormal breathing
• 11-D-3 Not alert

Convulsions / Seizures

• 12-A-1 Breathing now physically verified by caller
• 12-B-1 Age 34 and younger (breathing not verified)
• 12-C-1 Pregnancy
• 12-C-2 Trauma
• 12-C-3 Diabetic
• 12-C-4 Cardiac history
• 12-D-1 Continuous or multiple seizures
• 12-D-2 Age 35 and older (breathing not verified)
• 12-D-3 Not breathing (verified)

Diabetic Problems

• 13-A-1 Conscious and alert
• 13-C-1 Conscious but not alert
• 13-C-2 Conscious with abnormal breathing
• 13-D-1 Unconscious

Drowning (Near) / Diving Accident

• 14-A-1 Alert and breathing normally (no injuries and out of water)
• 14-B-1 Alert and breathing normally (injuries and/or in water)
• 14-B-2 Unknown status (3rd party situation)
• 14-C-1 Alert with abnormal breathing
• 14-D-1 Unconscious
• 14-D-2 Not breathing or underwater
• 14-D-3 Not alert and/or abnormal breathing
• 14-D-4 Suspected neck injury
• 14-D-5 Diving or SCUBA accident

Electrocution

• 15-C-1 Alert and breathing normally
• 15-D-1 Unconscious
• 15-D-2 Not disconnected from power
• 15-D-3 Power not off/hazard present
• 15-D-4 Not alert
• 15-D-5 Abnormal breathing
• 15-D-6 Long fall (six feet/two meters or more)
• 15-D-7 Unknown status (3rd party situation)

Eye Problems / Injuries

• 16-A-1 Moderate eye injuries
• 16-A-2 Minor eye injuries
• 16-B-1 Severe eye injuries
• 16-D-1 Not alert

Falls / Back Injuries (Traumatic)

• 17-A-1 Not dangerous injuries
• 17-A-2 Non-recent injuries (six hours or more)
• 17-B-1 Possibly dangerous injuries
• 17-B-2 Serious hemorrhage
• 17-B-3 Unknown injuries (3rd party situation)
• 17-D-1 Dangerous injuries
• 17-D-2 Long fall (six feet/two meters or more)
• 17-D-3 Not alert
• 17-D-4 Abnormal breathing

Headache

• 18-A-1 Headache only (without priority symptoms)
• 18-C-1 Not alert
• 18-C-2 Numbness or paralysis
• 18-C-3 Speech or movement problems
• 18-C-4 Sudden onset of severe pain
• 18-C-5 Recent head injury (24 hours or less)

Heart Problems

• 19-A-1 Heart rate less than 130 (without priority symptoms)
• 19-B-1 Unknown symptoms (3rd party situation)
• 19-C-1 Not alert
• 19-C-2 Cardiac history
• 19-C-3 Heart rate 130 or greater (without priority symptoms)
• 19-C-4 Cocaine
• 19-D-1 Firing of implanted defibrillator

Heat / Cold Exposure

• 20-A-1 Alert (without priority symptoms)
• 20-B-1 Change in skin color
• 20-B-2 Unknown symptoms (3rd party situation)
• 20-C-1 Cardiac history
• 20-D-1 Not alert

Hemorrhage / Lacerations

• 21-A-1 Not dangerous hemorrhage
• 21-B-1 Possibly dangerous hemorrhage
• 21-D-1 Dangerous hemorrhage
• 21-D-2 Not alert
• 21-D-3 Severe respiratory distress

Industrial / Machinery Accidents

• 22-B-1 Unknown illness or injuries (not caught in machinery)
• 22-D-1 Multiple victims
• 22-D-2 Trapped or caught in machinery (unknown injuries)
• 22-D-3 Life status questionable

Overdose / Ingestion / Poisoning

• 23-Omega-1 Conscious and alert (ages 1 through 11)
• 23-B-1 Conscious and alert (age less than 1 or 12 or older)
• 23-C-1 Not alert (unable to talk)
• 23-C-2 Abnormal breathing
• 23-C-3 Antidepressants (tricyclic)
• 23-C-4 Cocaine
• 23-C-5 Acid or lye (alkali)
• 23-C-6 Violent
• 23-D-1 Unconscious
• 23-D-2 Severe respiratory distress

Pregnancy / Childbirth / Miscarriage

• 24-A-1 1st trimester bleeding or miscarriage
• 24-A-2 Illness during pregnancy (without priority symptoms)
• 24-B-1 Labor (delivery not imminent -- 2nd and 3rd trimester)
• 24-B-2 Unknown pregnancy problem (3rd party situation)
• 24-C-1 2nd trimester bleeding or miscarriage
• 24-D-1 Baby born
• 24-D-2 Baby's head visible (crowning)
• 24-D-3 Imminent delivery (3rd trimester)
• 24-D-4 3rd trimester bleeding
• 24-D-5 Breech presentation

Psychiatric / Suicide Attempt

• 25-A-1 Non-violent and non-suicidal (alert)
• 25-B-1 Unknown symptoms (3rd party situation)
• 25-C-1 Not alert
• 25-C-2 Violent
• 25-C-3 Suicidal (threatening)
• 25-D-1 Hanging, strangulation, or suffocation

Sick Person (Specific Diagnosis)

• 26-A-1 No priority symptoms (complaint conditions 2-28 not identified)
• 26-A-2 thru 26-A-28 Non-priority complaints
• 26-B-1 Unknown symptoms (3rd party situation)
• 26-C-1 Not alert
• 26-C-2 Cardiac history (complaint conditions 2-28 not identified)

Stab / Gunshot Wound

• 27-A-1 Non-recent single peripheral wound (six hours or more)
• 27-B-1 Known single peripheral wound
• 27-B-2 Non-recent single central wound (six hours or more)
• 27-B-3 Unknown situation (3rd party)
• 27-D-1 Central wounds
• 27-D-2 Multiple victims
• 27-D-3 Not alert
• 27-D-4 Multiple wounds

Stroke (CVA)

• 28-A-1 Alert and breathing normally (numbness, speech or movement problems may be present)
• 28-B-1 Unknown symptoms (3rd party situation)
• 28-C-1 Not alert
• 28-C-2 Abnormal breathing

Traffic Accidents

• 29-A-1 1st party caller with not dangerous injuries
• 29-B-1 Injuries
• 29-B-2 Unknown situation (3rd party)
• 29-D-1 Multiple victims
• 29-D-2 Auto vs pedestrian / motorcycle / bike
• 29-D-3 Hazmat
• 29-D-4 Trapped victim
• 29-D-5 Ejected victim
• 29-D-6 Not alert
• 29-D-7 Severe respiratory distress

Traumatic Injuries, Specific

• 30-A-1 Not dangerous injuries
• 30-A-2 non-recent injuries (six hours or more)
• 30-B-1 Possibly dangerous injuries
• 30-B-2 Serious hemorrhage
• 30-D-1 Dangerous injuries
• 30-D-2 Severe respiratory distress
• 30-D-3 Not alert

Unconscious / Fainting (Non-Traumatic)

• 31-A-1 Single fainting episode and alert (age 34 and younger)
• 31-A-2 Near fainting episode and alert (age 34 and younger)
• 31-C-1 Single or near fainting episode and alert (age 35 and older)
• 31-C-2 Multiple fainting episodes
• 31-C-3 Females with abdominal pain (age 12 through 50)
• 31-C-4 Conscious with abnormal breathing
• 31-C-5 Cardiac history
• 31-D-1 Unconscious (at end of interrogation)
• 31-D-2 Severe respiratory distress
• 31-D-3 Not alert

Unknown Problem (Man Down)

• 32-B-1 Standing, sitting up, moving or talking
• 32-B-2 Medical alert notifications
• 32-B-3 Unknown situation (3rd party)
• 32-D-1 Life status questionable

Nursing Home, Hospice Centers, Extended Care facilities

• 33-?-?

37 Inter-Facility Evaluation

• Effective 2019.05.10
• 37-C-1 Acute onset of priority symppton[s]
• 37-C-2 Suspected acute heart problems or MI (heart attack)
• 37-C-3 Suspected Stroke (< "T" hours)
• 37-C-4 Medication management required
• 37-C-5 Not identified as one of the above, but emergent response requested

• 37-D-1 CPR/Not breathing or equivalent situation

A - Alpha - Non-emergency response incidents, no lights or siren - BLS
B - Bravo - Less serious emergency run - BLS
C - Charlie - Emergency that is somewhat more serious call - ALS
D - "Delta" - Very serious calls requiring ALS
E - "Echo" - Most serious call requiring ALS (closest available resource)

? - "Omega" - Public Assist Non Emergency - BLS

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