Central Medical Emergency Direction

Entry Notifications

No emergency patient should arrive by ambulance at a hospital without notification through CMED. Entry notifications should be early and brief, indicating an estimated time of arrival (ETA), the patient's age, sex and chief complaint. Only essential information needed for appropriate patient preparation should be relayed. A full patient report should be given to staff upon transfer of patient care at the hospital.

Basic Entry Notification Guidelines:

Contact Worcester CMED on MED Channel 4:

“Worcester CMED, Worcester CMED from (Service Name & #)”.

Wait for CMED to respond.

Requesting priority (1, 2, or 3 ALS/BLS) entry note to (Hospital Name).”

CMED will direct you to a MED Channel; switch to that channel and acknowledge: “(Service Name/# on MED 2, 5, 22, 62, etc)”

CMED will use entry tone requested.

Hospital/Doctor will respond. Confirm they hear you:

“(Hospital Name), How do you Copy?”

We are transporting an ( age) year old (male/female) complaining of (chief complaint).

Vitals as follows – B/P, Pulse, and Respirations

Briefly provide treatment provided pertinent to chief complaint. (Ex: patient is in full c-spine or extremity splinted or Zofran given)

End with: Questions or Instructions?

Wait for Hospital to respond or sign off.

Request to clear from the MED channel. CMED or Hospital may have questions or clarifications.

*Complaint secondary to an MVA should include:

  • severity (minor/moderate/sever damage)
  • restrained/unrestrained
  • positive/negative LOC
  • Immobilized/not immobilized

Hailing on dedicated MED channels, MED 3-Athol, MED 6-Heywood

Example: “Worcester CMED, Worcester CMED from Wood’s 265 5 , ALS entry note to Heywood.”




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