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MPDS

Response to First Reported U.S. COVID-19 Case Enhances Protocols and Alerts

Kurt Mills, Dr. Eric Cooper, MD, Mike Taigman, MS

Jun 03, 2020|AEDR 2020 Vol. 8 Issue 1|Case Report

On January 19, 2020, relaxing in his Snohomish County living room and watching the early news reports about Coronavirus Disease 2019 (COVID-19) in Wuhan City, Hubei Province, China—the city he'd just returned from—the patient became concerned. He had not been feeling well and decided to go to his primary care physician. Shortly after arriving at the physician's office, his doctor contacted the Health District Officer. They drew a blood sample and overnighted it to the Centers for Disease Control and Prevention (CDC) lab in Atlanta. The patient went home to...

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Correlation of Emergency Medical Dispatch Traffic/Transportation Incidents to On-Scene Outcomes

Jenna B. Streeter, MPA, ENP, Alissa Wheeler, BA, Greg Scott, MBA, EMD-QI, Srilakshmi Sangaraju, MS, Christopher Olola, PhD

Mar 04, 2020|AEDR 2019 Vol. 7 Issue 3|Original Research

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...

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Comparison of Emergency Medical Service Stroke Identification and Neurologist In-Hospital Stroke Assessment: Results of the Pilot Study of Genova Network

Andrea Furgani, MD, Silvia Distefano, MD, Lavinia Ferraro, EMD-Q, Silvano Ruffoni, MD, Francesco Bermano, MD

Mar 04, 2020|AEDR 2019 Vol. 7 Issue 3|Original Research

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...

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

Valeria De Cassia Pereira, RN, EMD-QI, Sara Scott, Maristela Uta Nakano, MD, MBA, Greg Scott, MBA, EMD-QI, Christopher Olola, PhD, Isabel Gardett, PhD, Srilakshmi Sangaraju, MS, Irena Weight, Daniel Ashwood, PhD, Edward Trefts, MFA, Brett Patterson, Jeff J. Clawson, MD

Aug 13, 2019|AEDR 2019 Vol. 7 Issue 2|Original Research

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...

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Emergency Medical Dispatch Identification of Opioid Overdose and Frequency of Naloxone Administration on Scene

Richard E. Lindfors, NRP, EMD-Q, Byron Shultz, Greg Scott, MBA, EMD-QI, Isabel Gardett, PhD, Meghan Broadbent, MS, Srilakshmi Sangaraju, MS, Rob Lawrence, Danny Garrison, Shannon Smith, Todd Stout, Marc Gay, Mike Taigman, MS, Jeff J. Clawson, MD, Christopher Olola, PhD

Aug 13, 2019|AEDR 2019 Vol. 7 Issue 2|Original Research

Opioid overdoses have reached crisis proportions. One response has been to increase the availability of naloxone HCl (commonly referred to by the generic name naloxone), which reverses the effects of opioid overdose. The Medical Priority Dispatch System (MPDS®) includes instructions by which the Emergency Medical Dispatcher (EMD) can prompt the caller to find and use naloxone on overdose victims. However, these instructions are only provided on dispatch Chief Complaint (CC) Protocols on which overdoses are expected to be handled...

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Situational Awareness in Emergency Medical Dispatch: An Observation Study and Proposed Model

Isabel Gardett, PhD, Greg Scott, MBA, EMD-QI, Meghan Broadbent, MS, Christopher Olola, PhD

Aug 13, 2019|AEDR 2019 Vol. 7 Issue 2|Original Research

Situational awareness (SA, also called situation awareness) is the ability to take in relevant information about an event in order to understand it and take effective action. Maintaining effective SA as an emergency medical dispatcher (EMD) may be more difficult than in other, similarly complex roles because of the remote nature of an emergency call for help. This study attempts to provide insight on one remote SA situation by reporting on a simulation study in which cardiopulmonary resuscitation (CPR) instructions were provided over...

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