Comparison of Emergency Medical Service Stroke Identification and Neurologist In-Hospital Stroke Assessment: Preliminary Results of the Genova Network

The main objective of this study was to compare emergency medical dispatch (EMD) stroke identification with hospital-confirmed stroke. The secondary objective was to compare the results of stroke diagnostic tool (SDxT) of Medical Priority Dispatch System™ (MPDS®) with National Institutes of Health Stroke Scale (NIHSS) used in hospital by...

Read More

Assessing the Impact of Opening Greetings in Handling Emergency Calls: Genova 118 Experience

S The manner in which calls are handled at the emergency telecommunication center has a significant role in effective management of assistance on the scene. The main information needed to start a response is the location of the incident, which usually means the complete address. The Genova 118 Center has recently modified its standard greeting...

Read More

Predicting the Need for Extrication in Traffic Accidents Reported to 911

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 9-1-1 call-taking process, and dispatching them without delay, is crucial to delivering the required response and patient care....

Read More

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,...

Read More

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...

Read More

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...

Read More

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...

Read More

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...

Read More

Join the AEDR Newsletter