999 Emergency Ambulance Guidelines

SEVERE CHEST PAIN

• Is the patient unconscious?
• Has the patient got a history of heart problems?
• Is the pain a crushing pain like a band around the chest?
• Is the pain moving into the jaw or arms?
• Does the patient feel sick?
• Is the patient sweating or clammy?
• Is the patient having breathing difficulties?

UNCONSCIOUS

• Is the patient unconscious?

SEMI-CONSCIOUS (or 'floppy' baby or child)

• Is the patient semi-conscious or floppy with any other of the following symptoms - Difficult to wake? Stiff neck? Severe headache?
• Is the patient a diabetic? Is the patient having breathing difficulties?
• Is the patient having chest pains?
• Has the patient got a history of heart problems?
• Child with a high pitched whimpering cry? Purple or blood coloured rash? Photo-phobic?

OVERDOSE AND SEMI-CONSCIOUS

•Is the patient unconscious or very drowsy?
•Is the patient having breathing difficulties?

OVERDOSE AND FULLY CONSCIOUS

• Is the patient having breathing difficulties?
• Is the patient a danger to himself?
• Is the patient a danger to others?

SEVERE BREATHLESSNESS OR COLLAPSE

• Is the patient unconscious?
•Is the patient blue around the lips?
•Has the patient inhaled anything or choked on anything?
•Has the patient got chest pains?
•Is the patient unable to speak in sentences?
•Has the patient ever had a severe allergic reaction ?

SEVERE BLEEDING AND COLLAPSE

•Is the patient unconscious?
•Is the patient semi-conscious?
•Is the patient having breathing difficulties?
•Has the patient received a crushing or penetrating injury to head, neck, chest, abdo or thigh?
•Is the bleeding uncontrollable?

SERIOUS HEAD INJURY / R.T.A.

•Is the patient unconscious?
•Is the patient having breathing difficulties?
•Is the patient fitting?
•Has the patient received a crushing or penetrating injury to head, neck, chest, abdo or thigh?

EPILEPSY / FITTING

•Is the patient still fitting? Is this the patient's first fit?
•Has the patient received a serious injury to the head?