Ability Of a Diabetic Problems Protocol to Predict Patient Severity Indicators Determined by On-Scene EMS Crews

Diabetes mellitus is a leading cause of human disease, with 25.8 million Americans affected. It is estimated that 7 million (27%) of these patients are still formally undiagnosed. Diabetes can cause chronic or sudden signs and symptoms, which often result in observers calling 911 for assistance. The Emergency Dispatcher’s interpretation of these calls affects dispatch triage and pre-arrival patient care. s: To determine the relationship between the EMDs’ assigned Medical Priority Dispatch System (MPDS) determinant codes and patient severity indicators as...

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Consistency of Emergency Medical Dispatchers’ Decisions Using a Protocol-Based Triage System

Central to the effectiveness of prehospital care is the ability of emergency medical dispatchers (EMDs), to rapidly categorise ‘999’ calls and subsequently facilitate the dispatching of appropriate emergency ambulance personnel. There are many factors which affect productivity and/or performance in a work setting. These include shift work and experience. The London Ambulance Service (LAS) uses a structured, symptom- and incident-based protocol to triage emergency ‘999’ calls. To our knowledge, factors potentially affecting compliance with this system have not been...

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The Distribution Of Emergency Police Dispatch Call Incident Types and Priority Levels Within the Police Priority Dispatch System

911 centers receive a wide variety of calls for police-related incidents. Using the Police Priority Dispatch System (PPDS®), a 911 Emergency Police Dispatcher (EPD) categorizes each incident with a specific Chief Complaint (CC) and prioritizes the case using a systematic alpha-numeric coding matrix. The wide variation in CC types and specific codes assigned can profoundly affect staffing and resource deployment decisions made by law enforcement agencies. However, the frequency of specific call types and priority levels in the PPDS has not been studied formally to date....

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Telenursing: A Review of Recent Trends, Emerging Issues and Evolving Practices

Telephone triage and advice services continue to be an integral part of health-care service delivery models in many countries. Research in this area has increased since the early 1990s, with a surge of research being published in the late 1990s and again in the late 2000s. : This paper presents a scoping review of the telephone triage and advice service research to explore some of the most pressing questions related to how telenursing is researched and practiced, as well as how telenursing may complement emergency dispatch services. Methods: Five electronic...

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