Author: jeff-j-clawson-md

Characterization of Hospital-Confirmed Stroke Evidence for Callers Who Were Unable to Complete Stroke Test Requests from the Emergency Medical Dispatcher

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. s: 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). Methods: 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...

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Call Prioritization Times for Structure Fires in a Fire Priority Dispatch System

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). s: The primary objective in this study was to determine CPT for the FPDS...

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Enhancing Emergency Medical Dispatch to Drive Specific and Significant Improvements in Patient Care

OVERVIEW Measurement is a critical part of testing and implementing changes as well as identifying areas for further research, in prehospital care and dispatch.1 Kaunas, the second largest city in Lithuania, implemented the Medical Priority Dispatch System™ (MPDS®) to improve the efficiency, timely availability, consistency, and reliability of dispatch data and information. This in turn facilitated a research study into the care of cardiac arrest patients. Measurement is a critical part of testing and implementing changes, as well as identifying areas for further research, in...

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Current Methods and Factors Influencing Successful Training of Emergency Dispatchers in Emergency Communication Centers

Based on known unpublished sources (e.g. emergency communication center managers, training officers, dispatchers), emergency communication centers (ECCs) around the world provide training for new emergency dispatchers and continuing dispatcher education. However, little information has been collected, or shared, between ECCs regarding specific training methods that are being used, which methods are successful, and what factors influence their success. : The objective of this study was to describe what training methods are currently being used in emergency...

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Research Literacy Among Emergency Dispatchers at an Emergency Communication Center: Developing Capacity for Evidence-Based Practice at Dispatch (A Pilot Report)

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...

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