AEDR 2016 Vol. 4 Issue 1

The Golf Course Project: GIS and CAD Solution to Difficult Access Locations

Lee County, Florida, has 108 golf courses. Snowbird season packs the golf courses with many who are older. Medical emergencies: stroke; cardiac arrest; fractures; back injuries; stings; and heat exhaustion are common. Access to patients on golf courses is challenging. Golfers can only see the lanais and back of houses—not street addresses. : To design a Graphic Information System (GIS) and Computer Aided Dispatch (CAD) solution...

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The Evidence Base for a New “Vehicle in Water” Emergency Dispatch Protocol

Every year, 350-400 people die in submersed vehicles in North America, with these deaths accounting for up to 10% of all drownings.1, 2, 3, 4 Vehicle submersion has the highest fatality rate of any type of single vehicle accident.5 Most of these incidents are survivable, as vehicles usually hit the water in an upright position causing, at most, non-disabling injuries; in these cases death results from either ineffective, or no, self-rescue actions by the victim(s). In general,...

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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...

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You Said It Was Quite Green This Morning….

The Health Contact Centre (HCC) in Brisbane Australia is one of the Health Support Queensland’s services that provides clinical support, either directly to the community (4.7 million Queenslanders) or in support of Hospital and Health Services (HHS) and the Department of Health. Registered nurses (RNs) use the Emergency Communication Nurse System™ (ECNS™) as Clinical Decision Software System (CDSS) to triage callers who access this service via telephone. The RN uses a set of...

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Continuous Dispatch Education and Service Improvement

Continuous Dispatch Education (CDE) is ongoing training for Emergency Dispatchers, Quality Improvement Specialists and Emergency Telecommunicators (ETC). Yorkshire Ambulance Service (YAS) wanted to improve current compliance performance to the Medical Priority Dispatch System™ (MPDS®) utilizing CDE. This study reports on the effectiveness of CDE efforts and staff motivation in completing CDE. s: The primary objectives in this study were to establish if...

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Current Methods and Factors Influencing Successful Training of Emergency Dispatchers in Emergency Communication Centers

Based on known unpublished sources (e.g. emergency communication center managers, training officers, dispatchers), emergency communication centers (ECCs) around the world provide training for new emergency dispatchers and continuing dispatcher education. However, little information has been collected, or shared, between ECCs regarding specific training methods that are being used, which methods are successful, and what factors influence their success. : The...

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Research Literacy Among Emergency Dispatchers at an Emergency Communication Center: Developing Capacity for Evidence-Based Practice at Dispatch (A Pilot Report)

Expanding the role of evidence-based practice (EBP) in emergency medical services is a matter of increasing importance to researchers and practitioners alike. However, this movement toward EBP has not yet been applied to one critical area of prehospital care: emergency dispatching.  The primary reason for this gap is that emergency dispatchers (EDs) struggle to develop a research culture able to produce enough well-conducted studies to move toward true EBP. One starting...

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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...

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