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...

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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)...

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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...

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Exploring Current Data Collection Practices on the Effectiveness of Dispatcher-Assisted Telephone Cardiopulmonary Resuscitation

Download Original Paper In medical emergencies involving out-of-hospital cardiac arrests (OHCAs), bystanders reasonably but sometimes incorrectly expect a call to 911 will result in a dispatcher guiding the caller through the steps of cardiopulmonary resuscitation (CPR). For the public safety answering points (PSAPs) providing dispatcher-assisted telephone-CPR (tCPR), data was collected in an attempt to evaluate the effectiveness of tCPR and its role in patient survival. Three PSAPs, one emergency medical service (EMS) department, and sixteen fire departments from...

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Is Emergency Medical Dispatcher Low-Acuity Code Selection Influenced by a User-Interface Software Modification?

Sick Person (Specific Diagnosis) is one of the most commonly used Chief Complaint Protocols in the Medical Priority Dispatch System™. Within the Sick Person Protocol, the 26-A-1 coding represents a group of patients with no specific identifiable complaint. This vague categorization presents a problem for dispatch systems and EMS responders alike, since so little is captured about the patient’s true condition. s: The objective of this study was to determine whether changing the order of the “No” answer choice on the...

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Comparison of Emergency Dispatchers’ Perceptions of Training Experiences with Perceptions of Emergency Communication Center Managers, Supervisors, and Trainers

Training that aligns with learners’ expectations and preferences can help improve job satisfaction and reduce turnover. Previously published results described the preferences of supervisors and trainers. However, little is known about emergency dispatchers’ own preferences and expectations regarding training topics, styles, or delivery methods. s: The objective of this study was to describe the training methods and topics emergency dispatchers find most effective, what characteristics define successful versus unsuccessful...

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Finding Control in the Chaos: A Case for Mindfulness in the Dispatch Center

Download Original Paper Emergency dispatchers serve as a unique population to examine the impact of exposure to trauma given their continuous indirect exposure to stressful and traumatic calls. Furthermore, the unique experiences of emergency dispatchers warrants consideration of preventative measures to mitigate the negative outcomes associated with the job. Methods: Due to the continuous stress and exposure to trauma, present perceived control is offered as a variable of interest. Present perceived control (PPC) is examined in two studies by the present...

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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...

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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....

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Evaluation Variability Of Emergency Medical Calls Among Emergency Medical Communication Centers In Liguria, Italy

The evaluation of emergency calls received by Emergency Medical Communication Centers (EMCCs) is the first and basic step for activating the chain of survival. It also represents an essential prerequisite for optimal response to and management of critical patients. : The objective of this study was to evaluate whether the introduction of a single, structured, and standardized emergency medical dispatch system provided a more uniform evaluation of all emergency calls among five EMCCs in Liguria, Italy. Methods: The study retrospectively examined the assigned...

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