ON-SCENE DATA: Clear presentation of FAST (Face, Arm, Speech, Time) stroke symptoms. Sudden neurological deficit. Onset was approximately 10 minutes ago.
TRIAGE ID: EMD-105 STATION 5
CALL #106
Incoming Call...
CALL TRANSCRIPT:
"My daughter was stung by a bee five minutes ago. She's broken out in hives all over. Now she's gasping and clawing at her throat. Her throat is swelling up, and she's making a horrible croaking, high-pitched choking sound. Help!"
ON-SCENE DATA: Severe anaphylactic reaction with severe airway compromise (stridor). Patient has known bee allergy but EpiPen is expired. Emergency dispatch upgraded.
TRIAGE ID: EMD-106 STATION 6
CALL #107
Incoming Call...
CALL TRANSCRIPT:
"I was lifting a heavy barbell at the gym and felt a sudden, loud pop in my right shoulder. It immediately locked up. I can't move my arm at all, the joint looks totally misshapen, and the muscle is spasming like crazy. The pain is a 10 out of 10."
ON-SCENE DATA: Suspected anterior glenohumeral joint dislocation. Strong radial pulse detected, skin color and temperature of hand are normal. Severe protective muscle splinting active.
TRIAGE ID: EMD-107 STATION 7
CALL #108
Incoming Call...
CALL TRANSCRIPT:
"We were working on the electrical panel and my friend accidentally touched a live wire. He was thrown back. He's conscious but extremely disoriented. He says his heart is fluttering like a trapped bird, and he has a weird tingling sensation radiating through his entire body."
ON-SCENE DATA: High-voltage shock. Heart rhythm is heavily affected (possible transient arrhythmia). Tingling signals peripheral nervous system distress. Small exit wound on left foot.
TRIAGE ID: EMD-108 STATION 8
NATIONAL EMERGENCY DISPATCH SIMULATOR PAGE 2 OF 4
TRIAGE STATION ACTIVITY
STATION CARDS: 109 - 112
911-EMD TRAINING LAB
CALL #109
Incoming Call...
CALL TRANSCRIPT:
"My roommate just came back from a 12-hour flight. Suddenly, she stood up, grabbed her chest in sharp pain, and fell to her knees. She is gasping for air, hyperventilating, and her lips are turning a scary, bluish-purple color. She can barely speak!"
ON-SCENE DATA: High clinical suspicion of deep vein thrombosis leading to pulmonary embolism. Severe mismatch in pulmonary ventilation. Respiration is 32/min, pulse is 120/min.
TRIAGE ID: EMD-109 STATION 9
CALL #110
Incoming Call...
CALL TRANSCRIPT:
"My dad fell off a 10-foot ladder while cleaning the gutters. He landed flat on his back. He's awake but says he has an excruciating pain in his neck and upper back. He is terrified because he can't feel his toes or fingers, and has a intense 'pins and needles' feeling in his legs."
ON-SCENE DATA: Trauma mechanism. Sensory loss indicates potential cervical or thoracic spinal cord trauma. Absolute immobilization instructed; do not move the patient.
TRIAGE ID: EMD-110 STATION 10
CALL #111
Incoming Call...
CALL TRANSCRIPT:
"I'm sitting at my desk and my heart suddenly started racing out of nowhere. It feels like it's beating a million miles an hour, pounding right out of my ribs. I feel incredibly lightheaded, short of breath, and like I might pass out any second."
ON-SCENE DATA: Tachycardia episode (suspected paroxysmal SVT). Heart rate measured by pulse point is 185 bpm. Blood pressure has dropped due to poor filling time.
TRIAGE ID: EMD-111 STATION 11
CALL #112
Incoming Call...
CALL TRANSCRIPT:
"A heavy steel beam fell and pinned my brother's leg. We got it off him, but his lower leg is extremely swollen, tense, and turning dark purple. He can't wiggle his toes, there's no feeling in his foot, and the pain is getting worse every minute even though we have it elevated."
ON-SCENE DATA: Crush injury. High risk of compartment syndrome, which blocks micro-circulation. Distal pulses are diminished, skin is cold and pale below injury.
TRIAGE ID: EMD-112 STATION 12
NATIONAL EMERGENCY DISPATCH SIMULATOR PAGE 3 OF 4
TRIAGE STATION ACTIVITY
STATION CARDS: 113 - 116
911-EMD TRAINING LAB
CALL #113
Incoming Call...
CALL TRANSCRIPT:
"My son was playing soccer and collided head-to-head with another player. He was knocked out cold for about a minute. Now he's awake but he has no idea where he is, he's thrown up twice, keeps repeating the same question, and says the lights are hurting his eyes."
ON-SCENE DATA: Direct impact head trauma. Temporary loss of consciousness. Sluggish pupil dilation, severe photophobia, retrograde amnesia. High risk of traumatic brain injury.
TRIAGE ID: EMD-113 STATION 13
CALL #114
Incoming Call...
CALL TRANSCRIPT:
"I was running down the stairs, tripped, and my knee twisted completely sideways with a horrible popping sound! I fell to the bottom. My knee is swelling up like a balloon, turning black and blue, and my kneecap is pushed way over to the side. I can't move my leg or stand up!"
ON-SCENE DATA: Extreme joint distortion. Lateral patellar dislocation and suspected ligamentous rupture (ACL/MCL). Distal pedal pulse is present and strong.
TRIAGE ID: EMD-114 STATION 14
CALL #115
Incoming Call...
CALL TRANSCRIPT:
"We were working in the woodshop and my dad's hand slipped on the power saw. His arm is cut wide open and bright red blood is spraying everywhere in big squirts! It's shooting out with every heartbeat! He is turning super pale, shaking, and says he feels like he's going to pass out."
ON-SCENE DATA: Severe arterial laceration of the radial artery. Estimated rapid blood loss >400ml. High danger of hypovolemic circulatory shock. Direct pressure/tourniquet protocol activated.
TRIAGE ID: EMD-115 STATION 15
CALL #116
Incoming Call...
CALL TRANSCRIPT:
"Everyone in the house has a splitting headache and feels sick to their stomach. My little sister is breathing super fast, like she's panting, and her chest is moving so hard. She says she can't catch her breath. We're all so dizzy and can't walk straight."
ON-SCENE DATA: Environmental emergency (suspected Carbon Monoxide poisoning). Cellular hypoxia due to carbon monoxide binding with hemoglobin. Hyperventilation is a secondary respiratory symptom.
TRIAGE ID: EMD-116 STATION 16
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Stations 1-4 logged Stations 5-8 logged Stations 9-12 logged Stations 13-16 logged
NATIONAL EMERGENCY TELECOMMUNICATION DIVISION DISPATCH WORKLOG • PAGE 2 OF 3
TRIAGE SYNTHESIS
DEBRIEFING ROOM
Sometimes, an emergency compromises two systems at the same time. Find one scenario where this happened (e.g., Call #108, #109, or #110). Identify both systems and describe how the failure of one system forced the other system to break down.
Why are breathing emergencies (like choking or asthma) and heart emergencies (like cardiac arrest) always classified as Level 1: Critical, while an agonizing bone injury (like a broken leg) is usually a Level 2 or 3? Think about what brain cells need to survive!
As a dispatcher, you cannot see the patient—you only have the caller's spoken words and on-scene data. How do you distinguish between a heart issue (Circulatory) and a lung issue (Respiratory) when both can cause short breath or chest tightness?
Dispatcher Certification Pledge: I verify that all 16 cases have been logged using physical cues and physiological logic.
Operator Signature:
NATIONAL EMERGENCY TELECOMMUNICATION DIVISION DISPATCH WORKLOG • PAGE 3 OF 3
#110
C R [✔] Nerv. [✔] Musc.
[✔] L1: Crit. L2 L3
Ladder fall, neck pain, cannot feel fingers/toes, pins and needles. Fractured spine bone compresses/chokes spinal cord.
#111
[✔] Circ. R N M
L1 [✔] L2: High L3
Heart racing/pounding, dizzy, 185 pulse. Rapid SVT heart rate reduces ventricle blood filling, dropping output pressure.
#112
[✔] Circ. R N [✔] Musc.
L1 [✔] L2: High L3
Beam pinned leg, swollen/purple, no feeling in foot, cold. Compartment syndrome. Swelling inside muscle chokes blood supply.
#113
C R [✔] Nerv. M
L1 [✔] L2: High L3
Head hit, knocked out for a minute, amnesia (confused), vomiting. Concussion trauma shuts down localized brain circuits.
#114
C R N [✔] Musc.
L1 L2 [✔] L3: Urgent
Tripped stairs, popping sound, balloon swelling, kneecap pushed to side. Knee joint dislocation. Bone framework broken.
#115
[✔] Circ. R N M
[✔] L1: Crit. L2 L3
Saw cut, blood spraying in squirts, matching heartbeat, super pale/fainting. Lacerated artery. Rapid hypovolemia.
#116
C [✔] Resp. N M
[✔] L1: Crit. L2 L3
CO poisoning, splitting headache, breathing super fast, cannot catch breath. Cellular hypoxia. System hyperventilates.
NATIONAL EMERGENCY TELECOMMUNICATION DIVISION DISPATCH KEY • PAGE 2 OF 3
TEACHER KEY
DEBRIEFING ROOM KEY
Sometimes, an emergency compromises two systems at the same time. Find one scenario where this happened (e.g., Call #108, #109, or #110). Identify both systems and describe how the failure of one system forced the other system to break down.
Correct Concept: Students must select an overlapping case. E.g., Call #110 (Nervous/Musculoskeletal): The physical fracture of the spinal vertebrae bone in the neck (Musculoskeletal System) directly crushed/pinched the spinal cord (Nervous System), which cut off the electrical pathway and paralyzed motor/sensory feedback (numbness in toes). Other valid pairs: Call #109 (clot blocks respiratory exchange) or Call #108 (shock alters cardiac rhythm and overloads nerves).
Why are breathing emergencies (like choking or asthma) and heart emergencies (like cardiac arrest) always classified as Level 1: Critical, while an agonizing bone injury (like a broken leg) is usually a Level 2 or 3? Think about what brain cells need to survive!
Correct Concept: Oxygen delivery is the ultimate limiter of human cellular life. Brain cells have high metabolic demands and die permanently within 4-6 minutes without constant oxygen delivery. The Respiratory System pulls in oxygen and the Circulatory System pumps it. If either system stops, death occurs in minutes. A bone fracture in the Musculoskeletal System is agonizing but doesn't instantly block general oxygen transport, so it is lower immediate risk.
As a dispatcher, you cannot see the patient—you only have the caller's spoken words and on-scene data. How do you distinguish between a heart issue (Circulatory) and a lung issue (Respiratory) when both can cause short breath or chest tightness?
Correct Concept: Dispatchers use key secondary signs to isolate the culprit. For Respiratory, they listen for airway audio markers like whistling wheezes, stridor (choking noises), coughs, and history of asthma/allergies. For Circulatory, they look for blood pressure fluctuations, extremely fast/slow pulses, cold/clammy "gray" skin, and cardiac pain radiating directly down the left arm/jaw.
Teacher Evaluation Approved: Verified matching of physical and physiological criteria for all 16 cases.
Log Verified By: EMD INSTRUCTOR KEY
NATIONAL EMERGENCY TELECOMMUNICATION DIVISION DISPATCH KEY • PAGE 3 OF 3
