Ambulance codes

Ambulance codes

Ambulance Status Codes

These codes have subtly changed, to be more aligned to the rest of the country and with the triage codes in the EDs.

 Patient condition status codes

Status Zero Status 1 Status 2 Status 3 Status 4
Patient condition Dead Critical Serious Moderate Minor
Threat to life N/A Immediate Potentially Unlikely None
Triage tags White/Black Red Red Orange Green

BAY – Hospital/Ambulance Bay
MDT – Mobile Data Terminal (A small touch screen computer that displays job details)
PURPLE – Cardiac Arrest/Respiratory Arrest. Urgent, Requires lights and sirens
RED – Urgent, Lights and Sirens
ORANGE – Moderate, Normal road speed(Lights and Sirens if deemed fit by the crew.)
GREEN – Minor, Normal road speed.
GREY – Job with unassigned code. Can be recoded to Red, Orange, Green. (Usually not Purple) Normal road speed.

The status codes now reflect the potential for threat to life rather than purely how abnormal the patient’s vital signs and physiology are. The new approach requires ambulance officers to make an assessment of the patient’s problem or injuries, combine this with their vital signs and then allocate a status code based on threat to life. This gives them more leeway for common sense than the previous purely physiology based approach.

Status one patients have an immediate threat to life. Examples would include any of the following – obstructed airway or airway needing intervention to prevent obstruction, severe stridor, severe respiratory distress, shock unresponsive to fluid loading, multi system trauma with very abnormal vital signs, post cardiac arrest with coma, cardiogenic shock, coma with GCS less than or equal to nine.

Status two patients have a potential threat to life. Examples would include any of the following – moderate stridor, moderate respiratory distress, shock responsive to fluid loading, anyone meeting our pre-hospital definition of major trauma but with normal or near normal vital signs, post cardiac arrest but awake, cardiac chest pain unrelieved by nitrates and oxygen alone, abnormal GCS but greater than nine.

Status three patients have a condition that is unlikely to be a threat to life. Examples would include any of the following – mild stridor, mild respiratory distress, isolated SVT with no other symptoms, cardiac chest pain relieved by nitrates and oxygen alone, isolated femur fracture.

Status four patients have a minor condition that is no threat to life.

In overall terms there is not much difference in the status assigned to patients compared with previously. The only significant change is that patients with cardiac chest pain unrelieved by nitrates and oxygen alone will be status two when in the past they often were called status three.

Ambulance codes

Response codes

priority 1 is generally Lights/Siren
priority 2 generally no lights/no siren
priority 3 routine transports/outpatients
normally a driver will stick to this guideline
but ultimately it is the drivers call at which priority he responds too

Job codes

R3 airport alert
R4 road traffic accident
R5 accident other than road
R6 medical condition
R7 collapse
R9 overdose
R10 drowning
R12 shooting
R13 suicide
R14 bomb alert
R15 explosion
R16 fire
R17 assault
R18 maternity case
R19 gynaecological case
R20 amputation
R21 electrocution
R22 homicide
R23 DOA
R24 mentally disturbed patient
R25 police required – urgent
R26 police required – non urgent
R27 fire attendance required – fire or petrol spill
R28 fire attendance required – persons trapped
R29 MOT officer required
R31 doctor required
R32 senior ambulance officer required
R33 additional ambulances required
R34 cancel further ambulances
R35 ambulance not required
R36 no sign of accident or incident
R37 ambulance broken down
R38 ambulance with puncture
R39 ambulance involved in accident
R40 request to notify hospital of condition
R41 brawl in progress
R42 major gang confrontation in progress
R43 stabbing
R44 domestic dispute
R45 armed offender alert
R46 rape
R47 ambulance officer in trouble – police required
R48 flying squad, burns specialist etc
R49 cardiac arrest in transit
R50 life support unit required
R51 patient requires IV fluids
R98 non urgent – job waiting
R99 urgent – job waiting

Status codes

Status 0 patient deceased (fatality)
Status 1 patient requires CPR
Status 2 patient unstable requires IV fluids
Status 3 patient stable but likely to change
Status 4 patient stable unlikely to change

Control car codes … used to/from Delta only

Q81 responding
Q82 not responding
Q83 keep me informed
Q84 more details required
Q85 contact by police
Q86 advise executive officer
Q87 advise deputy or general manager
Q88 official all clear
Q89 standby only
Q90 return to base

Category A – Hospital Authorized

100 Day Case/Outpatient Clinic
110 Medical Transfer
120 Accident Transfer
130 Admissions/Discharges

Category B – Private Hire

200 Standby Attendance
210 Private Transfer/Hire

Category C – Accident

400 Motor Vehicle Accident (MVA)
410 Motorcycle Accident
420 Truck Accident
430 Bicycle Accident
440 Bus Accident
450 Pedestrian vs Vehicle
460 Other (road) accident
500 Home Accident
510 Industrial Accident
520 School Accident
530 Sports Accident
540 Pedestrian Accident
550 Drowning
560 Intentional Injury (by another person – assault)
570 Other accidents

Category C – Medical Etc

610 Admission
620 Discharge
630 Day Case/Outpatient

Category C – Medical

700 Asthma
701 COAD
709 Other Respiratory
710 Fits/Convulsions
720 Drug Overdose
730 Cardiac Arrest
731 LVF/CHF
732 Cardiac Chest Pain
739 Other Cardiac
740 Hypoglycemic Diabetic
741 Hypoglycemic Diabetic
750 Allergy
760 CVA/TIA
770 Gynecological
771 Bostetric
780 Psychiatric (including intentional injuries to self and suicide)
790 Hyperventilation
799 Other medical

Category D – No Charge

800 Police of Fire standby
810 Airport Standby
820 Standby at home
830 Assistance
840 Malicious False Alarm (MFA)
850 Area Standby
860 Other

Colour Priority Old Number Response Description
Purple Very High Cardiac / Respiratory Arrest – Lights & Siren – Also broadcast over the radio for closest vehicle to attend
Red High P1 Lights & siren
Orange Medium P2 Road speed (can be lights & siren if the crew think appropriate)
Green Low P3 Road speed, non-urgent
Grey Very Low Referred to Clinical Desk or PRIME Doctor – Ambulance to attend only if no other options are available