Emergency medical services require the accuracy of priority dispatching to optimize the match between patients' medical needs, prehospital resources, and maintaining patient safety. When ambulances are traveling with Lights/Sirens rather than with other vehicles' flow and speed on the road, they place themselves and the public at a higher risk. From 1992-2011, 58% of all injuries and fatalities in ambulances occurred when the ambulance was traveling with Lights/Sirens. EMS physician(s) are responsible for all aspects of the EMS system, including EMD protocols. This research aims to evaluate the sensitiv
The difficulty of evaluating mental status, particularly alertness, is more pronounced in the medical dispatch context, where the Emergency Medical Dispatcher (EMD) must work through the eyes and ears of the caller, who is most likely a layperson. Determining true non-alertness and the level of its effects on outcome needs to be solved to perfect the interrogation and response-coding processes at dispatch.
Previously, researchers have identified barriers and facilitators to using 911 in Black and Hispanic communities. However, there are many other groups that have access to 911 service, who have not yet been represented in the literature. Prior to this study, a Community Engagement Studio (a focus group forum) was held to solicit input from representatives of various diverse communities in Salt Lake Valley on their attitudes, experiences, and perceptions of their local 911 services.
The objective of this study was to describe the sources of stress, coping mechanisms, stress responses, workplace environments, support services, and employer strategies to mitigate stress experienced by emergency dispatchers.
Emergency Medical Services (EMS) systems often utilize a structured approach to 911 call-taking and emergency medical dispatch (EMD). One such system, Medical Priority Dispatch System (MPDS®), categorizes 911 calls into EMD determinant codes based on problem and severity, with response priorities and resources determined at the local level through a predetermined response matrix. In this study, we proposed a methodology for utilizing historical clinical data to increase the accuracy of 911 call prioritization of patients with time-sensitive critical illness...
The Welsh Ambulance Service NHS Trust (WAST) manages more than 500,000 calls every year, with its emergency ambulance staff attending more than 250,000 of these calls. WAST currently uses the Medical Priority Dispatch System to process its 999 emergency calls and is an accredited centre of excellence. WAST employs experienced nurses and paramedics to undertake 999 secondary telephone triages of 1) low acuity patients, 2) patients awaiting an ambulance response, and 3) patients whose condition may be managed effectively by an alternative to an ambulance...
With the increased importance placed on cultivating a translational workforce, there has been demand for emergency dispatching professionals to be more involved in research activities intended to improve patient outcomes. Through interviewing emergency dispatch professionals who attended a research training program, this project sought to better understand how to create more effective research partnerships with practitioners interested in doing research relevant to their field...
Although diverse factors associated with occupational stress have been examined, little is known about it among 9-1-1 Telecommunicators (TCs). As the first of the first responders, they experience post-traumatic stress disorder due to vicarious trauma and often work long-shifts and overtime. A more comprehensive assessment of the factors associated with stress among TCs is crucial for development of interventions to reduce occupational stress in call centers...
There are many recent articles published in scientific literature on the topic of work-related stress. However, these studies focus on the effects of stress on the workers and not on the impact that stress could have on their work performance—more specifically on the calltaker’s (emergency dispatcher (ED)) performance and consequently on the whole Emergency Medical Service (EMS). : The objective of this study was to assess whether the number of consecutive hours worked...
Relatively few dispatch agencies using the International Academies of Emergency Dispatch protocol systems have achieved Accredited Center of Excellence (ACE) status. Despite ACE being the gold standard for implementation of these systems, no research exists about either barrier to ACE achievement or drivers of ACE success. s: The objectives of this study were to describe the barriers to achieving ACE and to identify characteristics that indicate success with respect to...
