Author: Jeff J. Clawson, MD

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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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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Persons Descriptions Reported to Emergency Police Dispatch

Download Original Paper Identification of persons based on verbal descriptions is one of the key skills of police work. Gathering as much description information as possible immediately following the event—for example, at the point of emergency police dispatch—could substantially improve the accuracy of suspect descriptions, the ability to locate missing persons quickly, and other key outcomes of effective police work. : The primary objective of this study was to determine what amount and type of persons description information is collected by...

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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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