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Srilakshmi Sangaraju, MS

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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Identifying Working Structure Fires Using a Standardized Fire Dispatch Protocol System

Terry Purvis, ENP, EMD, EPD, EFD, EPD-Q, Chris Davis, EMD-I, Madeline R. Marks, MS, Greg Scott, MBA, EMD-QI, Stewart Mcgehee, EMT-P, EMD, BS, Isabel Gardett, PhD, Srilakshmi Sangaraju, MS, Christopher Olola, PhD

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

Structure fires, although infrequent, require significant resources and personnel to effectively complete critical tasks in a short time frame to achieve positive outcomes. While it is important to dispatch the appropriate number of resources rapidly, there is a risk to over-allocate responding resources both to the public and to the responders by responding with lights and siren. A standardized emergency fire dispatch (EFD) protocol-based system is important to quickly identify working structures fires so appropriate resources are allocated in an effective manner...

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Correlation of Emergency Medical Dispatch Traffic/Transportation Incidents to On-Scene Outcomes

Jenna B. Streeter, MPA, ENP, Alissa Wheeler, BA, Greg Scott, MBA, EMD-QI, Srilakshmi Sangaraju, MS, Christopher Olola, PhD

Mar 04, 2020|AEDR 2019 Vol. 7 Issue 3|Original Research

Research on motor vehicle accidents (MVAs) is robust, though most focuses on prevention and treatment. Emergency medical experts now recognize telecommunications' vital role in the chain of survival; however, MVA research on telecommunicator impact on the MVA is limited. This study seeks to address that gap in research, examining the relationship between Emergency Medical Dispatch codes and on-scene findings. The objective of the study was to characterize all cases (based on determinant codes) triaged using the Medical Priority...

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THE EVOLUTION OF MPDS® PROTOCOL–38 ADVANCED SEND: RESEARCH-BASED PROPOSALS FOR CHANGE AND TRAINING ENHANCEMENTS

Bonni Stockman, Darren Judd, Alissa Wheeler, BA, Srilakshmi Sangaraju, MS

Oct 31, 2019|Research Posters

Emergency communication centers often field calls from police, local law enforcement, sheriff, state police, highway patrol, security, military police, or federal agents. When these officers radio their communication centers for medical assistance, historically, they have said "Send medical" or "Need paramedics." Centers have typically sent lights-and-siren responses, sometimes wasting resources and potentially causing more accidents. It can be frustrating for all parties involved, because officers are not trained to provide necessary patient information, emergency dispatchers must triage...

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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

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 13, 2019|AEDR 2019 Vol. 7 Issue 2|Original Research

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). 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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Emergency Medical Dispatch Identification of Opioid Overdose and Frequency of Naloxone Administration on Scene

Richard E. Lindfors, NRP, EMD-Q, Byron Shultz, Greg Scott, MBA, EMD-QI, Isabel Gardett, PhD, Meghan Broadbent, MS, Srilakshmi Sangaraju, MS, Rob Lawrence, Danny Garrison, Shannon Smith, Todd Stout, Marc Gay, Mike Taigman, MS, Jeff J. Clawson, MD, Christopher Olola, PhD

Aug 13, 2019|AEDR 2019 Vol. 7 Issue 2|Original Research

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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Barriers Significantly Influence Time to Bystander Compressions in Out-of-Hospital Cardiac Arrest

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

Apr 09, 2019|AEDR 2019 Vol. 7 Issue 1|Original Research

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. 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. This retrospective, quantitative cohort...

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Predicting the Need for Extrication in Traffic Accidents Reported to 911: Is Anyone Pinned/Trapped?

Chris Davis, EMD-I, Paige Dodson, MD, MPH, FAAFP, Chad Pore, MS, Srilakshmi Sangaraju, MS, Meghan Broadbent, MS, Greg Scott, MBA, EMD-QI, Isabel Gardett, PhD, Christopher Olola, PhD

Dec 04, 2018|AEDR 2018 Vol. 6 Issue 3|Original Research

Extrication activities at the scene of motor vehicle accidents (MVA) result in extended scene times and increase morbidity and mortality. Identifying the need for extrication-capable resources during the 911 call-taking process, and dispatching them without delay, is crucial to delivering the required response and patient care. Determining the need for extrication using the Traffic/Transport Incidents Protocol in the Medical Priority Dispatch System (MPDS®) (version 13.0 ©2000-2015, Priority Dispatch, Salt Lake City, Utah, USA)...

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Is Emergency Medical Dispatcher Low-Acuity Code Selection Influenced by a User-Interface Software Modification?

Greg Scott, MBA, EMD-QI, Christopher Olola, PhD, Isabel Gardett, PhD, Meghan Broadbent, MS, Srilakshmi Sangaraju, MS, Bryon Schultz, BA, Lisa Burnette, Jeff J. Clawson, MD

Sep 06, 2018|AEDR 2018 Vol. 6 Issue 2|Original Research

Sick Person (Specific Diagnosis) is one of the most commonly used Chief Complaint Protocols in the Medical Priority Dispatch System™. Within the Sick Person Protocol, the 26-A-1 coding represents a group of patients with no specific identifiable complaint. This vague categorization presents a problem for dispatch systems and EMS responders alike, since so little is captured about the patient's true condition. The objective of this study was to determine whether changing the order of the "No" answer choice on the...

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Emergency Medical Dispatch Identification of Opioid Overdose and Frequency of NARCAN Administration on Scene

Richard E. Lindfors, NRP, EMD-Q, Bryon Schultz, BA, Rob Lawrence, Danny Garrison, Shannon Smith, Todd Stout, Greg Scott, MBA, EMD-QI, Isabel Gardett, PhD, Meghan Broadbent, MS, Srilakshmi Sangaraju, MS, Marc Gay, Mike Taigman, MS, Jeff J. Clawson, MD, Christopher Olola, PhD

Aug 20, 2018|Research Posters

Opioid overdoses have reached critical proportions in the United States of America (USA or US) and worldwide. The US Centers for Disease Control and Prevention report that more than 90 Americans die every day from opioid overdose, and the epidemic was recently declared a national public health emergency. One response to the crisis has been to increase the availability of naloxone HCl (commonly referred to by the brand name NARCAN), a treatment that reverses the effects of opioid overdose when injected or inhaled. The Medical Priority Dispatch System (MPDS®) version 13.0 includes instructions...

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