Author: Meghan Broadbent, BS

Characteristics of Acute Myocardial Infarction Cases Coded as Low-Acuity at Dispatch

The objectives of this study were to compare hospital-confirmed acute myocardial infarction (AMI) outcomes with emergency medical dispatch (EMD) low acuity cases and to identify any common characteristics of the AMIs assigned to those low-acuity codes. Methods: This was a retrospective study utilizing EMD, emergency medical services (EMS), and hospital discharge datasets, collected at two emergency communication centers in Salt Lake County, Utah. The study sample included all hospital-confirmed medical cases that arrived to the hospital via EMS. Primary outcome measures...

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Applying the American Heart Association’s Recommended Hands-on-Chest Time Performance Measures

Although it makes up only about 1-2% of all emergency calls for help, sudden cardiac arrest (SCA) remains one of the most deadly1—and one of the most hotly debated—topics in emergency services. Emergency Medical Dispatchers (EMDs) can play a critical role in improving survival rates for victims of SCA. In order to provide the most timely, effective care, EMDs must first identify that an SCA is occurring, then move quickly to provide instructions for bystander CPR. To support the achievement of these twin goals, the American Heart Association (AHA) has recently released proposed standards for...

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Comparison of Emergency Medical Dispatcher Stroke Identification and Paramedic On-Scene Stroke Assessment

Some have argued that there is no need for a dispatcher stroke evaluation because emergency medical services (EMS) responders can perform a more detailed, in-person stroke evaluation in the field. In fact, little or no research exists to determine whether dispatch stroke evaluations are actually redundant when compared with EMS field responder assessments. : The purpose of this study is to determine whether some strokes identified by emergency medical dispatchers (EMDs) are not identified by field paramedics. Methods: The descriptive study utilized data from...

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