Author: Christopher Olola, PhD

Emergency Communication Nurses’ Ability to Correctly Select Abdominal Pain as the Appropriate Protocol in Telephonic Nurse Triage System

Download Original Paper Abdominal pain is the most common symptom with which patients present to the emergency department (ED), and overall visits to EDs in the U.S. are growing twice as fast as the overall population. Interventions that can safely mitigate such a high usage of ED resources would be a great asset in the delivery of effective and efficient ED care. One such intervention is a secondary triage of patients calling 911 for an ambulance who were subsequently triaged as a non-urgent low-acuity caller. Emergency medical services (EMS) using secondary...

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Falls Protocol Lift Assist Calls: Predictors of Repeat 911 Calls

Download Original Paper 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. s: To 1) describe calls originating as lift assist calls with repeat calls within 24 hours, 2) explore the...

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Identifying Working Structure Fires Using a Standardized Fire Dispatch Protocol System

Structure fires, although infrequent, require significant resources and personnel to effectively complete critical tasks in a short time frame to achieve positive outcomes. While it is important to dispatch the appropriate number of resources rapidly, there is a risk to over-allocate responding resources both to the public and to the responders by responding with lights and siren. A standardized emergency fire dispatch (EFD) protocol-based system is important to quickly identify working structures fires so appropriate resources are allocated in an effective manner—and...

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Evaluating the Effect of Proper Use of “Tell Me Exactly What Happened” on Chief Complaint Selection and Information Gathering at Emergency Police Dispatch

Download PDF When evaluating the information provided by 911 callers, Emergency Police Dispatchers (EPDs) use scripted protocols to ensure that important details are not missed and that questions are not omitted. Specifically, at the beginning of the call, EPDs ask callers to “Tell me exactly what happened” (TMEWH). Since EPDs must select the correct Chief Complaint (CC) Protocol based on the caller’s response, getting a complete response to TMEWH—and interpreting it correctly—is one of the most significant elements of an EPD’s job. However, no studies have...

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