The difficulty of evaluating mental status, particularly alertness, is more pronounced in the medical dispatch context, where the Emergency Medical Dispatcher (EMD) must work through the eyes and ears of the caller, who is most likely a layperson. Determining true non-alertness and the level of its effects on outcome needs to be solved to perfect the interrogation and response-coding processes at dispatch.
Emergency Medical Services (EMS) systems often utilize a structured approach to 911 call-taking and emergency medical dispatch (EMD). One such system, Medical Priority Dispatch System (MPDS®), categorizes 911 calls into EMD determinant codes based on problem and severity, with response priorities and resources determined at the local level through a predetermined response matrix. In this study, we proposed a methodology for utilizing historical clinical data to increase the accuracy of 911 call prioritization of patients with time-sensitive critical illness...
There are many recent articles published in scientific literature on the topic of work-related stress. However, these studies focus on the effects of stress on the workers and not on the impact that stress could have on their work performance—more specifically on the calltaker’s (emergency dispatcher (ED)) performance and consequently on the whole Emergency Medical Service (EMS). : The objective of this study was to assess whether the number of consecutive hours worked...
Sean Ash, an Emergency Call Handler for the London Ambulance Service NHS Trust discusses how he got into emergency dispatching as well as what it’s like to be a dispatcher with a disability.
Chaplain Russell Myers, Allina Health EMS, talks about the role of chaplains in EMS and emergency dispatch. He discusses research he's conducted about the most stressful EMS calls as well as things to consider when deciding whether to bring a chaplain into your center...
Emergency Medical Services (EMS) regularly respond to lift assist calls. Previous studies have shown lift assist calls present a significant risk of morbidity and mortality. This group of callers is also likely to make repeated calls to 911 for EMS assistance. The ability to foresee which of these patients may need to call 911 again within 24 hours could help decrease the risk posed to patients in these situations. To describe calls originating as lift assist calls with repeat calls within 24 hours, explore the...
Dr. Chris Olola, Director of Research for the IAED, Greg Scott, Associate Director of Protocol Evolution, and Matt Hirschi, Data Analyst, discuss the IAED's data center: what it is, how it came to be, and how it can benefit your agency...
Research on motor vehicle accidents (MVAs) is robust, though most focuses on prevention and treatment. Emergency medical experts now recognize telecommunications' vital role in the chain of survival; however, MVA research on telecommunicator impact on the MVA is limited. This study seeks to address that gap in research, examining the relationship between Emergency Medical Dispatch codes and on-scene findings. The objective of the study was to characterize all cases (based on determinant codes) triaged using the Medical Priority...
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...
Isabel talks with Jason Carlyon, Community and Engagement Coordinator for Yorkshire Ambulance Service. They discuss the origins of Restart a Heart day, the role of bystanders in cardiac arrest survival, and how to bolster community engagement via your ambulance service...
