Sick Person (Specific Diagnosis) is one of the
most commonly used Chief Complaint Protocols
in the Medical Priority Dispatch System (MPDS).
This protocol is often used when a caller does not
report any specific or high-priority symptoms. Of
particular concern is the 26-ALPHA-1 determinant
code, which refers to a person with “No priority
symptoms” and none of the specific symptoms
listed on the ALPHA-code drop-down list (Fig. 1).
Cardiovascular disease remains the most common cause
of death worldwide, with ischemic heart disease (IHD)
causing nearly nine million deaths per year. Coronary heart
disease (CHD) is estimated to cause about one-third of
all deaths in people over 35 years old, and the incidence
of CHD is expected to continue to rise. Acute myocardial
infarctions (AMIs)—heart attacks—represent a significant
portion of this overall CHD mortality, with approximately
620,000 Americans suffering a first heart attack, and
295,000 suffering a repeat event, each year.
Emergency communication centers often field a
large number of calls requesting transportation
for patients from one care facility to another.
Transferring patients between facilities can be
frustrating for nearly everyone, including care facility
staff, emergency dispatchers, communication center
leaders, and responders.
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. These can range from
“fender benders” with no injuries and little or no property
damage—in which case a single law enforcement officer
might be an appropriate response—to mass-casualty
events involving trains, buses, or other large, multipassenger vehicles.
Kim Ruether, founder of Project Brock, gives some background on "Brock's Law" and Project Brock, a nonprofit dedicated to preventing sudden cardiac arrest in young people through awareness, education, and action...
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...
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...
Director Tyrell Morris, Orleans Parish Communication District, discusses the implementation of Protocol 36: Pandemic, Epidemic, and Outbreak (Surveillance and Triage), the role of video triage in COVID-19 calls, and New Orleans's self-quarantine registry...
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...
