Author: Jeff J. Clawson, MD

Consistency of Emergency Medical Dispatchers’ Decisions Using a Protocol-Based Triage System

Central to the effectiveness of prehospital care is the ability of emergency medical dispatchers (EMDs), to rapidly categorise ‘999’ calls and subsequently facilitate the dispatching of appropriate emergency ambulance personnel. There are many factors which affect productivity and/or performance in a work setting. These include shift work and experience. The London Ambulance Service (LAS) uses a structured, symptom- and incident-based protocol to triage emergency ‘999’ calls. To our knowledge, factors potentially affecting compliance with this system have not been...

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The Distribution Of Emergency Police Dispatch Call Incident Types and Priority Levels Within the Police Priority Dispatch System

911 centers receive a wide variety of calls for police-related incidents. Using the Police Priority Dispatch System (PPDS®), a 911 Emergency Police Dispatcher (EPD) categorizes each incident with a specific Chief Complaint (CC) and prioritizes the case using a systematic alpha-numeric coding matrix. The wide variation in CC types and specific codes assigned can profoundly affect staffing and resource deployment decisions made by law enforcement agencies. However, the frequency of specific call types and priority levels in the PPDS has not been studied formally to date....

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The Holy Grail of Emergency Medical Dispatching

Today we have reached a truly historic moment—literally a “red-letter day” in Emergency Dispatch.  This is the first journal in EMS and public safety history dedicated to the evidence-based foundation of the science of Emergency Dispatch and Response Determination.  The evolution of emergency medical dispatch, followed by the fire and police dispatch disciplines, has to date largely been based on clinical and on-line observational experience as recommended, and validated, by the most knowledgeable experts in all of public safety.  This process is now complemented by this journal’s mission to...

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