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Research Posters

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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Most Common EMD Determinants Associated with Downgrade of ALS Incident to BLS Transports Include Critical Dispatches in a High-Volume Two-Tier EMS System

Roger M. Stone, MD, MS, T. A. Burns, MS, NRP, R. Furst, AA NRP, A. Butsch, MA, NRP

Oct 12, 2020|Research Posters

EMS agencies often have a critical shortage of available advanced life support (ALS) assets. Emergency Medical Dispatch (EMD) protocols are designed to sort calls with a reasonable safety margin yet not over triage calls as requiring ALS assets. In some two-tier deployments, a downgrade to BLS is available to allow ALS to return to an available status. The Montgomery County Fire Rescue Service (MCFRS) is an all-hazard combination system that provides a tiered emergency medical service response and transport in urban/suburban/rural settings. MCFRS responds to 94,000 medical incidents and...

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Connecting the Practice of Emergency Dispatch with the Communities it Services: Hypothesis Generation and Lessons Learned

Christopher Olola, PhD, Isabel Gardett, PhD, Greg Scott, MBA, EMD-QI, Alissa Wheeler, BA, Daniel Ashwood, PhD, Jennifer Hurst

Mar 14, 2020|Research Posters

The International Academies of Emergency Dispatch® (IAED™) exists with a mission to advance and support emergency dispatch professionals and match callers in need of emergency, health, and social services safely, quickly, and effectively with the most appropriate response. Therefore, IAED sets the highest possible standards for emergency dispatching worldwide through conducting research, creating protocols, designing training, offering professional development opportunities and certification for emergency dispatchers, and publications on the trade and science of emergency dispatch...

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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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Evaluating the Effect of Proper Use of "Tell Me Exactly What Happened" Case Entry Questions on Chief Complaint Selection and Information Gathering at Emergency Police Dispatch

Steve Zenes, ENP, CMCP, Nancy Roller

May 08, 2019|Original Research, Poster Abstracts, Research Posters, Research Workshop

The most critical and difficult part of the Emergency Police Dispatcher's (EPD) job may be the gathering of the initial problem description, which uses a scripted Protocol Case Entry Question (CEQ) but also requires interpretation on the part of the EPD. Specifically, at the beginning of the call, the EPD asks the caller the CEQ "Ok, tell me exactly what happened" (TMEWH). Based on the caller's response, the EPD selects a Chief Complaint (CC) Protocol—a specific protocol that provides the prompts to drill down into the caller's situation—the primary reason for calling 911. Selecting the wrong...

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Community-Engaged Research in Emergency Dispatch: Getting a 360° View

Alissa Wheeler, BA, Jennifer Hurst, Heather Darata, BS

Mar 26, 2019|Research Posters

The International Academies of Emergency Dispatch® (IAED™) is a nonprofit standard-setting organization promoting safe and effective emergency dispatch services worldwide. IAED supports first responder-related research, unified protocol application, and strengthening the emergency dispatch community through education, certification, and accreditation. As an organization that serves both emergency dispatchers and the public calling them for help, IAED's mission reflects a commitment to build strong relationships with both groups. To this end, IAED began cultivating a relationship with...

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Reprioritization of 911 Emergency Medical Calls Using Historical Clinical Data

Veer Vithalani, Sabrina Vlk, MS, LP, CCRC, Neal Richmond, MD, FACEP

Aug 20, 2018|Research Posters

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 9-1-1 calls into EMD codes based on problem and severity. Response priorities and resources dispatched are determined at the local level through a predetermined response matrix, which is often determined without utilizing outcome-based criteria. The primary objective was to use historical clinical data to develop a methodology to increase the number of patients with time-sensitive critical...

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Comparison of EMD Selection of Sick Person Chief Complaint Protocol with On-Scene Responder Findings

Richard E. Lindfors, NRP, EMD-Q, Miyoshi Bolton, EMD-Q, Isabel Gardett, PhD

Aug 20, 2018|Research Posters

Chief Complaint selection is one of the most important skills for an emergency dispatcher to develop—and one of the most critical moments in any emergency call for help. Selecting the correct Chief Complaint at the opening of the call helps ensure that the correct information will be gathered, the most appropriate response sent, and the most life-critical instructions provided. For many emergency medical dispatchers (EMDs), the selection of Protocol 26 – Sick Person (Specific Diagnosis) is among the most challenging. This is due to the complexity of the protocol, since this requires...

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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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Data Collection on the Effectiveness of Dispatcher-Assisted CPR

Lindsey Tazzioli

Aug 20, 2018|Research Posters

In medical emergencies involving out-of-hospital cardiac arrests (OHCAs), bystanders reasonably, but sometimes incorrectly, expect that a call to 911 will result in a dispatcher guiding the caller through the steps of cardiopulmonary resuscitation (CPR). The primary objective of this research is to investigate the role of the dispatcher and dispatcher-assisted telephone-CPR (TCPR) in survival rates of OHCAs. This naturally led to an evaluation of the data collection practices of public safety answering points (PSAPs), emergency medical service (EMS) and fire departments, and hospitals for...

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