Topic: Medical Priority Dispatch System

Caller’s Ability to Understand “Responding Normally” vs. “Completely Alert” Key Question in a Brazilian Portuguese Version of an Emergency Medical Dispatch Protocol

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). s: 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...

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Show Me the Evidence with Dr. Mike Barnum

https//media.blubrry.com/aedr_podcast/p/content.blubrry.com/aedr_podcast/Episode42-2019-03-29Mike_Barnum_mixdown.mp3Podcast: Play in new window | Download (Duration: 32:31 — 29.8MB) | EmbedSubscribe: Apple Podcasts | Android | Google Podcasts | Stitcher | RSS | MoreIsabel talks with Dr. Mike Barnum, an emergency medicine physician in Las Vegas. They discuss how evidence informs practice, the different types of evidence, and how to integrate sound data into your center.   For Your...

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Multi-Protocol Discipline Agencies Use Different Protocols To Process Traffic Accidents

Traffic incidents (collisions and crashes) are among the most common call types handled by Emergency Communication Centers (ECCs). They are also among the most complex call types because they represent such a range of possible situations. ECCs that handle calls in multiple disciplines (medical, fire, and law enforcement) may have multiple protocols available for handling traffic incidents because the Medical Priority Dispatch System, Police Priority Dispatch System, and Fire...

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Characteristics of Acute Myocardial Infarction Cases Coded as Low-Acuity at Dispatch

The objectives of this study were to compare hospital-confirmed acute myocardial infarction (AMI) outcomes with emergency medical dispatch (EMD) low acuity cases and to identify any common characteristics of the AMIs assigned to those low-acuity codes. Methods: This was a retrospective study utilizing EMD, emergency medical services (EMS), and hospital discharge datasets, collected at two emergency communication centers in Salt Lake County, Utah. The study sample included all...

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Comparison of Emergency Medical Dispatcher Stroke Identification and Paramedic On-Scene Stroke Assessment

Some have argued that there is no need for a dispatcher stroke evaluation because emergency medical services (EMS) responders can perform a more detailed, in-person stroke evaluation in the field. In fact, little or no research exists to determine whether dispatch stroke evaluations are actually redundant when compared with EMS field responder assessments. : The purpose of this study is to determine whether some strokes identified by emergency medical dispatchers (EMDs)...

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Characterization of Hospital-Confirmed Stroke Evidence for Callers Who Were Unable to Complete Stroke Test Requests from the Emergency Medical Dispatcher

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. s: 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). Methods: The retrospective descriptive study utilized stroke data from three sources in Salt Lake County, Utah,...

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Characterization of Call Prioritization Time in a Medical Priority Dispatch System

Emergency Medical Services (EMS) agencies have a pressing need to understand call prioritization time (CPT), a key sub-component of call processing time in Emergency Medical Dispatch, as it impacts response time to specific cases and overall EMS agency response time performance. :  The objective of this study was to determine median CPT by dispatch priority level and Chief Complaint type. Methods: This retrospective study included data from six emergency communication...

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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

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...

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