S.E.N.D. Protocol


Public Safety dispatch centers have been using a protocol called S.E.N.D. "Secondary Emergency Notification of Dispatch" or "Medical Miranda" I found this could have value in emergency communication operations or in directed net events such as a race or a disaster.

The SEND protocol ensures that information relayed from a scene needing medical attention will provide the essential information needed in a consistent and concise manner.

If you ever had had the chance to call 911 or a emergency dispatch center reporting a medical incident, you will notice they have a protocol of questions to ask the caller. This question and answer period goes back and forth until dispatch has received all the information necessary to dispatch a medical response to a scene.

Now imagine this same question and answer period being asked by dispatch, then relayed from a net control operator, then answered by the reporting operator then relayed back to the net control operator then to the emergency medical dispatcher. The amount of transmissions and breaks in the traffic can be an arduous process.

If the calling operator, the relaying station, and the emergency medical dispatcher all followed the same protocol, the key information could be sent in one organized consistent message.

S.E.N.D. Protocol

The SEND protocol consists of 7 key items of information.

  1. Chief Complaint and Incident Type? Is there more than one person injured?
  2. Approximate Age?
  3. Conscious: Yes/No... or alert?
  4. Breathing: Yes/No...or difficulty
  5. Is there chest pain? (Illness Case)
  6. Is there severe bleeding (Accident or Injury Case)
  7. Do you need a lights-and-siren response? (Response Mode)

Notice location is not one of the seven items. The S.E.N.D protocol has the assumption that your location is known to net control. If it is not, then you would need to add your location.


An example of using this protocol may sound something like this:

Calling Station: “Net, SAG1, emergency traffic”
Receiving Station: “SAG1, Net, go with emergency traffic”
Calling Station: “Net, SAG1, My Location. Using the SEND Protocol, I need medical for a bike/vehicle crash, with two patients – one is 35 and the other is 22, both patients
are conscious and alert, and breathing normally, patient that is 35 has severe bleeding to the left leg.”

By using the SEND protocol, you are able to quickly relay all the needed information in one efficient message in an expected format. This information can be relayed to EMS dispatch without having to traverse multiple messages from dispatch to the calling station via Net Control via dispatchers Q&A. Depending on the dispatch center, you may be able to tell them you are using the S.E.N.D protocol and they will then expect the information in this format.

This is a good item to have on one of your lanyard cards or in a notebook.


The SEND protocol also solves the HIPPA issue of not reporting personal information over open radio frequencies. Always use bib number and never the person’s name.

For more information you can visit: http://www.medicalpriority.com/send_card


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