Emergency Medical Telecommunicator remains a fast-changing role in pre-hospital medicine. Some research has been carried out that examines call-taking, dispatch protocols, and stress levels.
As an EMD Instructor that qualified in 2003 on MPDS Version 10.4, there have been a significant amount of changes in the last two decades. The EMD course is a 24 hour instructor led course and the length of the course has not changed from the first iteration and formalised curriculum developed for Version 11.
Most UK ambulance services undertake a secondary assessment of 999 calls with nurses and paramedics to best manage delays in responses and reduce inappropriate admissions to hospitals. However, little is known about the differences in the types of cases managed by the two professions comparatively, their clinical outcomes, and the quality and safety they offer.
Dispatchers may work schedules ranging from 8 to 10 to 12-hour shifts, with additional scheduled or emergency overtime, spanning evenings, weekends, and holidays. The long periods of boredom punctuated by the chaos of multiple crisis calls during staff shortages and the work of dispatchers has been rated as one of the most stressful jobs in America, according to O*Net (2019).
The advanced data export feature in AQUA™ (Priority Dispatch, Inc., Salt Lake City, Utah, USA) is a software tool that enables emergency dispatch centers to extract and analyze data from their quality assurance reviews database. By identifying trends and patterns in this data, advanced data export can assist in identifying potential compliance to protocol issues and aid in finding solutions to address them.
The present study obtained subjective input from emergency telecommunicators regarding their greatest work-related stressors according to five categories: 911 calls, radio traffic, interactions with coworkers, interactions with management, and work-life balance. In addition, this study obtained emergency telecommunicators’ subjective ideas for prevention and intervention strategies that they would like to have implemented in the workplace, at home, and in the community.
There can be several barriers to performing effective CPR on patients who call 911 service for help. One of the most challenging barriers is repositioning a patient found by the caller in a prone position i.e., on his/her belly. Existing medical dispatch pre-arrival instructions (on Medical Priority Dispatch System [MPDS®] Protocols Panel C2) provide no specific scripted instructions for repositioning the patient from prone to supine.
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