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Jeff J. Clawson, MD

EMERGENCY COMMUNICATION NURSES’ ABILITY TO CORRECTLY SELECT ABDOMINAL PAIN AS THE APPROPRIATE PROTOCOL IN TELEPHONIC NURSE TRIAGE SYSTEM

Dr. Mark Conrad Fivaz, Jeff J. Clawson, MD, Christopher Olola, PhD, Greg Scott, MBA, EMD-QI, Matt Zavadsky, MS, Gigi Marshall, MSN, Elaine Messerli, BSN, RN

Aug 04, 2021|Research Posters

The primary objective of this study was to determine the ability of an Emergency Communication Nurse (ECN) to appropriately identify the Abdominal Pain Chief Complaint Protocol to use to triage patients in low-acuity cases. The secondary objectives were to establish the most frequently used primary triage code (Medical Priority Dispatch System™ (MPDS®) Determinant Codes), triggering the use of the Abdominal Pain Chief Complaint Protocol in the Emergency Communication Nurse System™ (ECNS™), as well as the percentage of these calls resulting in a Recommended Care Level (RCL) of “emergency a

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ABILITY OF LAYPERSON CALLERS TO APPLY A TOURNIQUET FOLLOWING PROTOCOL-BASED INSTRUCTIONS FROM AN EMERGENCY MEDICAL DISPATCHER

Greg Scott, MBA, EMD-QI, Christopher Olola, PhD, Isabel Gardett, PhD, Daniel Ashwood, PhD, Meghan Broadbent, MS, Srilakshmi Sangaraju, MS, Paul Stiegler, MD, Dr. Mark Conrad Fivaz, Jeff J. Clawson, MD

Aug 04, 2021|Research Posters

The overall objective of the study was to determine whether layperson callers can effectively stop simulated bleeding using an improvised or a commercial tourniquet, when provided with scripted instructions via phone from a trained protocol-aided EMD.

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Caller’s Ability to Understand “Responding Normally” vs. “Completely Alert” Key Question

Valeria De Cassia Pereira, RN, EMD-QI, Sara Scott, Maristela Uta Nakano, MD, MBA, Greg Scott, MBA, EMD-QI, Christopher Olola, PhD, Isabel Gardett, PhD, Srilakshmi Sangaraju, MS, Irena Weight, Daniel Ashwood, PhD, Edward Trefts, MFA, Brett Patterson, Jeff J. Clawson, MD

Aug 04, 2021|Research Posters

Anecdotally, numerous MPDS® (Priority Dispatch Corp., Salt Lake City, Utah, USA)-user agencies in the USA, Canada, UK, and Brazil have reported that the emergency caller has difficulty understanding the key question (KQ) “Is s/he completely alert?”

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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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CHARACTERISTICS OF HOSPITAL-CONFIRMED ACUTE MYOCARDIAL INFARCTION CASES CODED AS LOW-ACUITY AT DISPATCH

Christopher Olola, PhD, Meghan Broadbent, MS, Isabel Gardett, PhD, Greg Scott, MBA, EMD-QI, Jeff J. Clawson, MD

Aug 04, 2021|Research Posters

Cardiovascular disease remains the most common cause of death worldwide, with ischemic heart disease (IHD) causing nearly nine million deaths per year. Coronary heart disease (CHD) is estimated to cause about one-third of all deaths in people over 35 years old, and the incidence of CHD is expected to continue to rise. Acute myocardial infarctions (AMIs)—heart attacks—represent a significant portion of this overall CHD mortality, with approximately 620,000 Americans suffering a first heart attack, and 295,000 suffering a repeat event, each year.

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PERSONS DESCRIPTIONS REPORTED TO EMERGENCY POLICE DISPATCH

Meghan Broadbent, MS, Isabel Gardett, PhD, Chris Knight, Greg Scott, MBA, EMD-QI, Jeff J. Clawson, MD, Christopher Olola, PhD

Aug 04, 2021|Research Posters

Identification of persons based on verbal descriptions is one of the key skills of police work. This includes identifying suspects, but also locating missing persons, identifying a person needing help in a public assist call, or finding and helping a person who is threatening suicide. Correct identification can lead to reduced loss of life, reunions of missing persons with their loved ones, and apprehension of suspects, while incorrect identification can have terrible unintended consequences for both officers and civilians.

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WHICH PROTOCOL FOR TRAFFIC ACCIDENTS: MEDICAL, FIRE, OR POLICE?

Chris Knight, Christopher Olola, PhD, Greg Scott, MBA, EMD-QI, Isabel Gardett, PhD, Jeff J. Clawson, MD

Aug 04, 2021|Research Posters

Traffic incidents (collisions and crashes) are among the most common call types handled by Emergency Communication Centers (ECCs). They are also among the most complex call types because they represent such a range of possible situations. These can range from “fender benders” with no injuries and little or no property damage—in which case a single law enforcement officer might be an appropriate response—to mass-casualty events involving trains, buses, or other large, multipassenger vehicles.

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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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Emergency Communication Nurses' Ability to Correctly Select Abdominal Pain as the Appropriate Protocol in Telephonic Nurse Triage System

Dr. Mark Conrad Fivaz, Jeff J. Clawson, MD, Christopher Olola, PhD, Greg Scott, MBA, EMD-QI, Matt Zavadsky, MS, Gigi Marshall, MSN, Elaine Messerli, BSN, RN

Oct 01, 2020|AEDR 2020 Vol. 8 Issue 2|Original Research

Abdominal pain is the most common symptom with which patients present to the emergency department (ED), and overall visits to EDs in the U.S. are growing twice as fast as the overall population. Interventions that can safely mitigate such a high usage of ED resources would be a great asset in the delivery of effective and efficient ED care. One such intervention is a secondary triage of patients calling 911 for an ambulance who were subsequently triaged as a non-urgent low-acuity caller. Emergency medical services (EMS) using secondary...

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