National Assembly for Wales

Health and Social Care Committee

 

Inquiry into new psychoactive substances (“legal highs”)

 

Evidence from Welsh Ambulance Services NHS Trust – LH 21

Welsh Ambulance Services NHS Trust – Health Informatics – HSCC Psychoactive Substances (‘Legal highs’)
 

 



Report specification

Data Period:                        1st April 2013 until 30th April 2014 (1 Years)

Source:                                                 Interrogation of CAD data in terms of all Medical Priority Dispatch Codes

Caveat:                                 The information is reliant upon third party information at the time of call.  The information is reliant on the wild card search criteria being present in the substance type category which is obtained and based upon third party information.  There is a high risk that this dataset has accuracy, completeness and validity issues.

Selection Criteria:              This report was run using SQL to search for ‘wild cards’ of the following search criteria:

Search Criteria

and/or

Legal High

Meow Meow

MCAT

Magic Truffles

Mexican Calea

Hawaiian Baby Woodrose

San Pedro Cactus

Peruvian Torch Cactus

Blue Egyptian Water Lilly

Peyote

Colorado River Toad

Total

Amount

80

12

23

0

0

0

0

0

0

0

0

115

 

Information:        

The SQL script looked at the above named substances where MPDS was used and a response arrived at the scene of an incident.

Table1: Breakdown by MPDS Code

Code

RG

Protocol

Descriptor

Total Calls

04B03

G1

Assault / Sexual Assault

Unknown Status / Other code not applicable

1

04D01

R1

Assault / Sexual Assault

Unconscious or Arrest

1

06D01

R2

Breathing Problems

Not Alert

1

06D02

R2

Breathing Problems

Difficulty speaking between breaths

2

10C01

R2

Chest Pain

Abnormal breathing

2

10D04

R2

Chest Pain

Clammy

4

10D05

R2

Chest Pain

Nausea or Vomiting

1

12A01

G1

Convulsions / Fitting

Not Fitting Now & Breathing Effectively (Verified)

2

12D02

R2

Convulsions / Fitting

Continuous or Multiple Fitting

9

17B03

G1

Falls

Unknown Status / Other code not applicable

1

21D04

R2

Hemorrhage / Lacerations

Abnormal Breathing

1

23B01

G1

Overdose / Poisoning (Ingestion)

Overdose (without priority symptoms)

19

23C01

G1

Overdose / Poisoning (Ingestion)

Not Alert

21

23C02

G1

Overdose / Poisoning (Ingestion)

Abnormal Breathing

11

23C04

G1

Overdose / Poisoning (Ingestion)

Cocaine Methamphetamine (or derivatives)

3

23C07

G1

Overdose / Poisoning (Ingestion)

Unknown Status / Other codes not applicable

16

23D01

R2

Overdose / Poisoning (Ingestion)

Unconscious

6

23D02

R2

Overdose / Poisoning (Ingestion)

Changing Colour

2

25B03

G1

Psychiatric / Abnormal Behaviour / Suicide Attempt

Threatening Suicide

2

25B06

G1

Psychiatric / Abnormal Behaviour / Suicide Attempt

Unknown Status / Other code not applicable

1

25D01

G1

Psychiatric / Abnormal Behaviour / Suicide Attempt

Not alert

1

26C01

G1

Sick Person

 Altered Level of Consciousness

1

26C02

G1

Sick Person

Abnormal Breathing

2

26D01

G1

Sick Person

Not Alert

1

31D03

R2

Unconscious / Fainting (Near)

Not Alert

1

35A01

G1

Health Care Professional

At Patient within 1 hour

1

35D03

R2

Health Care Professional

HCP and AED on Scene (immediate life threatening)

1

Total

115




 

Table2: Breakdown by Local/University Health Board

LHB/UHB

Amount of Calls

Abertawe Bro Morgannwg

21

Aneurin Bevan

56

Betsi Cadwaladr

15

Cardiff and Vale

6

Cwm Taf

5

Hywel Dda

10

Powys

1

Out of Area

1

Total

115

Table3: Breakdown by Locality

 

Locality

Amount of Calls

Blaenau Gwent

3

Bridgend

4

Caerphilly

7

Cardiff

4

Carmarthenshire

3

Conwy

2

Denbighshire

1

Flintshire

3

Gwynedd

1

Merthyr Tydfil

1

Neath Port Talbot

1

Newport

21

Out of Area

1

Pembrokshire

7

Powys

1

Rhondda Cynon Taff

4

Swansea

17

Tofaen

25

Vale of Glamorgan

2

Wrexham

8

Total

115

 

Table 4: Suffix Codes

Suffix

Description

Protocol

Total

A

Accidental

23 Overdose / Poisoning (Ingestion)

8

E

Epileptic or Previous History

12 Convulsions / Fitting

2

I

Intentional

23 Overdose / Poisoning (Ingestion)

65

L

Locally Defined Response

35 Health care Professional

1

V

Violent / Combative

23 Overdose / Poisoning (Ingestion)

9

NULL

No Suffix is applicable

30

Total

115

Suffix codes are additional codes to MPDS to allow additional information

Note: Information is received verbally over the telephone and data is only as good as the information given at the time of the call