Acute stroke is one of the five time-dependent conditions (first hour quintet, FHQ) that emergency medical services (EMS) must manage better and faster; early identification and treatment are critical to reduce both immediate damage and long-term disability. For Emergency Medical Communication Centers, the rapid and accurate identification of stroke patients is the challenge to be won in the coming years. The main objective of this study is to evaluate the ability of Emergency Medical Dispatchers (EMDs) and rescuers to rapidly and...
Alertness is important to assess during many medical emergencies; however, assessing alertness proves difficult in a non-visual emergency dispatch environment. Little is understood about how to best gather an accurate report of patient alertness during an interaction between callers and Emergency Medical Dispatchers (EMDs). The primary objective of the study was to compare two versions of a Key Question (KQ) intended to gain an accurate report of alertness, to determine whether either demonstrates a higher degree of caller...
Utah Valley Dispatch Special Service District is located in Spanish Fork, Utah, and provides centralized dispatch services for police, fire, and Emergency Medical Service (EMS) agencies in Utah and Juab counties. All 45 dispatchers working in the center are certified in CPR, Emergency Fire Dispatch (EFD), and Emergency Medical Dispatch (EMD). These dispatchers are trained to give lifesaving instructions to callers during emergency medical situations. At the time of the call, the EMD was on her fourth week of training and taking 911 emergencies as well as...
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. 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. This retrospective, quantitative cohort...
Isabel talks with Dr. Mike McEvoy, EMS Coordinator for Saratoga County. They discuss common myths about bystander and responder potential for opioid exposure, the symptoms of an opioid overdose, and how to keep callers safe...
Isabel talks with Jamie Foster, a trainer for the South Western Ambulance Service in the U.K. They discuss what "transgender" means, which medical protocols are impacted by the caller's gender, and how the EMD can balance getting the right information with giving good customer service...
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. The primary objective of this study is to compare the EMD's selection of the Sick Person Protocol with on-scene...
Isabel talks with Kate Dernocoeur, co-writer of Principles of EMD. They discuss how the textbook on EMD was written, the difference between classroom learning and street sense, and the special role of emergency dispatchers in EMS...
The first opportunity for prompt identification of a stroke in the prehospital environment often occurs when people telephone for emergency medical services. A better understanding of how callers and dispatchers communicate during emergency calls may assist dispatcher identification of stroke. To conduct a systematic review of the literature to determine communication factors associated with the identification of stroke during emergency calls. Six databases were searched (CINAHL, Cochrane, Embase, Informit, MEDLINE and PsychInfo). To meet...
The findings of a recent study suggest that a patient's inability to complete all three tasks in a stroke identification tool used by Emergency Medical Dispatchers (EMDs) is a uniquely strong predictor of stroke. To examine the characteristics of the 17 cases in which the patient was unable to complete all three tasks in the Stroke Diagnostic Tool (SDxT). The retrospective descriptive study utilized stroke data from three sources in Salt Lake County, Utah, USA—Emergency Medical Dispatch, emergency medical services (EMS), and receiving hospitals—for...
