AEDR 2015 Vol. 3 Issue 2

The Distribution of Recommended Care Level Classification by Time of Day within the Emergency Communication Nurse System

Research has shown that two-thirds of emergency visits occur after business hours (weekdays 9am – 5pm). Therefore, identifying primary healthcare providers available after business hours is one strategy for improving appropriate access to healthcare services. Previous studies have also shown a high and steady volume of secondary triage-eligible calls throughout the day and into the evening. However, because the Emergency Communication Nurse (ECN) performing the...

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FBI National Data Exchange System’s On-Line Tool Enhances Dispatching by Law Enforcement Agencies throughout the US

The traffic stop began like any other. The officer radioed to dispatch with the license plate number and a National Crime Information Center (NCIC) search was conducted. The search turned up negative – showing nothing unusual about the vehicle or its owner – and the officer started a routine approach to the vehicle. The dispatcher then searched the license plate number through the Federal Bureau of Investigation’s (FBI) newest System, the National Data Exchange (N-DEx). for short. Moments...

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Assessing Call Demand and Utilization of a Secondary Triage Emergency Communication Nurse System for Low Acuity Calls Transferred from an Emergency Dispatch System

Telephone nurse triage at the 9-1-1 dispatch point is relatively new in the United States despite its ability to significantly reduce expensive and scarce Emergency Medical Services (EMS) resource use and emergency department visits. A previous study investigated the distribution of 9-1-1-triaged call incident types within the Emergency Communications Nurse System (ECNS) and found that 9-1-1 triage systems yielded a variety of low acuity complaints that were handled by...

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Prevalence of Diabetes and Pre-diabetes in Patients with Acute Coronary Syndrome

Diabetes is a major global problem. Diabetes and pre-diabetes are risk factors for increased incidence of cardiovascular disease. In 2014, the prevalence of diabetes worldwide was estimated at 9% among adults above 18 years of age. According to International Diabetes Foundation (IDF), 381 million people in 2013 had diabetes. : To study the prevalence of diabetes and pre-diabetes in patients with acute coronary syndrome (ACS)....

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Flying to the right place at the right time: Optimizing Helicopter Emergency Medical Service (HEMS) dispatch.

Air ambulances are scarce and expensive assets. To be used efficiently they need to be dispatched to patients who will gain the most benefit. : To identify factors associated with low standdown rates and high conveyance rates, suggesting efficient use of air ambulance resources. Method: Eight months’ call history for a single United Kingdom air ambulance (National Health Service (NHS) paramedic/doctor crew, charity-funded...

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Continuous Dispatch Education and Service Improvement: Motivating Staff

Yorkshire Ambulance Service (YAS) completed a study which evidenced through quantitative data that Continuing Dispatch Education (CDE) improves service performance. In 2014 a CDE research poster was presented at a conference organized by the International Academies of Emergency Dispatch™ (IAED). To further understand what motivated this improvement, Emergency Medical Dispatchers (EMDs) were asked to reflect on CDE undertaken and...

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Time to First Compression During Dispatcher-Assisted CPR is not Associated with ROSC or Survival to Discharge

Bystander Cardiopulmonary Resuscitation (CPR) has been recognized as a critical component in the survival of out-of-hospital cardiac arrest (OHCA); likewise, time is a factor in the effectiveness of CPR. Pre-arrival instructions (PAIs) for CPR performance by Emergency Medical Dispatchers (EMDs) increase the rate of bystander CPR and OHCA survival. While uncontrollable barriers to PAIs delivery exists, time to first compression (TTFC)...

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Time to First Compression Using Medical Priority Dispatch System CPR Pre-Arrival Instructions Does Not Vary With Dispatcher Experience

In the absence of bystander Cardiopulmonary Resuscitation (CPR), cardiac arrest survival decreases 7%-10% for every minute of delay until defibrillation. Dispatcherassisted CPR (D-CPR) increase rates of bystander CPR and cardiac arrest survival, with chest compressions recognized as the most important component of bystander CPR. To facilitate rapid delivery of chest compressions, the Medical Priority Dispatch System (MPDS™) altered...

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