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Jeff Clawson, MD

Assessing effectiveness of a new pre-arrival instructions for repositioning a prone patient on their back

Greg Scott, MBA, EMD-QI, Chris Olola, PhD, Matt Miko, Anna Shmynets, Brett Patterson, Jeff Clawson, MD

May 02, 2023|Research Posters

There can be several barriers to performing effective CPR on patients who call 911 service for help. One of the most challenging barriers is repositioning a patient found by the caller in a prone position i.e., on his/her belly. Existing medical dispatch pre-arrival instructions (on Medical Priority Dispatch System [MPDS®] Protocols Panel C2) provide no specific scripted instructions for repositioning the patient from prone to supine.

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911 Caller-Described Heart Attack Symptoms

Greg Scott, MBA, EMD-QI, Christopher Olola, PhD, Brett Patterson, Chris Davis, EMD-I, Joleen Quigg, Matthew Miko, JD, Richard Lindfors, NRP EMD-I, Jayme Tidwell, Kevin Pagenkop, ED-Q, John Lofgren, ED-Q, Jaci Fox, ENP, Jeff Clawson, MD

Apr 20, 2022|Research Posters

Research has showed that heart attacks present clinically with varying symptoms; and those symptoms are not always described by patients as chest pain or chest discomfort. Emergency Medical Dispatchers (EMDs) using the Medical Priority Dispatch System (MPDS™) are trained to select the Chest Pain/Chest Discomfort Protocol for non-chest pain heart attack symptoms or classic heart attack complaint of chest pain/chest discomfort. Nevertheless, it is still unknown how often callers report heart attack symptoms other than chest pain/chest discomfort, including what specific words/phrases they use to describe

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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, 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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