One of the most rewarding parts of being involved with the world's first-ever peer-reviewed journal of emergency dispatch is that we get to work with a lot of new researchers. Working with those who are just entering the field helps us remember how important—and how exciting—research is. When we do research, we get to be on the very forefront of knowledge. We're no longer only learning at second hand, but actually creating new knowledge ourselves, and that's something we love to share. Science has always been an effort of generations, with every new researcher building on and expanding what...
The objectives of this study were to compare hospital-confirmed acute myocardial infarction (AMI) outcomes with emergency medical dispatch (EMD) low acuity cases and to identify any common characteristics of the AMIs assigned to those low-acuity codes. This was a retrospective study utilizing EMD, emergency medical services (EMS), and hospital discharge datasets, collected at two emergency communication centers in Salt Lake County, Utah. The study sample included all hospital-confirmed medical cases that arrived to the hospital via EMS. Primary outcome measures...
Although it makes up only about 1-2% of all emergency calls for help, sudden cardiac arrest (SCA) remains one of the most deadly—and one of the most hotly debated—topics in emergency services. Emergency Medical Dispatchers (EMDs) can play a critical role in improving survival rates for victims of SCA. In order to provide the most timely, effective care, EMDs must first identify that an SCA is occurring, then move quickly to provide instructions for bystander CPR. To support the achievement of these twin goals, the American Heart Association (AHA) has recently released proposed standards for...
Some have argued that there is no need for a dispatcher stroke evaluation because emergency medical services (EMS) responders can perform a more detailed, in-person stroke evaluation in the field. In fact, little or no research exists to determine whether dispatch stroke evaluations are actually redundant when compared with EMS field responder assessments. The purpose of this study is to determine whether some strokes identified by emergency medical dispatchers (EMDs) are not identified by field paramedics. The descriptive study utilized data from...
If you’re reading this, you probably already believe in the importance of data and evidence in decision making. You are probably already interested in learning more about how dispatch operates “behind the scenes”—how dispatching standards originate and evolve. You may also be hoping to be able to apply data, research, and standards to your own dispatch operations. In all of these respects, emergency dispatching has come a long way in the past 35 years.
The findings of a recent study suggest that a patient's inability to complete all three tasks in a stroke identification tool used by Emergency Medical Dispatchers (EMDs) is a uniquely strong predictor of stroke. To examine the characteristics of the 17 cases in which the patient was unable to complete all three tasks in the Stroke Diagnostic Tool (SDxT). The retrospective descriptive study utilized stroke data from three sources in Salt Lake County, Utah, USA—Emergency Medical Dispatch, emergency medical services (EMS), and receiving hospitals—for...
At first glance, the pieces in this issue of AEDR may not seem to have much in common. A statistician’s notes on the challenges of Big Data? A discussion of vehicles trapped in rising floodwaters? A review of the words and phrases that most often signal stroke? What could all of these things possibly have to do with one another? In terms of topic, not much; but in the bigger picture, these pieces have something much more important in common. They signal a sea change in dispatch research, a shift from a narrow focus on one or two critical incident types (mostly medical, mostly cardiac arrest-related) to
While Structure Fire is not the most common Chief Complaint handled by Emergency Fire Dispatchers (EFDs), the high death toll and other serious consequences that result make structure fires one of the most important types of calls EFDs handle. The time needed to appropriately and effectively prioritize these calls can be evaluated using a time standard called Call Prioritization Time (CPT). In this study, we evaluate CPT for centers using the Fire Priority Dispatch System (FPDS). The primary objective in this study was to determine CPT for the FPDS...
If one thing has defined emergency dispatching over the past 40 years, it has been the desire to always be doing it better: better interrogations of callers, better Pre-Arrival Instructions, better customer service—the list goes on and on. To drive constant improvement in dispatch is also the purpose of the Annals of Emergency Dispatch & Response. We aim to provide emergency dispatch professionals, whether line calltakers, quality assurance specialists, or communication center managers, with the best and most up-to-date information available about the critical work they do.
Expanding the role of evidence-based practice (EBP) in emergency medical services is a matter of increasing importance to researchers and practitioners alike. However, this movement toward EBP has not yet been applied to one critical area of prehospital care: emergency dispatching. The primary reason for this gap is that emergency dispatchers (EDs) struggle to develop a research culture able to produce enough well-conducted studies to move toward true EBP. One starting point with documented potential for building the research capacity in a field is to develop...
