PSAP Leadership Perceptions of Quality: A Six-Dimensional Model

Public Safety Answering Point (PSAP) quality can have life-or-death implications. The quality of service provided by PSAPs is inconsistent due to the lack of mandatory standards of care at the national, state, and local levels. Public demands and duties placed on PSAPs have grown due to technological changes, civil cases alleging negligence, and the emergence of national recommended standards of care, yet governments at all levels have been slow to create governance structures to reinforce adherence to standards. Methods: This article...

Read More

Impact of Work-Related Factors on Stress and Health among 911 Calltakers and Dispatchers in California

Empirical literature examining the health and wellness of emergency responders has continued to grow over the past decade. Yet there is a relative absence of literature on 911 telecommunicators, who are often the “first, first responders” in an emergency. Examination of work-related factors that enhance risk for stress and adverse outcomes may improve current prevention and intervention efforts in this population. Methods: Civilian 911 calltakers and dispatchers from the state of California (N = 833) participated in an online study to...

Read More

Barriers Significantly Influence Time to Bystander Compressions in Out-of-Hospital Cardiac Arrest

Rapid identification of sudden 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. However, time to bystander compressions can be greatly affected by a wide variety of barriers, some beyond an EMD’s control. s: The aim of this study is to identify and quantify the impact that barriers have on the time taken to achieve bystander compressions for suspected OHCAs. Methods: This retrospective, quantitative cohort...

Read More

Persons Descriptions Reported to Emergency Police Dispatch

Download Original Paper Identification of persons based on verbal descriptions is one of the key skills of police work. Gathering as much description information as possible immediately following the event—for example, at the point of emergency police dispatch—could substantially improve the accuracy of suspect descriptions, the ability to locate missing persons quickly, and other key outcomes of effective police work. : The primary objective of this study was to determine what amount and type of persons description information is collected by...

Read More

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

Download Original Paper The Emergency Medical Dispatcher’s (EMD’s) selection of the most appropriate Chief Complaint Protocol is one of the most important elements in emergency dispatching. Choosing the correct Chief Complaint ensures that the correct information is gathered, the correct instructions and help provided, and the right resources sent. The selection of the MPDS Sick Person Protocol is often one of the most difficult for EMDs. s: The primary objective of this study is to compare the EMD’s selection of the Sick Person Protocol with on-scene...

Read More

Implications of Pre-Alerts for Medical Emergency Calls

Download Original Paper In emergency dispatching, pre-alerts are used to send responders to calls prior to getting a final dispatch code. Some studies have showed that pre-alerts can effectively reduce dispatch time for out-of-hospital cardiac arrests, potentially improving overall patient outcome. However, there is also a potential risk in running lights-and-siren on non-fully triaged calls. Although pre-alerts have been used for several years, no research studies have demonstrated its benefit, in general. s: The goal of this study was to determine...

Read More

Predicting the Need for Extrication in Traffic Accidents Reported to 911: Is Anyone Pinned/Trapped?

Download Original Paper Extrication activities at the scene of motor vehicle accidents (MVA) result in extended scene times and increase morbidity and mortality. Identifying the need for extrication-capable resources during the 911 call-taking process, and dispatching them without delay, is crucial to delivering the required response and patient care. Determining the need for extrication using the Traffic/Transport Incidents Protocol in the Medical Priority Dispatch System (MPDS®) (version 13.0 ©2000-2015, Priority Dispatch, Salt Lake City, Utah, USA)...

Read More

Litigation and Adverse Incidents in Emergency Dispatching

Download Original Paper Risk management is an area of critical importance for emergency services and public safety agencies, including emergency communication centers. However, almost no information currently exists regarding litigation against, or involving, emergency dispatch. s: The primary objective in this study was to characterize the most common types of adverse events, actions, and omissions of action that lead to lawsuits against emergency dispatchers and their agencies. Methods: The study was a systematic literature review. Research and...

Read More

The “Four-Second Rule” for Identifying the Active Silent 911 Caller

With advances in wireless technology, the volume of unintentional calls, or misdials, to 911 call centers has steadily increased over the past 10 years. While call centers have been working to manage call volume, there is very little systematic research on how to develop policy for handling Active Silent calls where callers may be unable to verbally communicate. s: The primary objective in this study was to first establish how dispatchers manage nuisance calls, and then provide a systematic way of determining how dispatchers can maximize their opportunities...

Read More

Multi-Protocol Discipline Agencies Use Different Protocols To Process Traffic Accidents

Traffic incidents (collisions and crashes) are among the most common call types handled by Emergency Communication Centers (ECCs). They are also among the most complex call types because they represent such a range of possible situations. ECCs that handle calls in multiple disciplines (medical, fire, and law enforcement) may have multiple protocols available for handling traffic incidents because the Medical Priority Dispatch System, Police Priority Dispatch System, and Fire Priority Dispatch System each contains its own traffic and transportation incident protocol....

Read More

JOIN THE AEDR NEWSLETTER