Author: Greg Scott, MBA, EMD-QI

Implications of Pre-Alerts for Medical Emergency Calls

Download Original Paper In emergency dispatching, pre-alerts are used to send responders to calls prior to getting a final dispatch code. Some studies have showed that pre-alerts can effectively reduce dispatch time for out-of-hospital cardiac arrests, potentially improving overall patient outcome. However, there is also a potential risk in running lights-and-siren on non-fully triaged calls. Although pre-alerts have been used for several years, no research studies have demonstrated its benefit, in general. s: The goal of this study was to determine...

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Predicting the Need for Extrication in Traffic Accidents Reported to 911: Is Anyone Pinned/Trapped?

Download Original Paper Extrication activities at the scene of motor vehicle accidents (MVA) result in extended scene times and increase morbidity and mortality. Identifying the need for extrication-capable resources during the 911 call-taking process, and dispatching them without delay, is crucial to delivering the required response and patient care. Determining the need for extrication using the Traffic/Transport Incidents Protocol in the Medical Priority Dispatch System (MPDS®) (version 13.0 ©2000-2015, Priority Dispatch, Salt Lake City, Utah, USA)...

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Litigation and Adverse Incidents in Emergency Dispatching

Download Original Paper Risk management is an area of critical importance for emergency services and public safety agencies, including emergency communication centers. However, almost no information currently exists regarding litigation against, or involving, emergency dispatch. s: The primary objective in this study was to characterize the most common types of adverse events, actions, and omissions of action that lead to lawsuits against emergency dispatchers and their agencies. Methods: The study was a systematic literature review. Research and...

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

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. s: The objective of this study was to determine whether changing the order of the “No” answer choice on the...

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Comparison of Emergency Dispatchers’ Perceptions of Training Experiences with Perceptions of Emergency Communication Center Managers, Supervisors, and Trainers

Training that aligns with learners’ expectations and preferences can help improve job satisfaction and reduce turnover. Previously published results described the preferences of supervisors and trainers. However, little is known about emergency dispatchers’ own preferences and expectations regarding training topics, styles, or delivery methods. s: The objective of this study was to describe the training methods and topics emergency dispatchers find most effective, what characteristics define successful versus unsuccessful...

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