Research Posters

Implications of Pre-Alerts for Medical Emergency Calls

  In emergency dispatching, pre-alerts are used to send responders to calls prior to getting a final dispatch code—assigned using an emergency dispatch system.  Although this dispatching process has been used for several years, no research studies have demonstrated its significant benefit, in general.  However, a study published in 2013, showed that pre-alerts can be effectively used to reduce dispatch time for out-of-hospital cardiac arrests (OHCAs), which has the potential to...

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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...

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MPDS Protocol 26 (Sick) and Paramedic Provider Impression

Northwell Health Center for Emergency Medical Services (CEMS) strives to provide the best prehospital care in the Northeast Region. CEMS Communications, an Accredited Center of Excellence with the IAED, continually monitors the effect of its MPDS system as it applies to our EMS response through Clinical and Communication Quality Assurance and Quality Improvement. : The objective of this study was to evaluate MPDS cases handled on Protocol 26 Sick Person (Specific...

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Providing Dispatchers “The Rest of the Story”

Historically, emergency medical dispatchers (EMDs) do not normally have the opportunity to learn about the outcomes of the patients who they have impacted. More often than not, ST-Elevation Myocardial Infarction (STEMI) cases are urgently transported and triaged within the hospital system, and dispatchers are not afforded the opportunity to learn “the rest of the story” about the patient’s outcomes. This leaves the EMDs wondering about the patient, not only from a survival...

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Preliminary and Potential Impacts of a Partnership Between EMS and Health and Human Services on Call Volumes Generated by EMS “Super-Users”

For years, rising EMS call volumes have taxed resources in EMS jurisdictions. A significant problem of utilization by frequent 911 callers has contributed to transports and ED utilization, some of which may be unnecessary. Solutions to this have been limited for field providers. Purpose: We wished to both pilot a new EMS partnership with our county’s Health and Human Services Agency (HHS) that could intervene with services for these “super-users,” and study the scope of the...

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Comparative Location Testing: An Analysis of Rapid-SOS PSAP Integration and the Effects on Location Accuracy for Smartphone 911 Calls

Today’s wireless 911 location technology is not always precise. As people move away from using landline phones, more and more calls to 911 are being placed from mobile phones, even indoors. In fact, over 70% of 911 calls today are made from mobile phones according, to the FCC. As such, the need exists to improve location accuracy for mobile 911 calls in order to provide fast and reliable 911 response. : The objective of this study was to evaluate a potential improvement...

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9-1-1 State Your Emergencia: An Analysis of Participant Interaction in 9-1-1 Emergency Calls from Spanish Speakers

This study is a subset of ongoing research and conversational analysis of recorded 911 calls into a California dispatch center from Spanish-speakers who requested language interpretation in communicating their emergencies. Findings reveal how each participant—callers, calltakers, and language interpreters—affects how emergencies were communicated and understood. : This unique study researched the existing procedure when non-English speakers who are facing an emergency...

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Analysis of Evaluation Variability of Medical Emergency Calls Among Control Centers In Liguria, Italy

The evaluation of emergency calls received by Emergency Medical Communication Centers (EMCCs) is the first and most basic step to activating the rescue chain. It also represents an essential prerequisite for an optimal management of critical patients, by optimizing the methods of public medical response and management time. : The goal of the study is to evaluate whether the introduction of the Medical Priority Dispatch System™ (MPDS)® made more homogenous the evaluation...

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