Research Posters

Optimizing the Use of Pre-Hospital Emergency Medical Data to Identify Opioid Overdoses

s Opioid overdose is the leading cause of accidental death in the US. To respond to this public health crisis, public health and safety agencies are attempting to optimize their use of data sets that can identify opioid overdoses cases early in the continuum of emergency medical care. In this study, we are developing and validating a novel approach to identifying opioid overdose cases using a set of indicators from pre-hospital data, including the electronic patient care record...

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Reprioritization of 911 Emergency Medical Calls Using Historical Clinical Data

 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.   s: The primary...

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Data Collection on the Effectiveness of Dispatcher-Assisted CPR

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).   s: 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...

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Emergency Medical Dispatch Identification of Opioid Overdose and Frequency of NARCAN Administration on Scene

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...

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

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...

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Saving Brain in Stroke Patients

In April, 2014 MEDIC  Emergency Medical Services (MEDIC EMS) began activation of call-taker initiated activation of stroke alerts based off of the Stroke Diagnostic Tool on Protocol 28 (Stroke [CVA/Transient Ischemic Attack [TIA])—a tool in the Medical Priority Dispatch System™ (MPDS®) (Version 13, 2016, Priority Dispatch Corp., Salt Lake City, UT, USA). Stroke alerts are sent to the local stroke certified receiving facilities and then to the responding ambulance of the MPDS...

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European Emergency Number 112 in Liguria, Italy: Results of the First Year of Activity

On February 14, 2017, the Region of Liguria (one of the 20 regions of Italy) activated a first level public safety answering point that uses the universal European Emergency Number (EEN), 1-1-2. This implementation had 3 primary purposes: immediate call pickup/answering for all emergency calls; a fast call transfer to a secondary PSAP – either medical, police or fire; and filtering of inappropriate calls. This study reports on several performance indicators for the first...

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Implementation of the European Emergency Number 112 in Liguria, Italy

On July 29, 1991 the 91/396/CEE European Community introduced the short number 1-1-2, as the only one European emergency number (EEN).  In Italy, the implementation of European Decision began with the legislative decree of August 1st, 2003, and subsequent amendments and additions. In Liguria, Italy, the signing of Memorandum of Understanding between Liguria Region President and Interior Ministry in September 2016, initiated the EEN planning.   s: Purpose of this...

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