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Bryon Schultz, BA

Caller’s ability to understand “responding normally” vs. “completely alert” key question in a north American English version of an emergency medical dispatch protocol

Greg Scott, MBA, EMD-QI, Christopher Olola, PhD, Chris Davis, EMD-I, Bryon Schultz, BA, Charles Gipson, MA, Jean Early, BS, Jeff Clawson, MD

Apr 20, 2022|Research Posters

The difficulty of evaluating the mental status, particularly alertness, is more pronounced in the medical dispatch context, where the Emergency Medical Dispatcher (EMD) must work through the eyes and ears of the caller, who is most likely a layperson. Determining true non-alertness and the level of its effects on outcome needs to be solved to perfect the interrogation and response-coding processes at dispatch.

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IS EMD LOW-ACUITY CODE SELECTION INFLUENCED BY A SOFTWARE MODIFICATION?

Greg Scott, MBA, EMD-QI, Christopher Olola, PhD, Isabel Gardett, PhD, Meghan Broadbent, MS, Bryon Schultz, BA, Lisa Burnette, Jeff J. Clawson, MD, Srilakshmi Sangaraju, MS

Aug 04, 2021|Research Posters

Sick Person (Specific Diagnosis) is one of the most commonly used Chief Complaint Protocols in the Medical Priority Dispatch System (MPDS). This protocol is often used when a caller does not report any specific or high-priority symptoms. Of particular concern is the 26-ALPHA-1 determinant code, which refers to a person with “No priority symptoms” and none of the specific symptoms listed on the ALPHA-code drop-down list (Fig. 1).

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Are You with the Patient Now? Distribution of EMD Calls by Caller-Party Type

Bryon Schultz, BA, Greg Scott, MBA, EMD-QI, Jeff J. Clawson, MD, Srilakshmi Sangaraju, MS, Christopher Olola, PhD

Oct 28, 2020|Research Posters

Caller-party type may determine the accuracy of the information collected by the EMD. Has this distribution changed in the past decade? Are EMD’s gathering more accurate information? And why is the caller party dynamic changing? The objective is to retrospectively look at the distribution of the caller-party type in a mostly urban/suburban, high performance EMS system. ProQA data from 2004 to 2017 was extracted and evaluated to identify any trends. This was a retrospective, descriptive, and uncontrolled study of de-identified medical dispatch data, collected using ProQA data from an...

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Is Emergency Medical Dispatcher Low-Acuity Code Selection Influenced by a User-Interface Software Modification?

Greg Scott, MBA, EMD-QI, Christopher Olola, PhD, Isabel Gardett, PhD, Meghan Broadbent, MS, Srilakshmi Sangaraju, MS, Bryon Schultz, BA, Lisa Burnette, Jeff J. Clawson, MD

Sep 06, 2018|AEDR 2018 Vol. 6 Issue 2|Original Research

Sick Person (Specific Diagnosis) is one of the most commonly used Chief Complaint Protocols in the Medical Priority Dispatch System™. Within the Sick Person Protocol, the 26-A-1 coding represents a group of patients with no specific identifiable complaint. This vague categorization presents a problem for dispatch systems and EMS responders alike, since so little is captured about the patient's true condition. The objective of this study was to determine whether changing the order of the "No" answer choice on the...

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Emergency Medical Dispatch Identification of Opioid Overdose and Frequency of NARCAN Administration on Scene

Richard E. Lindfors, NRP, EMD-Q, Bryon Schultz, BA, Rob Lawrence, Danny Garrison, Shannon Smith, Todd Stout, Greg Scott, MBA, EMD-QI, Isabel Gardett, PhD, Meghan Broadbent, MS, Srilakshmi Sangaraju, MS, Marc Gay, Mike Taigman, MS, Jeff J. Clawson, MD, Christopher Olola, PhD

Aug 20, 2018|Research Posters

Opioid overdoses have reached critical proportions in the United States of America (USA or US) and worldwide. The US Centers for Disease Control and Prevention report that more than 90 Americans die every day from opioid overdose, and the epidemic was recently declared a national public health emergency. One response to the crisis has been to increase the availability of naloxone HCl (commonly referred to by the brand name NARCAN), a treatment that reverses the effects of opioid overdose when injected or inhaled. The Medical Priority Dispatch System (MPDS®) version 13.0 includes instructions...

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Characterization of Call Prioritization Time in a Medical Priority Dispatch System

Greg Scott, MBA, EMD-QI, Christopher Olola, PhD, Corike Toxopeus, PhD, Jeff J. Clawson, MD, Adam Johnson, Bryon Schultz, BA, Kristen Miller, JD, Neal Richmond, MD, FACEP, Donald Robinson, Matt Zavadsky, MS, Lis Burnette, Tracey Barron, BS, Brett Patterson

Mar 07, 2016|AEDR 2016 Vol. 4 Issue 1|Original Research

Emergency Medical Services (EMS) agencies have a pressing need to understand call prioritization time (CPT), a key sub-component of call processing time in Emergency Medical Dispatch, as it impacts response time to specific cases and overall EMS agency response time performance. The objective of this study was to determine median CPT by dispatch priority level and Chief Complaint type. This retrospective study included data from six emergency communication agencies, each accredited by the International Academies of Emergency Dispatch (IAED)...

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Emergency Medical Dispatchers' Ability to Determine Obvious or Expected Death Outcomes Using a Medical Priority Dispatch Protocol

Ivan Whitaker, MBA, Christopher Olola, PhD, Corike Toxopeus, PhD, Greg Scott, MBA, EMD-QI, Jeff J. Clawson, MD, Bryon Schultz, BA, Donald Robinson, Christopher Calabro, Isabel Gardett, PhD, Brett Patterson

Aug 01, 2015|AEDR 2015 Vol. 3 Issue 2|Original Research

Emergency Medical Dispatchers (EMDs), at emergency communication centers that have implemented the Medical Priority Dispatch System® (MPDS) protocols, use scripted questions to interrogate people calling 9-1-1. Based on this interrogation, case determinant codes are assigned– to identify the specific patient condition and enable optimal allocation and deployment of resources to ensure appropriate field responses. MPDS determinant codes for both OBVIOUS and EXPECTED DEATH exist for patients that are clearly and irreversibly dead, or have a terminal illness accompanied...

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Caller’s Ability to Understand “Responding Normally” vs. “Completely Alert” Key Question in a North American English version of an Emergency Medical Dispatch Protocol

Greg Scott, MBA, EMD-QI, Christopher Olola, PhD, Chris Davis, EMD-I, Bryon Schultz, BA, Charles Gipson, MA, Jeff J. Clawson, MD

Apr 04, 2022|AEDR 2022 Vol. 10 Issue 1|Original Research

The difficulty of evaluating mental status, particularly alertness, is more pronounced in the medical dispatch context, where the Emergency Medical Dispatcher (EMD) must work through the eyes and ears of the caller, who is most likely a layperson. Determining true non-alertness and the level of its effects on outcome needs to be solved to perfect the interrogation and response-coding processes at dispatch.

Read more