Suffolk AMPDS (Advanced Medical Priority Dispatch System)

Alerts will most likely have a priority associated with them as follows:

• Alpha Code 1 - Low Priority
• Bravo Code 2 - Medium Priority
• Charlie Code 3 - Potential thread to life or property
• Delta Code 3 - Immediate threat to life or property
• Echo Code 3 - Fire or emergency that involves imminent threat to life
• Omega Code 1 - Low Priority

51 - Aircraft Emergency

• D1 - Aircraft Crash
  
• D2 - Aircraft Crash involving structure
  
• D3 - Aircraft Fire on the ground
  
• C1 - Aircraft Incoming with Full Emergency
  
• C2 - Aircraft Incoming with Minor Emergency
  
• B1 - Unknown Situation
  
• A1 - Stand By
  
• O1 - Airborne Aircraft
  

• Each code will also have a suffix
• L - Large aircraft
• S - Small aircraft
• M - Military
• U - Unknown

52 - Alarms

• C1 - High Life Hazard
  
• C2 - High Rise
  
• C3 - Commercial Structure
  
• C4 - Unknown
  
• B1 - Residential (Multiple)
  
• B2 - Residential (Single)
  
• B3 - Non-Dwelling Structure (Shed, Garage, etc)
  
• B4 - Mobile Home, Portable Office
• O1 - Burglar Hold-up Alarm
• O2 - Medical Alarm
  

• Each code will also have a suffix
• C - CO alarm
• G - General/Fire
• H - Heat (temperature) detector
• I - Industrial Gas/HAZMAT
• K - Keypad ( manual)
• O - Other
• P - Pull Station
• S - Smoke Detector
• T - Trouble/Tamper
• W - Waterflow/Sprinkler

53 - Citizen Assist/Service Call

• C1 - Water Problem or Electrical Hazard
  
• B1 - Locked in Vehicle with Possible Medical Assistance Required
  
• B2 - Locked in or Out of Dwelling with Possible Medical Assistance Required
  
• B3 - Citizen's Assist with Possible Medical Assistance Required
  
• B4 - Unknown Situation
  
• A1 - Locked in Vehicle with no Medical Assistance Required
  
• A2 - Locked in or Out of Dwelling with no Medical Assistance Required
  
• A3 - Citizen's Assist with no Medical Assistance Required
  
• A4 - Animal Rescue
• A5 - Water Problem
• O1 - Locked out of Vehicle
• O2 - Down Trees and Objects
• O3 - Hydrant Problems
• O4 - Sewer Problems
• O5 - Water Main Break
• O6 - Other
  

54 - Confined Space / Structure Collapse

• D1 - Confirmed Entrapment
  
• D2 - Unconfirmed Entrapment or Hazardous Materials
  
• C1 - Confirmed Entrapment
  
• B1 - Unconfirmed Entrapment or Hazardous Materials
  

• Each code will also have a suffix
• A - Avalanche
• C - Confined Space
• M - Mudslide
• S - Structure collapse
• T - Trench collapse
• U - Unknown

55 - Electrical Hazard

• C1 - Electrical Hazard with or near water
• C2 - Wires down with smoke or Arcing
• B1 - Electrical Arcing
• B2 - Wires down with no smoke or Arcing
• B3 - Appliance with odor present
• B4 - Electrical odor
• B5 - Unknown situation (investigation)
• A1 - Transformer outside (wire or pole)
• A2 - Appliance with no odor present

• Each code may also have a suffix
• P - Power reportedly disconnected

56 - Elevator / Escalator Rescue

• D1 - Entrapment (escalator) with injuries
• B1 - Elevator malfunction - occupants inside (medical condition present)
• B2 - Caught (escalator) with no injuries
• B3 - Unknown situation (investigation)
• A1 - Elevator malfunction - occupants inside

57 - Explosion

• D1 - High Life Hazard
• D2 - High Rise
• D3 - Commercial structure
• D4 - Residential (multiple)
• D5 - Residential (single)
• D6 - Large non-dwelling structure (barn, storage building)
• D7 - Small non-dwelling structure (shed, detached garage)
• D8 - Large Fuel/Fire Load vehicle (bus, camper, motor home)
• D9 - Mobile home, house trailer, portable office
• B1 - Vehicle explosion
• B2 - Non-structure explosion
• B3 - Unknown situation (investigation)

• Each code may also have a suffix
• F - Fire

58 - Extrication / Entrapped (Machinery, Vehicle)

• D1 - Entrapment (confirmed)
• B1 - Entrapment (unconfirmed)
• B2 - Long Longer Trapped
  

59 - Fuel Spill

• C1 - Uncontained Large spill
• C2 - Contained Large spill
• C3 - In or near waterway
• C4 - Unknown situation (investigation)
• B1 - Uncontained Small spill
• B2 - Contained Small spill

• Large spill = > 5 gal
• Small spill = < 5 gal
• Same as the DEC

60 - Gas Leak / Gas Odor (Natural and LP Gases)

• D1 - High Life Hazard
• D2 - High Rise
• D3 - Commercial structure
• D4 - Residential (multiple)
• C1 - Residential (single)
• C2 - Outside line/tank > or = 5 Gal
• B1 - Outside tank < 5 gal
• B2 - Outside odor/Unknown source

• Each code may also have a suffix
• O - Odor only

61 - HAZMAT

• D1 - HAZMAT (uncontained)
• D2 - HAZMAT Outdoors
• D3 - Illegal Drug Lab Outdoors
• D4 - Illegal Drug Lab Uncontained and Moving
  
• C1 - HAZMAT (contained)
• C2 - Illegal Drug Lab (contained)
• B1 - Small spill (< or = 5 gal)
• A1 - Abandoned Waste

• Each code may also have a suffix
• B - Biological
• C - Chemical
• R - Radiological
• U - Unknown

62 - High Angle Rescue

• D1 High Angle rescue
• B1 Unknown situation (investigation)

• Each code will also have a suffix
• A - Above ground
• B - Below ground

63 - Lightning Strike (investigation)

• C1 - High Life Hazard
• C2 - High Rise
• C3 - Commercial Structure
• C4 - Residential (multiple)
• B1 - Residential (single)
• B2 - Non-Dwelling structure (shed, garage)
• B3 - Mobile home, house trailer, portable office
• B4 - Outside lightning strike
• B5 - Unknown situation (investigation)

64 - Marine Fire

• D1 - Threatened structure or other boats
• D2 - Docked in Coastal Water
• D3 - Docked in Inland Water
• D4 - Beached in Coastal Water
• D5 - Beached in Inland Water
• D6 - Coastal Water (harbor, Great South Bay, etc)
• D7 - Oceanic Water (ocean, L. I. Sound)
• D8 - Inland Water (lake, river, etc)
• D9 - Dry dock
• B1 - Extinguished fire

• Each code will also have a suffix
• L - Large > Or = 50 ft
• M - Medium 25 - 49 ft
• S - Small < 25 ft

65 - Mutual Aid / Assist Outside Agency

• D1 - Mutual Aid to incident (multiple units - HOT)
• D2 - Assist Outside Agency (multiple units - HOT)
• B1 - Mutual Aid to incident (single unit - HOT)
• B2 - Assist Outside Agency (single unit - HOT)
• A1 - Mutual Aid to incident (multiple units - COLD)
• A2 - Assist Outside Agency (multiple units - Cold)
• A3 - Mutual Aid to incident (single unit - COLD)
• A4 - Assist Outside Agency (single unit - COLD)
• A5 - Mutual Aid move up/cover (station assignment)
• A6 - Mutual Aid to staging area

• Each code may also have a suffix
• H - HAZMAT

66 - Odor (strange / unknown)

• C1 - Odor with patient(s)
• A1 - Odor inside
• A2 - Odor outside

67 - Outside Fire

• E1 - Person on fire (outside)
• D1 - Wildland Fire
• D2 - Brush/grass fire
• D3 - Large Outside fire
• D4 - Large Outside fire wit hazardous materials present
• B1 - Small outside fire
• B2 - Small outside fire with hazardous materials present
• B3 - Unknown situation (investigation)
• A1 - Transformer (wire or pole)
• A2 - Extinguished fire
• O1 - Controlled Burn
  

• Each code may also have a suffix to delineate what is threatened
• A - Animals
• P - People
• R - Residential
• S - Structure
• U - Unknown
• V - Vehicle

68 - Smoke Investigation (outside)

• C1 - Heavy smoke
• A1 - Light smoke
• A2 - Odor of smoke

69 - Structure Fire

• E1 - Person on fire (inside)
• E2 - Trapped in Structure Fire
• D1 - High Life Hazard
• D2 - High Rise
• D3 - Commercial structure
• D4 - Residential (multiple)
• D5 - Residential (single)
• D6 - Chimney
• D7 - Large non-dwelling structure (barn, storage building)
• D8 - Small non-dwelling structure (shed, detached garage)
• D9 - Mobile home, house trailer, portable office
• D10 - Unknown situation (investigation)
• C1 - Appliance (contained)
• C2 - Extinguished fire

• Each code may also have a suffix
• H - HAZMAT
• S - Smoke odor
• Z - HAZMAT & Smoke odor

70 - Train / Rail Incident

• D1 - Structure involved
• D2 - Derailment below ground
• D3 - Derailment elevated (above ground)
• D4 - Derailment at ground level
• D5 - Derailment in a tunnel
• D6 - Fire on board below ground
• D7 - Fire on board elevated (above ground)
• D8 - Fire on board at ground level
• D9 - Fire on board in a tunnel
• D10 - Vehicle(s) involved
• B1 - Unknown situation (investigation)
• 01 - Moving Train
  

• Each code may also have a suffix
• C - Cable car
• F - Freight train
• L - Light rail
• M - Monorail
• P - Passenger (commuter) train
• S - Subway
• T - Trolley
• U - Unknown

71 - Vehicle Fire

• E1 - Vehicle fire (occupants trapped)
• D1 - Vehicle fire with threatened structure
• D2 - Tanker or tractor trailer (semi) with flammable cargo
• D3 - Large Fuel/Fire load vehicle
• C1 - Vehicle fire threatening non structure
• C2 - Vehicle fire in Parking Garage (Parkade)
• B1 - Vehicle fire
• B2 - Large Fuel/Fire load vehicle (extinguished)
• A1 - Vehicle fire (extinguished)

• Each code may also have a suffix
• A - Alternative fuel/Hybrid vehicle
• H - HAZMAT
• Y - HAZMAT and Alternative fuel/Hybrid vehicle

72 - Water Rescue

• E1 - Sinking vehicle
• E2 - Ice rescue
• E3 - Swift Water rescue
• E4 - Scuba dive accident
• E5 - Swimming pool rescue
• E6 - Coastal Water rescue
• E7 - Inland Water rescue
• E8 - Oceanic Water rescue
• B1 - Stranded Motorist (non-threatened)
• B2 - Unknown situation (investigation)
• A1 - Animal Rescue

73 - Watercraft in Distress

• D1 - Taking on water
• D2 - Person Overboard
  
• D3 - Flare sighting (orange or red)
• D4 - Unknown situation (investigation)
• B1 - Out of fuel
• B2 - Engine will not start
• B3 - Run aground
• B4 - Flare sighting (other than orange or red)

• Each code will also have a suffix
• C - Coastal
• I - Inland
• O - Oceanic

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Suffolk County EMS Codes

1. Abdominal Pains/Problems

• A1 - Abdominal pain
• C1 - Males (older than 34)
• C2 - Females (older than 45)
• C3 - Not alert
• C4 - Females with fainting (ages 12

2. Allergies/Hives/Red Reaction/Stings

• A1 - No difficulty breathing or swallowing
• B1 - Unknown symptoms (3rd party situation)
• C1 - Difficulty breathing or swallowing
• D1 - Severe respiration distress
• D2 - Not alert
• D3 - Condition worsening
• E1 - Ineffective Breathing

3. Animal Bites/Attacks

• A1 - Superficial or minor bites
• A2 - Spider or insect bites
• B1 - Peripheral bites with serious bleeding
• B2 - Unknown injuries (3rd party situation)
• D1 - Severe central bites
• D2 - Large carnivores
• D3 - Zoo animal
• D4 - Exotic animal
• D5 - Any snake
• D6 - Attacks or multiple animals

4. Assault/Rape

• A1 - Not dangerous injuries
• A2 - Non-recent injuries (> 6 hrs)
• B1 - Possibly dangerous injuries
• B2 - Serious hemorrhages
• B3 - Unknown injuries (3rd party situation)
• D1 - Multiple victims
• D2 - Dangerous injuries
• D3 - Not alert
• D4 - Abnormal breathing

5. Back Pain

• A1 - Non-traumatic back pain
• A2 - Non recent traumatic back pain (> 6 hrs)
• C1 - Fainting (age > 50 and non-traumatic)
• D1 - Not alert

6. Breathing Problems

• C1 - Difficulty breathing
• C2 - Asthma
• C3 - Cardiac history
• D1 - Severe respiratory distress
• D2 - Not alert
• D3 - Sweat or changing colors
• E1 - Ineffective Breathing

7. Burns/Explosion

• A1 - Small burns
• A2 - Sunburn or minor burns (< hand size)
• B1 - Unknown extent (3rd party situation)
• C1 - Difficulty breathing
• C2 - Large burns
• D1 - Multiple victims
• D2 - Severe respiratory distress
• D3 - Not Alert
• D4 - Explosion

8. Carbon Monoxide/Inhalation/HazMat

• B1 - Alert and breathing normally
• C1 - Alert with abnormal breathing
• D1 - Multiple victims
• D2 - Not alert
• D3 - HazMat
• D4 - Unknown status (3rd party situation)

9. Cardiac/Respiratory Arrest

• B1 - Obvious death situation (unquestionable)
• D1 - Suspected cardiac arrest
• D2 - Suspected respiratory arrest
• E1 - Not Breathing At All
• E2 - Breathing Uncertain (Agonal)
• E3 - Hanging
• E4 - Strangulation
• E5 - Suffocation
• E6 - Underwater

10. Chest pain

• A1 - Normal breathing (age < 35)
• C1 - Normal breathing (age > 35)
• C2 - Abnormal breathing
• C3 - Cocaine
• C4 - Cardiac History
• D1 - Severe respiratory distress
• D2 - Not Alert
• D3 - Sweaty or changing color

11. Choking

• A1 - No longer choking (can talk or cry), is alert and breathing normally)
• D1 - Choking
• D2 - Abnormal breathing
• D3 - Not alert
• E1 - Choking Verified/Ineffective Breathing

12. Convulsions/Seizures

• A1 - Breathing now physically verified by caller
• B1 - Age < 35 (breathing not verified)
• C1 - Pregnancy
• C2 - Trauma
• C3 - Diabetic
• C4 - Cardiac History
• D1 - Continuous or multiple seizures
• D2 - Age > 35 (breathing not verified)
• D3 - Not breathing (verified)

13. Diabetic Problems

• A1 - Conscious and alert
• C1 - Conscious but not alert
• C2 - Conscious with abnormal breathing
• D1 - Unconscious

14. Drowning (near) / Diving Accident

• A1 - Alert and breathing normally (no injuries and out of water)
• B1 - Alert and breathing normally (injuries and/or in water)
• B2 - Unknown status (3rd party sit.)
• C1 - Alert with abnormal breathing
• D1 - Unconscious
• D2 - Not breathing or underwater
• D3 - Not alert and/or abnormal breathing
• D4 - Suspected neck injury
• D5 - Diving or SCUBA accident

15. Electrocution

• C1 - Alert and breathing normally
• D1 - Unconscious
• D2 - Not disconnected from power
• D3 - Power not off/hazard present
• D4 - Not alert
• D5 - Abnormal breathing
• D6 - Long fall (> 6 ft./2m.)
• D7 - Unknown status (3rd party situation)
• E1 - Not Breathing/Ineffective Breathing

16. Eye problems / injuries

• A1 - Moderate eye injury
• A2 - Minor eye injury
• B1 - Severe eye injuries
• D1 - Not alert

17. Falls / Back injuries (traumatic)

• A1 - Not dangerous injuries
• A2 - Non-recent injuries (> 6 hrs.)
• B1 - Possible dangerous injuries
• B2 - Serious hemorrhage
• B3 - Unknown injuries (3rd party situation)
• D1 - Dangerous injuries
• D2 - Long fall (> 6 ft./2 m.)
• D3 - Not alert
• D4 - Abnormal breathing

18. Headache

• A1 - Headache only (without prior symptoms)
• C1 - Not alert
• C2 - Numbness or paralysis
• C3 - Speech or movement problems
• C4 - Sudden onset of severe pain
• C5 - Recent head injuries (< 24 hrs.)

19. Heart Problems

• A1 - Heart rate < 130 (without prior symptoms)
• B1 - Unknown symptoms
• C1 - Not alert
• C2 - Cardiac History
• C3 - Heart rate >130 (without prior symptoms)
• C4 - Cocaine
• D1 - Firing of implanted defibrillator

20. Heat / cold exposure

• A1 - Alert (without prior symptoms)
• B1 - Change in skin color
• B2 - Unknown symptoms (3rd party situation)
• C1 - Cardiac History
• D1 - Not alert

21. Hemorrhage / lacerations

• A1 - Not dangerous hemorrhage
• B1 - Possibly dangerous hemorrhage
• D1 - Dangerous hemorrhage
• D2 - Not alert
• D3 - Severe respiratory distress

22. Industrial / machinery accidents

• B1 - Unknown illness or injuries (not caught in machinery)
• D1 - Multiple victims
• D2 - Trapped or caught in machinery (unknown injuries)
• D3 - Life status questionable

23. Overdose / ingestion / poisoning

• A1 - Conscious and alert (age 1 though 11 years)
• B1 - Conscious and alert ( age < 1 or > 12 years)
• C1 - Not alert (unable to talk)
• C2 - Abnormal breathing
• C3 - Antidepressants (tricyclic)
• C4 - Cocaine
• C5 - Acid or lye (alkali)
• C6 - Violent
• D1 - Unconscious
• D2 - Severe respiratory distress

24. Pregnancy / childbirth / miscarriage

• A1 - 1st trimester bleeding or miscarriage
• A2 - Illness during pregnancy (without priority symptoms)
• B1 - Labor (delivery not imminent 2nd/3rd trimester)
• B2 - Unknown pregnancy problems (3rd party situation)
• C1 - 2nd trimester bleeding or miscarriage
• D1 - Baby born
• D2 - Baby's head visible (crowning)
• D3 - Imminent delivery (3rd trimester)
• D4 - 3rd trimester bleeding
• D5 - Breach presentation

25. Psychiatric emergency/suicide attempt

• A1 - Non-violent and non-suicidal (alert)
• B1 - Unknown symptoms (3rd party situation)
• C1 - Not alert
• C2 - Violent
• C3 - Suicidal (threatening)
• D1 - Hanging, strangulation, or suffocation

26. Sick person (specific diagnosis)

•  - 2 Boils
•  - 3 Bumps
•  - 4 Can't Sleep
•  - 5 Can't Urinate (Without Abdominal Pain)
•  - 6 Catheter (in/out without hemorrhaging)
•  - 7 Constipation
•  - 8 Cramps/Spasms (In Extremities)
•  - 9 Cut Off Ring Request
•  - 10 Deafness
•  - 11 Defecation
•  - 12 Earache
•  - 13 Enema
•  - 14 Gout
•  - 15 Hemorrhoids/piles
•  - 16 Hepatitis
•  - 17 Hiccups
•  - 18 Hungry
•  - 19 Nervous
•  - 20 Object Stuck (Nose, Ear,Vagina,Rectum,[censored])
•  - 21 Object Swallowed (w/o Difficulty Breathing or Swallowing)
•  - 22 [censored] Problem/pain
•  - 23 rash/Skin Disorder (w/o difficulty breathing or swallowing)
•  - 24 Shore Throat (w/o difficulty breathing or swallowing)
•  - 25 Toothache
•  - 26 Transportation Only
•  - 27 Venereal Disease (STD)
•  - 28 Wound Infection (Focal or Surface)

• A1 - No priority symptoms (complaint cond. 2-28 no ident)
• A2 - Non-priority complaints
• B1 - Unknown symptoms (3rd party situation)
• C1 - Not alert
• C2 - Cardiac history (complaint cond 2-28 not ident)

27. Stab / gunshot wound

• A1 - Non-recent single peripheral wound (> 6 hrs)
• B1 - Known single peripheral wound
• B2 - Non-recent single central wound (> 6 hrs)
• B3 - Unknown situation (3rd party)
• D1 - Central wounds
• D2 - Multiple victims
• D3 - Not alert
• D4 - Multiple wounds

28. Stroke (CVA)

• A1 - Alert and breathing normally (numbness, speech or movement problems may be present)
• B1 - Unknown situation (3rd party situation)
• C1 - Not alert
• C2 - Abnormal breathing

29. Traffic accidents

• A1 - 1st party caller without dangerous injuries
• B1 - Injuries
• B2 - Unknown situation
• D1 - Multiple victims
•  - A - Aircraft
•  - B - Bus
•  - C - Subway/Metro
•  - D - Rail
•  - E - Watercraft

D2 - Auto-ped/motorcycle/bicycle

•  - A - All-Terrain Vehicle
•  - B - Vehicle vs. Bicycle/Motorcycle
•  - C - Vehicle vs. Pedestrian
•  - D - Ejection from Vehicle
•  - E - Personal watercraft
•  - F - Rollover
•  - G - Vehicle over bridge

• D3 - HazMat
• D4 - Trapped victim
• D5 - Ejected victim
• D6 - Not alert
• D7 - Severe respiratory distress

30. Traumatic injuries, specific

• A1 - Not dangerous injuries
• A2 - Non-recent injuries (> 6 hrs)
• B1 - Possibly dangerous injuries
• B2 - Serious hemorrhage
• D1 - Dangerous injuries
• D2 - Severe respiratory distress
• D3 - Not alert

31. Unconscious / fainting (nontraumatic)

• A1 - Single fainting episode and alert (age < 35)
• A2 - Near fainting episode and alert (age < 35)
• C1 - Single or near fainting episode and alert
• C2 - Multiple fainting episodes
• C3 - Females with abdominal pain (ages 12-50)
• C4 - Conscious with abnormal breathing
• C5 - Cardiac history
• D1 - Unconscious (at end of interrogation)
• D2 - Severe respiratory distress
• D3 - Not alert
• E1 - Ineffective Breathing

32. Unknown problem (man down)

• B1 - Standing, sitting up, moving or talking
• B2 - Medical alert notifications
• B3 - Unknown situation (3rd party)
• D1 - Life status questionable