About This File
This Supervisor modification utilizes the listed run cards (in the spoiler) to dispatch in-game calls. Every call is dispatched with a tone corresponding to the requested agency (police, fire or EMS), followed by the applicable code for fire or EMS. Police calls are voiced in plain English. All files contained within this modification replace the existing british-style dispatcher that appears in the lower right hand corner.
Here's an example of a basic medical call: https://www.youtube.com/watch?v=1dgxvhgSnGw&feature=youtu.be
The video above is what will appear in the lower right corner of the screen when a callout happens.
Installation: Drag and drop the "data" folder into your Emergency 4 game directory. Make sure to back up your files!
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Protocol 1: Abdominal Pain/Problems
- 1-D-1 Not alert
- 1-C-1 Suspected aortic aneurysm (tearing/ripping pain) ≥50 years old
- 1-C-2 Known aortic aneurysm
- 1-C-3 Fainting or near fainting ≥50 years old
- 1-C-4 Females with fainting or near fainting 12-50 years old
- 1-C-5 Males with pain above navel ≥35 years old
- 1-C-6 Females with pain above navel ≥ 45 years old
- 1-A-1 Abdominal pain
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Protocol 2: Allergies (Reactions)/Envenomations (Stings/Bites)
- 2-E-1 Ineffective breathing
- 2-D-1 Not alert
- 2-D-2 Difficulty speaking between breaths
- 2-D-3 Swarming attack (bee, wasp, hornet)
- 2-D-4 Snakebite
- 2-C-1 Difficulty breathing or swallowing
- 2-C-2 History of severe allergic reaction
- 2-B-1 Unknown status/other codes not applicable
- 2-A-1 No difficulty breathing or swallowing (rash, hives or itching may be present)
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2-A-2 Spider bite
- Suffixes: I=Injection administered or advised, M=Medication administered or advised
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Protocol 3: Animal Bites/Attacks
- 3-D-1 Unconscious or arrest
- 3-D-2 Not alert
- 3-D-3 Chest or neck injury (with difficulty breathing)
- 3-D-4 Dangerous body area
- 3-D-5 Large animal
- 3-D-6 Exotic animal
- 3-D-7 Attack of multiple animals
- 3-B-1 Possibly dangerous body area
- 3-B-2 Serious hemorrhage
- 3-B-3 Unknown status/other codes not applicable
- 3-A-1 Not dangerous body area
- 3-A-2 Non-recent (≥6 hours) injuries (without priority symptoms)
- 3-A-3 Superficial bites
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Protocol 4: Assault/Sexual Assault
- 4-D-1 Unconscious or arrest
- 4-D-2 Not alert
- 4-D-3 Chest or neck injury (with difficulty breathing)
- 4-D-4 Multiple victims
- 4-B-1 Possibly dangerous body area
- 4-B-2 Serious hemorrhage
- 4-B-3 Unknown status/other codes not applicable
- 4-A-1 Not dangerous body area
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4-A-2 Non-recent (≥6 hours) injuries (without priority symptoms)
- Suffixes: A=Assault, S=Sexual assault
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Protocol 5: Back Pain (Non-Traumatic or Non-Recent Trauma)
- 5-D-1 Not alert
- 5-C-1 Suspected aortic aneurysm (tearing/ripping pain) ≥50 years old
- 5-C-2 Known aortic aneurysm
- 5-C-3 Fainting or nearly fainting ≥50 years old
- 5-A-1 Non-traumatic back pain
- 5-A-2 Non-recent (≥6 hours) traumatic back pain (without priority symptoms)
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Protocol 6: Breathing Problems
- 6-E-1 Ineffective breathing
- 6-D-1 Not alert
- 6-D-2 Difficulty speaking between breaths
- 6-D-3 Changing color
- 6-D-4 Clammy
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6-C-1 Abnormal breathing
- Suffixes: A=Asthma history
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Protocol 7: Burns (Scalds)/Explosion (Blast)
- 7-E-1 Person on fire
- 7-D-1 Multiple victims
- 7-D-2 Unconscious or arrest
- 7-D-3 Not alert
- 7-D-4 Difficulty speaking between breaths
- 7-C-1 Building fire with persons reported inside
- 7-C-2 Difficulty breathing
- 7-C-3 Burns ≥18% body area
- 7-C-4 Significant facial burns
- 7-B-1 Blast injuries (without priority symptoms)
- 7-B-2 Unknown status/other codes not applicable
- 7-A-1 Burns <18% body area
- 7-A-2 Fire alarm (unknown situation)
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7-A-3 Sunburn or minor burns (≤ hand size)
- Suffixes: E=Explosion, F=Fire present, W=Fireworks
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Protocol 8: Carbon Monoxide/Inhalation/HAZMAT/CBRN
- 8-D-1 Unconscious or arrest
- 8-D-2 Not alert
- 8-D-3 Difficulty speaking between breaths
- 8-D-4 Multiple victims
- 8-D-5 Unknown status/other codes not applicable
- 8-C-1 Alert with difficulty breathing
- 8-B-1 Alert without difficulty breathing
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8-Ω-1 Carbon monoxide detector alarm (without priority symptoms)
- Suffixes: B=Biological, C=Chemical, G=Smell of gas/fumes, M=Carbon Monoxide, N=Nuclear, R=Radiological, S=Suicide attempt (carbon monoxide), U=Unknown
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Protocol 9: Cardiac or Respiratory Arrest/Death
- 9-E-1 Not breathing at all
- 9-E-2 Breathing uncertain (agonal)
- 9-E-3 Hanging
- 9-E-4 Strangulation
- 9-E-5 Suffocation
- 9-E-6 Underwater
- 9-D-1 Ineffective breathing
- 9-D-2 Obvious or expected death questionable
- 9-B-1 Obvious death unquestionable (a through k)
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9-Ω-1 Expected death unquestionable (x through z)
- Suffixes: a=Cold and stiff in a warm environment, b=Decapitation, c=Decomposition, d=Incineration, e=Non-recent death, f=Injuries obviously incompatible with life, g=Submersion (>6 hours), x=Terminal illness, y=DNR (Do Not Resuscitate) order
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- Note: Local medical direction may permit additional suffixes for 9-B-1 (designated with letters h through k) and an additional suffix for 9-Ω-1 (designated letter z) specifying indicators determined by the medical director.
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Protocol 10: Chest Pain (Non-Traumatic)
- 10-D-1 Not alert
- 10-D-2 Difficulty speaking between breaths
- 10-D-3 Changing color
- 10-D-4 Clammy
- 10-C-1 Abnormal breathing
- 10-C-2 Heart attack or angina history
- 10-C-3 Cocaine
- 10-C-4 Breathing normally ≥35 years old
- 10-A-1 Breathing normally <35 years old
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Protocol 11: Choking
- 11-E-1 Complete obstruction/ineffective breathing
- 11-D-1 Abnormal breathing (partial obstruction)
- 11-D-2 Not alert
- 11-A-1 Not choking now (can talk or cry, is alert and breathing normally)
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Protocol 12: Convulsions/Seizures
- 12-D-1 Not breathing
- 12-D-2 Continuous or multiple seizures
- 12-D-3 Agonal/ineffective breathing
- 12-D-4 Effective breathing not verified, patient ≥35 years old
- 12-C-1 Focal seizure (not alert)
- 12-C-2 Pregnancy
- 12-C-3 Diabetic
- 12-C-4 Not seizing now and effective breathing verified (>6 years old, confirmed no seizure disorder)
- 12-C-5 History of stroke or brain tumor
- 12-C-6 Overdose/poisoning (ingestion)
- 12-C-7 Atypical seizure
- 12-B-1 Effective breathing not verified <35 years old
- 12-A-1 Not seizing now and effective breathing verified (known seizure disorder)
- 12-A-2 Not seizing now and effective breathing verified (seizure disorder unknown)
- 12-A-3 Not seizing now and effective breathing verified (≤6 years old, confirmed no seizure disorder)
- 12-A-4 Focal seizure (alert)
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12-A-5 Impending seizure (aura)
- Suffixes: E=Epileptic or previous seizure diagnosis
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Protocol 13: Diabetic Problems
- 13-D-1 Unconscious
- 13-C-1 Not alert
- 13-C-2 Abnormal behavior
- 13-C-3 Abnormal breathing
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13-A-1 Alert and behaving normally
- Suffixes: C=Combative or aggressive
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Protocol 14: Drowning (near)/Diving/SCUBA Accident
- 14-D-1 Unconscious or arrest
- 14-D-2 Not alert
- 14-D-3 Diving or suspected neck injury
- 14-D-4 SCUBA accident
- 14-C-1 Alert with abnormal breathing
- 14-B-1 Alert and breathing normally (injuries or in water)
- 14-B-2 Unknown status/other codes not applicable
- 14-A-1 Alert and breathing normally (no injuries and out of water)
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Protocol 15: Electrocution/Lightning
- 15-E-1 Not breathing/ineffective breathing
- 15-D-1 Unconscious
- 15-D-2 Not disconnected from power
- 15-D-3 Power not off or hazard present
- 15-D-4 Extreme fall (≥30 ft/10 m)
- 15-D-5 Long fall
- 15-D-6 Not alert
- 15-D-7 Abnormal breathing
- 15-D-8 Unknown status/other codes not applicable
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15-C-1 Alert and breathing normally
- Suffixes: E=Electrocution, L=Lightning
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Protocol 16: Eye Problems/Injuries
- 16-D-1 Not alert
- 16-B-1 Severe eye injuries
- 16-A-1 Moderate eye injuries
- 16-A-2 Minor eye injuries
- 16-A-3 Medical eye problems
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Protocol 17: Falls
- 17-D-1 Extreme fall (≥30 ft/10 m)
- 17-D-2 Unconscious or arrest
- 17-D-3 Not alert
- 17-D-4 Chest or neck injury (with difficulty breathing)
- 17-D-5 Long fall
- 17-B-1 Possibly dangerous body area
- 17-B-2 Serious hemorrhage
- 17-B-3 Unknown status/other codes not applicable
- 17-A-1 Not dangerous body area
- 17-A-2 Non-recent (≥6 hours) injuries (without priority symptoms)
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17-A-3 Public assist (no injuries and no priority symptoms)
- Suffixes: G=On the ground or floor, J=Jumper (suicide attempt)
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Protocol 18: Headache
- 18-C-1 Not alert
- 18-C-2 Abnormal breathing
- 18-C-3 Speech problems
- 18-C-4 Sudden onset of severe pain
- 18-C-5 Numbness
- 18-C-6 Paralysis
- 18-C-7 Change in behavior (≤3 hours)
- 18-B-1 Unknown status/other codes not applicable
- 18-A-1 Breathing normally
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Protocol 19: Heart Problems/AICD
- 19-D-1 Not alert
- 19-D-2 Difficulty speaking between breaths
- 19-D-3 Changing color
- 19-D-4 Clammy
- 19-D-5 Just resuscitated and/or defibrillated (external)
- 19-C-1 Firing of AICD
- 19-C-2 Abnormal breathing
- 19-C-3 Chest pain ≥35 years old
- 19-C-4 Cardiac history
- 19-C-5 Cocaine
- 19-C-6 Heart rate <50 bpm or ≥130 bpm (without priority symptoms)
- 19-C-7 Unknown status/other codes not applicable
- 19-A-1 Heart rate ≥50 bpm and <130 bpm (without priority symptoms)
- 19-A-2 Chest pain <35 years old (without priority symptoms)
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Protocol 20: Heat/Cold Exposure
- 20-D-1 Not alert
- 20-D-2 Multiple victims (with priority symptoms)
- 20-C-1 Heart attack or angina history
- 20-B-1 Change in skin color
- 20-B-2 Unknown status/other codes not applicable
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20-A-1 Alert
- Suffixes: C=Cold exposure, H=Heat exposure
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Protocol 21: Hemorrhage/Laceration
- 21-D-1 Unconscious or arrest
- 21-D-2 Not alert
- 21-D-3 Dangerous hemorrhage
- 21-D-4 Abnormal breathing
- 21-C-1 Hemorrhage through tubes
- 21-C-2 Hemorrhage of dialysis fistula
- 21-B-1 Possibly dangerous hemorrhage
- 21-B-2 Serious hemorrhage
- 21-B-3 Bleeding disorder
- 21-B-4 Blood thinners
- 21-A-1 Not dangerous hemorrhage
- 21-A-2 Minor hemorrhage
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Protocol 22: Inaccessible Incident/Other Entrapments (Non-Vehicle)
- 22-D-1 Mechanical/machinery entrapment
- 22-D-2 Trench collapse
- 22-D-3 Structure collapse
- 22-D-4 Confined space rescue
- 22-D-5 Inaccessible terrain situation
- 22-D-6 Mudslide/avalanche
- 22-B-1 No longer trapped (unknown injuries)
- 22-B-2 Peripheral entrapment only
- 22-B-3 Unknown status (investigation)/other codes not applicable
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22-A-1 No longer trapped (no injuries)
- Suffixes: A=Above ground (≥6 ft/2 m), B=Below ground (≥6 ft/2 m), M=Multiple victims, X=Above ground and multiple victims, Y=Below ground and multiple victims
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Protocol 23: Overdose/Poisoning (Ingestion)
- 23-D-1 Unconscious
- 23-D-2 Changing color
- 23-C-1 Not alert
- 23-C-2 Abnormal breathing
- 23-C-3 Antidepressants (tricyclic)
- 23-C-4 Cocaine, methamphetamine (or derivatives)
- 23-C-5 Narcotics (heroin)
- 23-C-6 Acid or alkali (lye)
- 23-C-7 Unknown status/other codes not applicable
- 23-C-8 Poison Control request for response
- 23-B-1 Overdose (without priority symptoms)
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23-Ω-1 Poisoning (without priority symptoms)
- Suffixes: A=Accidental, I=Intentional, V=Violent or combative
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Protocol 24: Pregnancy/Childbirth/Miscarriage
- 24-D-1 Breech or cord
- 24-D-2 Head visible/out
- 24-D-3 Imminent delivery (≥5 months/20 weeks)
- 24-D-4 3rd trimester hemorrhage
- 24-D-5 High risk complications
- 24-D-6 Baby born (complications with baby)
- 24-D-7 Baby born (complications with mother)
- 24-C-1 2nd trimester hemorrhage or miscarriage
- 24-C-2 1st trimester serious hemorrhage
- 24-C-3 Baby born (no complications)
- 24-B-1 Labor (delivery not imminent, ≥5 months/20 weeks)
- 24-B-2 Unknown status/other codes not applicable
- 24-A-1 1st trimester hemorrhage or miscarriage
- 24-Ω-1 Waters broken (no contractions or presenting parts)
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Protocol 25: Psychiatric/Abnormal Behavior/Suicide Attempt
- 25-D-1 Not alert
- 25-D-2 Dangerous hemorrhage
- 25-B-1 Serious hemorrhage
- 25-B-2 Non-serious or minor hemorrhage
- 25-B-3 Threatening suicide
- 25-B-4 Jumper (threatening)
- 25-B-5 Near hanging, strangulation or suffocation (alert)
- 25-B-6 Unknown status/other codes not applicable
- 25-A-1 Non-suicidal and alert
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25-A-2 Suicidal (not threatening) and alert
- Suffixes: B=Both violent and weapons, V=Violent, W=Weapons
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Protocol 26: Sick Person (Specific Diagnosis)
- 26-D-1 Not alert
- 26-C-1 Altered level of consciousness
- 26-C-2 Abnormal breathing
- 26-C-3 Sickle cell crisis/thalassemia
- 26-B-1 Unknown status/other codes not applicable
- 26-A-1 No priority symptoms (complaint conditions 2-11 not identified)
- 26-A-2 Blood pressure abnormality
- 26-A-3 Dizziness/vertigo
- 26-A-4 Fever/chills
- 26-A-5 General weakness
- 26-A-6 Nausea
- 26-A-7 New onset of immobility
- 26-A-8 Other pain
- 26-A-9 Transportation only
- 26-A-10 Unwell/ill
- 26-A-11 Vomiting
- 26-Ω-1 CODE NOT IN USE
- 26-Ω-2 Boils
- 26-Ω-3 Bumps (non-traumatic)
- 26-Ω-4 Can't sleep
- 26-Ω-5 Can't urinate (without abdominal pain)
- 26-Ω-6 Catheter (in/out without hemorrhaging)
- 26-Ω-7 Constipation
- 26-Ω-8 Cramps/spasms/joint pain (in extremities and non-traumatic)
- 26-Ω-9 Cut-off ring request
- 26-Ω-10 Deafness
- 26-Ω-11 Defecation/diarrhea
- 26-Ω-12 Earache
- 26-Ω-13 Enema
- 26-Ω-14 Gout
- 26-Ω-15 Hemorrhoids/piles
- 26-Ω-16 Hepatitis
- 26-Ω-17 Hiccups
- 26-Ω-18 Itching
- 26-Ω-19 Nervous
- 26-Ω-20 Object stuck (nose, ear, vagina, rectum, penis)
- 26-Ω-21 Object swallowed (without choking or difficulty breathing, can talk)
- 26-Ω-22 Painful urination
- 26-Ω-23 Penis problems/pain
- 26-Ω-24 Rash/skin disorder (without difficulty breathing or swallowing)
- 26-Ω-25 Sexually Transmitted Disease (STD)
- 26-Ω-26 Sore throat (without difficulty breathing or swallowing
- 26-Ω-27 Toothache (without jaw pain)
- 26-Ω-28 Wound infected (focal or surface)
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Protocol 27: Stab/Gunshot/Penetrating Trauma
- 27-D-1 Unconscious or arrest
- 27-D-2 Not alert
- 27-D-3 Central wounds
- 27-D-4 Multiple wounds
- 27-D-5 Multiple victims
- 27-B-1 Non-recent (≥6 hours) single central wound
- 27-B-2 Known single peripheral wound
- 27-B-3 Serious hemorrhage
- 27-B-4 Unknown status/other codes not applicable
- 27-B-5 Obvious death (explosive GSW to head)
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27-A-1 Non-recent (≥6 hours peripheral wounds (without priority symptoms)
- Suffixes: G=Gunshot, P=Penetrating trauma, S=Stab, X=Self-inflicted GSW, Y=Self-inflicted stab
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Protocol 28: Stroke (CVA)/Transient Ischemic Attack (TIA)
- 28-C-1 Not alert
- 28-C-2 Abnormal breathing
- 28-C-3 Sudden speech problems
- 28-C-4 Sudden weakness or numbness (one side)
- 28-C-5 Sudden paralysis or facial droop (one side)
- 28-C-6 Sudden loss of balance or coordination)
- 28-C-7 Sudden vision problems
- 28-C-8 Sudden onset of severe headache
- 28-C-9 Stroke history
- 28-C-10 TIA (mini-stroke) history
- 28-C-11 Breathing normally ≥35 years old
- 28-C-12 Unknown status/other codes not applicable
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28-A-1 Breathing normally <35 years old
- Suffixes: C=Partial evidence of stroke (less than _ hours), D=Partial evidence of stroke (greater than _ hours), E=Partial evidence of stroke (unknown time frame), F=Strong evidence of stroke (less than _ hours), G=Greater than _ hours since symptoms started (stroke diagnostic not completed), H=Strong evidence of stroke (greater than _ hours), I=Strong evidence of stroke (unknown time frame), J=Clear evidence of stroke (less than _ hours), K=Clear evidence of stroke (greater than _ hours), L=Less than _ hours since symptom onset (stroke diagnostic not completed), M=Clear evidence of stroke (unknown time frame), U=Unknown when symptoms started (stroke diagnostic not completed), X=No test evidence of stroke (less than _ hours), Y=No test evidence of stroke (greater than _ hours), Z=No test evidence of stroke (unknown time frame)
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- Note: Local medical direction will determine the time duration indicated in the suffixes.
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Protocol 29: Traffic/Transportation Incidents
- 29-D-1 Major incident (a through f)
- 29-D-2 High mechanism (k through s)
- 29-D-3 Hazmat
- 29-D-4 Pinned (trapped victim)
- 29-D-5 Not alert
- 29-B-1 Injuries
- 29-B-2 Serious hemorrhage
- 29-B-3 Other hazards
- 29-B-4 Unknown status/other codes not applicable
- 29-A-1 1st party caller with injury to not dangerous body area
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29-Ω-1 No injuries (confirmed)
- Suffixes: A=Multiple patients and additional response required, a=Aircraft, b=Bus, c=Subway/metro, d=Train, e=Watercraft, f=Multi-vehicle (≥10) pile-up, k=All-terrain/snowmobile, l=Auto vs. bicycle/motorcycle, M=Multiple patients, m=Auto vs. pedestrian, n=Ejection, o=Personal watercraft, p=Rollovers, q=Vehicle off bridge/height, r=Possible death at scene, s=Sinking vehicle, U=Unknown number of patients, X=Unknown number of patients and additional response required
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Protocol 30: Traumatic Injuries (Specific)
- 30-D-1 Unconscious or arrest
- 30-D-2 Not alert
- 30-D-3 Chest or neck injury (with difficulty breathing)
- 30-B-1 Possibly dangerous body area
- 30-B-2 Serious hemorrhage
- 30-A-1 Not dangerous body area
- 30-A-2 Non-recent (≥6 hours) injuries (without priority symptoms)
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Protocol 31: Unconscious/Fainting (Near)
- 31-E-1 Ineffective breathing
- 31-D-1 Unconscious - agonal/ineffective breathing
- 31-D-2 Unconscious - effective breathing
- 31-D-3 Not alert
- 31-D-4 Changing color
- 31-C-1 Alert with abnormal breathing
- 31-C-2 Fainting episode(s) and alert ≥35 years old (with cardiac history)
- 31-C-3 Females 12-50 years old with abdominal pain
- 31-A-1 Fainting episode(s) and alert ≥35 years old (without cardiac history)
- 31-A-2 Fainting episode(s) and alert <35 years old (with cardiac history)
- 31-A-3 Fainting episode(s) and alert <35 years old (without cardiac history)
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Protocol 32: Unknown Problem (Man Down)
- 32-D-1 Life status questionable
- 32-B-1 Standing, sitting, moving or talking
- 32-B-2 Medical alarm (alert) notifications (no patient information)
- 32-B-3 Unknown status/other codes not applicable
- 32-B-4 Caller's language not understood (no interpreter in center)
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Protocol 33: Transfer/Interfacility/Palliative Care
- 33-D-1 Suspected cardiac or respiratory arrest
- 33-D-2 Just resuscitated and/or defibrillated (external)
- 33-C-1 Not alert (acute change)
- 33-C-2 Abnormal breathing (acute onset)
- 33-C-3 Significant hemorrhage or shock
- 33-C-4 Possible acute heart problems or MI (heart attack)
- 33-C-5 Acute severe pain
- 33-C-6 Emergency response requested
- 33-A-1 Acuity I (no priority symptoms)
- 33-A-2 Acuity II (no priority symptoms)
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33-A-3 Acuity III (no priority symptoms)
- Suffixes: P=Palliative care, T=Transfer/interfacility
Fire
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Protocol 51: Aircraft Emergency
- 51-D-1 Aircraft crash on land (Alert III)
- 51-D-2 Aircraft crash involving structure (Alert III)
- 51-D-3 Aircraft fire/recovery on ground (Alert III)
- 51-D-4 Coastal water aircraft emergency
- 51-D-5 Inland water aircraft emergency
- 51-D-6 Oceanic water aircraft emergency
- 51-C-1 Aircraft incoming - full emergency (Alert II)
- 51-C-2 Aircraft incoming - minor emergency (Alert II)
- 51-B-1 Unknown situation (investigation)
- 51-A-1 Stand by
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51-Ω-1 Airborne aircraft
- Suffixes: L=Large aircraft, M=Military aircraft, S=Small aircraft, U=Unknown
- Protocol 52: Alarms
- Protocol 53: Citizen Assist/Service Call
- Protocol 54: Confined Space/Structure Collapse
- Protocol 55: Electrical Hazard
- Protocol 56: Elevator/Escalator Rescue
- Protocol 57: Explosion
- Protocol 58: Extrication/Entrapped (Machinery, Vehicle)
- Protocol 59: Fuel Spill
- Protocol 60: Gas Leak/Gas Odor (Natural and LP Gases)
- Protocol 61: HAZMAT
- Protocol 62: High Angle Rescue
- Protocol 63: Lightning Strike (Investigation)
- Protocol 64: Marine Fire
- Protocol 65: Mutual Aid/Assist Outside Agency
- Protocol 66: Odor (Strange/Unknown)
- Protocol 67: Outside Fire
- Protocol 68: Smoke Investigation (Outside)