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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
Pain/Discomfort Not Applicable
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
Illness/Injury Not Applicable
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
Back Pain No Lights or Sirens Back Pain (Non-
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
Illness/Injury Not Applicable
112-
090303-
001-088
LOW BLOOD SUGAR Not Known Diabetic Symptoms
(Hypoglycemia) Not Recorded
112-
090306-
001-089
Altered LOC No Lights or Sirens Altered Level of
Consciousness Not Recorded
112-
090307-
001-091
Chest Pain Lights and Sirens Chest
Pain/Discomfort Not Recorded
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
Consciousness Not Recorded
112-
090323-
001-106
Weakness Lights and Sirens Weakness Not Recorded
112-
090322-
001-104
Chest Pain Lights and Sirens Chest
Pain/Discomfort Not Recorded
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
Chest Pain Lights and Sirens Chest
Pain/Discomfort Not Recorded
112-
090404-
001-119
chest pain Lights and Sirens Chest
Pain/Discomfort Not Recorded
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
Chest Pain Lights and Sirens Chest
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-
Traumatic) Not Recorded
112-
090409-
001-128
weakness No Lights or Sirens Weakness Not Recorded
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
Pain/Problems Not Recorded
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
Pain/Discomfort Not Recorded
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-
Traumatic) Not Recorded
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
(Hypoglycemia) Not Recorded
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
Altered LOC Lights and Sirens Altered Level of
Consciousness Not Recorded
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-
Traumatic) Not Recorded
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
(Hypoglycemia) Not Recorded
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
Pain/Discomfort Not Recorded
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
(Hypoglycemia) Not Recorded
112-
090630-
001-243
DIFFICULTY BREATHING No Lights or Sirens Respiratory Distress Not Recorded
112-
090630-
001-244
Chest Pain Lights and Sirens Chest
Pain/Discomfort Not Recorded
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
Pain/Discomfort Not Recorded
112-
090702-
001-248
car accident Not Applicable Not Applicable Not Applicable
112-
090702-
001-249
NONE Not Applicable No Apparent
Illness/Injury Not Applicable
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
c Disorder Not Applicable
112-
090709-
001-257
weakness No Lights or Sirens Weakness Not Recorded
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
back pain No Lights or Sirens Back Pain (Non-
Traumatic) Not Recorded
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
(Hypoglycemia) Not Recorded
112-
090715-
001-269
Altered LOC No Lights or Sirens Altered Level of
Consciousness Not Recorded
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-
Traumatic) Not Recorded
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
Pain/Discomfort Not Recorded
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
Back Pain No Lights or Sirens Back Pain (Non-
Traumatic) Not Recorded
112-
090725-
001-286
Slip and Fall/Lift Assist Not Applicable No Apparent
Illness/Injury Traumatic Injury
112-
090726-
001-286
pain No Lights or Sirens Weakness Not Recorded
112-
090727-
001-289
Chest pain Lights and Sirens Chest
Pain/Discomfort Not Applicable
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
Ingestion Not Applicable
112-
090806-
001-298
low back pain Lights and Sirens Pain Not Applicable
112-
090807-
001-292
Chest pain Lights and Sirens Chest
Pain/Discomfort Not Recorded
112-
090808-
001-299
None Not Applicable No Apparent
Illness/Injury Not Applicable
112-
090808-
001-300
Fall Lights and Sirens Other Illness/Injury Not Applicable
112-
090808-
001-301
laceration No Lights or Sirens Behavioral/Psychiatri
c Disorder Not Applicable
112-
090808-
001-302
Left hip pain No Lights or Sirens Back Pain (Non-
Traumatic) Not Applicable
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
None Not Applicable No Apparent
Illness/Injury Not Applicable
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
Chest pain Lights and Sirens Chest
Pain/Discomfort Not Recorded
112-
090816-
001-298
Not Applicable Not Applicable Not Applicable
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
Ingestion Not Recorded
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
None Not Applicable No Apparent
Illness/Injury Traumatic Injury
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
CHEST PAIN Lights and Sirens Chest
Pain/Discomfort Not Applicable
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
Pain/Problems Not Recorded
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
Ingestion Not Recorded
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
Pain/Problems Not Applicable
112-
090826-
001-319
back pain No Lights or Sirens Back Pain (Non-
Traumatic) Not Applicable
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
Pain/Problems Not Applicable
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
Seizure No Lights or Sirens Seizure Not Recorded
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
Pain/Problems Not Recorded
112-
090909-
001-335
ABDOMINAL PAIN Lights and Sirens Abdominal
Pain/Problems Not Applicable
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
(Hypoglycemia) Not Recorded
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
Consciousness Not Recorded
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
Altered LOC Lights and Sirens Altered Level of
Consciousness Not Applicable
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
CHEST PAIN Lights and Sirens Chest
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
(Hypoglycemia) Not Recorded
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
Altered LOC No Lights or Sirens Altered Level of
Consciousness Not Applicable
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
None Not Applicable No Apparent
Illness/Injury Not Applicable
112-
090925-
001-329
None Not Applicable No Apparent
Illness/Injury Not Applicable
112-
090925-
001-330
NONE Not Applicable No Apparent
Illness/Injury Not Applicable
112-
090925-
001-358
couldn't walk up steps into
home No Lights or Sirens Not Applicable Not Applicable
112-
090925-
001-359
Altered LOC Lights and Sirens Altered Level of
Consciousness Not Applicable
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
Illness/Injury Not Applicable
112-
090930-
001-331
Possible overdose Lights and Sirens Poisoning/Drug
Ingestion Not Recorded
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
CHEST PAIN Lights and Sirens Chest
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
CHEST PAIN Lights and Sirens Chest
Pain/Discomfort Not Applicable
112-
091021-
001-393
N/A Not Applicable Not Applicable Not Applicable
112-
091021-
001-394
N/A Not Applicable Not Applicable Not Applicable
112-
091021-
001-395
N/A Not Applicable Not Applicable Not Applicable
112-
091021-
001-396
N/A Not Applicable Not Applicable Not Applicable
112-
091021-
001-342
Dizziness No Lights or Sirens Weakness Not Recorded
112-
091021-
001-343
Possible MI Lights and Sirens Chest
Pain/Discomfort Not Recorded
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 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
Consciousness Not Applicable
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
Illness/Injury Not Applicable
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
Consciousness Not Applicable
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
Ingestion Not Recorded
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
Ingestion Not Applicable
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
Consciousness Not Applicable
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
Consciousness Not Applicable
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
Chest pain Lights and Sirens Chest
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 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
(Hypoglycemia) Not Applicable
112-
091118-
001-446
Sores No Lights or Sirens Other Not Applicable
112-
091119-
001-351
Back Pain No Lights or Sirens Back Pain (Non-
Traumatic) Not Recorded
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 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
Consciousness Not Applicable
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
Dizziness No Lights or Sirens Weakness Not Recorded
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
Consciousness Not Applicable
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
Pain/Discomfort Not Recorded
112-
091215-
001-483
REPLACE FEEDING TUBE No Lights or Sirens Other Other
112-
091215-
001-484
DIFFICULTY BREATHING Not Applicable No Apparent
Illness/Injury Not Applicable
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
(Hypoglycemia) Not Applicable
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
Chest Pain Lights and Sirens Chest
Pain/Discomfort Not Applicable
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
Chest Pain Lights and Sirens Chest
Pain/Discomfort Not Recorded
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
Pain/Problems Not Applicable
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
Back Pain No Lights or Sirens Back Pain (Non-
Traumatic) Not Recorded
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-
Traumatic) Not Recorded
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
Seizure No Lights or Sirens Seizure Not Recorded
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
weakness No Lights or Sirens Weakness Not Recorded
112-
090726-
001-288
None. Transport Only No Lights or Sirens No Apparent
Illness/Injury Not Applicable
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
Pain/Discomfort Not Applicable
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
Pain/Problems Not Applicable
Total: 4
Standby
112-
090125-
001-036
Not Applicable Not Applicable Not Applicable
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