Author: Isabel Gardett, PhD

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

Download Original Paper Opioid overdoses have reached crisis proportions. One response has been to increase the availability of naloxone HCl (commonly referred to by the generic name naloxone), which reverses the effects of opioid overdose. The Medical Priority Dispatch System (MPDS®) includes instructions by which the Emergency Medical Dispatcher (EMD) can prompt the caller to find and use naloxone on overdose victims. However, these instructions are only provided on dispatch Chief Complaint (CC) Protocols on which overdoses are expected to be handled....

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Caller’s Ability to Understand “Responding Normally” vs. “Completely Alert” Key Question in a Brazilian Portuguese Version of an Emergency Medical Dispatch Protocol

Download Original Paper Alertness is important to assess during many medical emergencies; however, assessing alertness proves difficult in a non-visual emergency dispatch environment. Little is understood about how to best gather an accurate report of patient alertness during an interaction between callers and Emergency Medical Dispatchers (EMDs). s: The primary objective of the study was to compare two versions of a Key Question (KQ) intended to gain an accurate report of alertness, to determine whether either demonstrates a higher degree of caller...

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Welcome Message from the Editor-In-Chief

Download PDF Message from the Editor-In-Chief There’s a line from a science fiction novel that, to me, captures the drama of applied research. In William Gibson’s 2003 novel Pattern Recognition, an unknown person or persons are publishing video fragments online one at a time—pieces of a larger story, discovered at random on hidden sites on the internet. Taken together, these fragments are known as “the footage.” In the book, whole online forums are devoted to discovering who is publishing the videos and why. One of the ongoing debates concerns “progressives” versus “completists”...

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Situational Awareness in Emergency Medical Dispatch: An Observation Study and Proposed Model

Download Original Paper Situational awareness (SA, also called situation awareness) is the ability to take in relevant information about an event in order to understand it and take effective action. Maintaining effective SA as an emergency medical dispatcher (EMD) may be more difficult than in other, similarly complex roles because of the remote nature of an emergency call for help. This study attempts to provide insight on one remote SA situation by reporting on a simulation study in which cardiopulmonary resuscitation (CPR) instructions were provided over...

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Barriers Significantly Influence Time to Bystander Compressions in Out-of-Hospital Cardiac Arrest

Download Original Paper Rapid identification of sudden out-of-hospital cardiac arrest (OHCA) and delivery of bystander chest compressions in patients with ventricular fibrillation are key elements in the chain of survival. However, time to bystander compressions can be greatly affected by a wide variety of barriers, some beyond an EMD’s control. s: The aim of this study is to identify and quantify the impact that barriers have on the time taken to achieve bystander compressions for suspected OHCAs. Methods: This retrospective, quantitative cohort...

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