3.1 - Radio and dispatch
- Use the designated EMS channel (currently channel 5) unless directed otherwise by dispatch or command.
- Keep transmissions clear and reasonably brief; communicate your unit, location, response, and requests for support.
- For urgent traffic, announce “Break, Break, Break” or “10-3, Emergency Traffic” followed by the important information.
- Do not interrupt an active emergency transmission with routine chatter. Life-safety emergencies take precedence over rank.
3.2 - Arriving at calls
- Check that you can approach safely and identify potential hazards.
- Establish contact with the patient and determine immediate needs.
- Ask for additional EMS, fire, or police support when conditions warrant.
- Coordinate transport or a handoff and leave the scene ready for the next unit.
3.3 - Who runs the medical scene?
For routine calls, the first appropriately qualified medic may coordinate patient care, with help from incoming staff. Experienced medics should support**-not automatically take over-**unless the original lead requests assistance or patient safety requires it. For large incidents, designate a clear medical lead to organize triage, resources, treatment areas, and transports. Police manage law-enforcement threats; EMS makes medical decisions within its scope.3.4 - Multiple patients
A mass-casualty incident (MCI) occurs when patient needs exceed the resources currently available. Request assistance early and use simple triage language:
Treat based on severity and available resources-not whether the patient is a police officer, suspect, or civilian. Consider urgent threats and responder safety when allocating crews.
3.5 - Transport and lights
- Routine: Stable patient, no urgent deterioration expected; follow normal road rules.
- Emergency: Serious condition requiring prompt hospital care; lights and sirens may be used with due regard for public safety, including slowing and clearing intersections.
