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Andrea Furgani, MD

Comparison of Emergency Medical Service Stroke Identification and Neurologist In-Hospital Stroke Assessment: Results of the Pilot Study of Genova Network

Andrea Furgani, MD, Silvia Distefano, MD, Lavinia Ferraro, EMD-Q, Silvano Ruffoni, MD, Francesco Bermano, MD

Mar 04, 2020|AEDR 2019 Vol. 7 Issue 3|Original Research

Acute stroke is one of the five time-dependent conditions (first hour quintet, FHQ) that emergency medical services (EMS) must manage better and faster; early identification and treatment are critical to reduce both immediate damage and long-term disability. For Emergency Medical Communication Centers, the rapid and accurate identification of stroke patients is the challenge to be won in the coming years. The main objective of this study is to evaluate the ability of Emergency Medical Dispatchers (EMDs) and rescuers to rapidly and...

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The Impact of MPDS on Response Delay Time and Duration of Emergency Medical Calls

Andrea Furgani, MD, Elena Lucchese, Salvatore Esposito, MD, Stefano Ferlito, MD, Fabio Ferrari, MD, Roberto Sanna, MD, Silvano Ruffoni, MD, Francesco Bermano, MD

Sep 06, 2018|AEDR 2018 Vol. 6 Issue 2|System Report

A fast response to an emergency call is one of the main objectives of an emergency medical communication center (EMCC). In 2011, a scripted logic-based dispatch protocol system, the Medical Priority Dispatch System™ (MPDS®), was implemented in the five Liguria Region EMCCs in Italy, to manage emergency medical calls. However, response delay time (RD) (i.e., time from when the call rings to when emergency medical dispatcher [EMD] picks it up) and duration of emergency call (DEC) (i.e., time from call pick up to when the call is closed)...

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Assessing the Impact of Opening Greetings in Handling Emergency Calls: Genova 118 Experience

Andrea Furgani, MD, Francesca Raffo, EMD-Q, Giuseppina Contiero, EMD

Aug 17, 2018|Research Posters

The manner in which calls are handled at the emergency telecommunication center has a significant role in effective management of assistance on the scene. The main information needed to start a response is the location of the incident, which usually means the complete address. The Genova 118 Center has recently modified its standard greeting from "Genova 118" (STD1) to "Genova 118, where do I send the ambulance?" (STD2). The aim of this study is to verify whether the new standard reduces the time needed to acquire a complete address during an emergency call. The prospective, randomized study...

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Comparison of Emergency Medical Service Stroke Identification and Neurologist In-Hospital Stroke Assessment: Preliminary Results of the Genova Network

Andrea Furgani, MD, Silvia Distefano, MD, Silvano Ruffoni, MD, Francesco Bermano, MD

Aug 17, 2018|Research Posters

The main objective of this study was to compare emergency medical dispatch (EMD) stroke identification with hospital-confirmed stroke. The secondary objective was to compare the results of stroke diagnostic tool (SDxT) of Medical Priority Dispatch System™ (MPDS®) with National Institutes of Health Stroke Scale (NIHSS) used in hospital by neurologists. Data utilized for the observational study were taken from a preliminary stroke dataset collected at San Martino Hospital (Genova) between January 2016 and June 2017. All cases of suspected stroke arrived at First Aid began part of the study...

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Implementation of the European Emergency Number 112 in Liguria, Italy

Andrea Furgani, MD, Davide Stasi, Sergio Caglieris, MD, Francesco Bermano, MD

Aug 17, 2018|Research Posters

On July 29, 1991 the 91/396/CEE European Community introduced the short number 1-1-2, as the only one European emergency number (EEN). In Italy, the implementation of European Decision began with the legislative decree of August 1st, 2003, and subsequent amendments and additions. In Liguria, Italy, the signing of Memorandum of Understanding between Liguria Region President and Interior Ministry in September 2016, initiated the EEN planning. Purpose of this work is to explain how EEN has been developed in Liguria, which hosts a population of about 1,600,000 with a significant tourist flow that...

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European Emergency Number 112 in Liguria, Italy: Results of the First Year of Activity

Andrea Furgani, MD, Davide Stasi, Sergio Caglieris, MD, Francesco Bermano, MD

Aug 17, 2018|Research Posters

On February 14, 2017, the Region of Liguria (one of the 20 regions of Italy) activated a first level public safety answering point that uses the universal European Emergency Number (EEN), 1-1-2. This implementation had 3 primary purposes: immediate call pickup/answering for all emergency calls; a fast call transfer to a secondary PSAP - either medical, police or fire; and filtering of inappropriate calls. This study reports on several performance indicators for the first year of system use. The objective of this study was to report on several key performance indicators of the new system...

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Evaluation Variability Of Emergency Medical Calls Among Emergency Medical Communication Centers In Liguria, Italy

Andrea Furgani, MD, Christopher Olola, PhD, Lavinia Ferraro, EMD-Q, Salvatore Esposito, MD, Stefano Ferlito, MD, Fabio Ferrari, MD, Roberto Sanna, MD, Silvano Ruffoni, MD, Francesco Bermano, MD

Apr 03, 2018|AEDR 2018 Vol. 6 Issue 1|Original Research

The evaluation of emergency calls received by Emergency Medical Communication Centers (EMCCs) is the first and basic step for activating the chain of survival. It also represents an essential prerequisite for optimal response to and management of critical patients. The objective of this study was to evaluate whether the introduction of a single, structured, and standardized emergency medical dispatch system provided a more uniform evaluation of all emergency calls among five EMCCs in Liguria, Italy. The study retrospectively examined the assigned...

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Assessing the Impact of Opening Greetings in Handling Emergency Calls: Genova 118 Experience

Andrea Furgani, MD, Francesca Raffo, EMD-Q, Giuseppina Contiero, EMD

Sep 12, 2017|AEDR 2017 Vol. 5 Issue 2|Original Research

The manner in which calls are handled at the emergency telecommunication center has a significant role in effective management of assistance on the scene. The main information needed to start a response is the location of the incident, which usually means the complete address. The Genova 118 Center has recently modified its standard greeting from "Genova 118" (STD1) to "Genova 118, where do I send the ambulance?" (STD2). To verify whether the new standard reduces the time needed to acquire a complete address during an emergency call...

Read more

Analysis of Evaluation Variability of Medical Emergency Calls Among Control Centers In Liguria, Italy

Andrea Furgani, MD, S. Esposito, S. Ferlito, G. Abregal, F. Ferrari, R. Sanna, S. Ruffoni, F. Bermano

Aug 06, 2016|AEDR 2016 Vol. 4 Issue 2|Research Posters

The evaluation of emergency calls received by Emergency Medical Communication Centers (EMCCs) is the first and most basic step to activating the rescue chain. It also represents an essential prerequisite for an optimal management of critical patients, by optimizing the methods of public medical response and management time. The goal of the study is to evaluate whether the introduction of the Medical Priority Dispatch System™ (MPDS)® made more homogenous the evaluation of emergency calls among the five EMCCs in Liguria (primary) and among the EMCC's call takers in Genoa...

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The Impact of MPDS on Response Delay Time And Duration of Emergency Medical Calls

Andrea Furgani, MD, E. Lucchese, S. Esposito, S. Ferlito, G. Abregal, F. Ferrari, R. Sanna, S. Ruffoni, F. Bermano

Aug 01, 2016|AEDR 2016 Vol. 4 Issue 2|Research Posters

A fast response to an emergency call is one of the main objectives of an emergency medical communication center (EMCC). In 2011, a scripted logic-based dispatch protocol system, the Medical Priority Dispatch System™ (MPDS®), was implemented in the five Liguria Region EMCCs in Italy, to manage emergency medical calls. However, response delay time (RD) (i.e., time from when the call rings to when emergency medical dispatcher [EMD] picks it up) and duration of emergency call (DEC) (i.e., time from call pick up to when the call is closed)...

Read more