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Assessing Call Demand and Utilization of a Secondary Triage Emergency Communication Nurse System for Low Acuity Calls Transferred from an Emergency Dispatch System

Mark Conrad Fivaz, MD, Greg Scott, MBA, EMD-QI, Jeff J. Clawson, MD, Corike Toxopeus, PhD, Matt Zavadsky, MS, Kristen Miller, JD, Neal Richmond, MD, FACEP, Christopher Olola, PhD

Aug 01, 2015|AEDR 2015 Vol. 3 Issue 2|Original Research

Telephone nurse triage at the 9-1-1 dispatch point is relatively new in the United States despite its ability to significantly reduce expensive and scarce Emergency Medical Services (EMS) resource use and emergency department visits. A previous study investigated the distribution of 9-1-1-triaged call incident types within the Emergency Communications Nurse System (ECNS) and found that 9-1-1 triage systems yielded a variety of low acuity complaints that were handled by the Emergency Communications Nurse (ECN). This study explored the current and potential utilization...

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The Need for Better Access to Prehospital Emergency Medical Services for Seizure Patients in Rural India: A Profile of Clinical and Etiological Characteristics Compared With Ambulance Usage in a Rural Region

Neelima Saoji, MD, Chetan Dhoble, MD, Abhinav Arora, MD, Rosa Rios, MD

Aug 01, 2015|AEDR 2015 Vol. 3 Issue 2|Original Research

Seizures are episodes of sudden, severe, disorganized neurological activity in the brain, characterized by uncontrolled movement and, in many cases, altered consciousness. Seizures account for 1% of all emergency department visits, and are a leading cause of Emergency Medical Services (EMS) activation and transport. Patients who experience a seizure with no medical history of seizure disorder challenge the prehospital provider to identify an underlying cause for the event and attempt to treat immediately. s:This study aimed to identify the clinical profile of...

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911 Emergency Communication Nurse Triage Reduces EMS Patient Costs and Directs Patients to High-Satisfaction Alternative Point of Care

Isabel Gardett, PhD, Greg Scott, MBA, EMD-QI, Jeff J. Clawson, MD, Kristen Miller, JD, Neal Richmond, MD, FACEP, Comilla Sasson, MD, Matt Zavadsky, MS, Mark Rector, Andrew Wilcox, Christopher Olola, PhD

Mar 22, 2015|AEDR 2015 Vol. 3 Issue 1|Original Research

Recent estimates indicate that more than half of all Emergency Department (ED) visits could be avoided, reducing patient costs and increasing satisfaction with care. Since 911 is increasingly the first point of contact for many patients entering the health care system—even those with non-emergency conditions—one potential approach to decreasing emergency costs and ED overcrowding is to reinvent the 911 dispatch center as a clearinghouse for directing patients to alternative care providers. This study presents a cost avoidance analysis of two 911 dispatch centers that...

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Call Prioritization Time in a Fire Priority Dispatch System

Jay Dornseif, Isabel Gardett, PhD, Greg Scott, MBA, EMD-QI, Robin Grassi, Angela VanDyke, Donald Robinson, Tami Wiggins, Lori Daubert, Mark Hutchison, Sharon Crook, Kevin Sipple, Lisa Kalmbach, Jeff J. Clawson, MD, Christopher Olola, PhD

Mar 22, 2015|AEDR 2015 Vol. 3 Issue 1|Original Research

This study represents a first attempt to classify a subset of time-to-dispatch in a 911 center – the call prioritization time. This time is defined as the time required to gather critical case information, after the address is obtained, and prior to notifying responder units of the call. This study characterizes call prioritization time in nine different 911 centers, all using the Fire Priority Dispatch System (FPDS). Times were examined by individual agency, overall. This was a retrospective, non-controlled, descriptive study involving nine 911 and by FPDS...

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Sensitivity and Specificity of Emergency Medical Dispatching Protocols in the United States

Gage, C. B., MHS, NRP, Déziel, J.D., Ph.D., NRP, Wilfong, D.A., Ph.D., NRP

Apr 04, 2022|AEDR 2022 Vol. 10 Issue 1|Original Research

Emergency medical services require the accuracy of priority dispatching to optimize the match between patients' medical needs, prehospital resources, and maintaining patient safety. When ambulances are traveling with Lights/Sirens rather than with other vehicles' flow and speed on the road, they place themselves and the public at a higher risk. From 1992-2011, 58% of all injuries and fatalities in ambulances occurred when the ambulance was traveling with Lights/Sirens. EMS physician(s) are responsible for all aspects of the EMS system, including EMD protocols. This research aims to evaluate the sensitiv

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911 Attitudes, Barriers, and Experiences Among Diverse Communities in Utah

Edward Trefts, MFA, Alissa Wheeler, BA, Jennifer Hurst, Isabel Gardett, PhD, Christopher Olola, PhD

Dec 22, 2021|AEDR 2021 Vol. 9 Issue 3|Original Research

Previously, researchers have identified barriers and facilitators to using 911 in Black and Hispanic communities. However, there are many other groups that have access to 911 service, who have not yet been represented in the literature. Prior to this study, a Community Engagement Studio (a focus group forum) was held to solicit input from representatives of various diverse communities in Salt Lake Valley on their attitudes, experiences, and perceptions of their local 911 services.

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Fostering Research Collaboration in Emergency Dispatching: A Qualitative Study of Research Training Program Participants

Edward Trefts, MFA, Isabel Gardett, PhD

Sep 07, 2021|AEDR 2021 Vol. 9 Issue 2|Original Research

With the increased importance placed on cultivating a translational workforce, there has been demand for emergency dispatching professionals to be more involved in research activities intended to improve patient outcomes. Through interviewing emergency dispatch professionals who attended a research training program, this project sought to better understand how to create more effective research partnerships with practitioners interested in doing research relevant to their field...

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Factors Contributing to Stress Levels of Emergency Dispatchers

Kate Wahlgren, EMD, Audrey Fraizer, Mike Taigman, MS, Marc Gay, Ronald Williscroft, QI, EMD, Dawn Faudere, EMT-P, EMD-Q, Andre Jones, PhD, Christopher Olola, PhD

Jan 20, 2021|AEDR 2020 Vol. 8 Issue 3|Original Research

There is now substantial research literature on the occupational stress among emergency dispatchers from multiple studies that have cited dispatcher claims of significant emotional, mental, and physical stress as a result of their work. However, there is very little literature that ranks in order of prevalence or severity the factors contributing to overall stress specific to emergency dispatchers. The aim of this study is to collect data that will complement other research findings in this field to inform the development of new programs designed to address specific...

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