Author: tracey-barron-bs

Time-to-First-Compression and Barriers to Dispatch-Assisted Cardiopulmonary Resuscitation

Rapid identification of 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. The timeliness of dispatcher-assisted CPR may improve survival in such patients. The Medical Priority Dispatch System (MPDS©) has recently introduced a streamlined process for emergency medical dispatchers (EMDs) that provides early identification of OHCA and rapid delivery of chest compression instructions in version 13.0, known as the Obviously Not Breathing...

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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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Characterization of Call Prioritization Time in a Medical Priority Dispatch System

Emergency Medical Services (EMS) agencies have a pressing need to understand call prioritization time (CPT), a key sub-component of call processing time in Emergency Medical Dispatch, as it impacts response time to specific cases and overall EMS agency response time performance. :  The objective of this study was to determine median CPT by dispatch priority level and Chief Complaint type. Methods: This retrospective study included data from six emergency communication agencies, each accredited by the International Academies of Emergency Dispatch (IAED). The...

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The Distribution of Recommended Care Levels by Age, Gender, and Trauma vs Medical Classification within the Emergency Communication Nurse System

An examination of the Emergency Communications Nurse-determined Recommended Care Levels (RCLs), for calls transferred for secondary nurse-triage has not been performed.  The outcome of such an investigation would help to gain a more complete picture of the type of care ultimately recommended for these patients. The Emergency Communications Nurse System (ECNS) studied contained 22 RCLs, ranging from urgent levels, including a country-specific 3-digit number Emergency response (911), and Emergency care as soon as possible to less time-dependent, low priority levels, such...

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