Studies suggest cardiac arrest risk associated with abnormal seizure-like activity increases with age, particularly in patients aged 35 or over. To account for this increased risk, there may be a need to add a new MPDS determinant code with a higher priority designation—probably one at the DELTA level.
Welcome to the third issue of the Annals of Emergency Dispatch and Response (AEDR) since its inauguration in March-April 2013. To better serve our readers, the main focus in this AEDR issue is case studies.
The Annals of Emergency Dispatch and Response EDR journal is now on its feet and moving forward! Tons of thanks to the exemplary editorial leadership, peer-reviewers, and researchers for their tremendous input in establishing the journal. As we all (now) appreciate, establishing a peer-reviewed scientific journal of this nature and magnitude is no trivial task—I salute you all!
It is with profound pleasure, humility and honor that I welcome you, the reader, to this inaugural issue of the Annals of Emergency Dispatch and Response (AEDR) – an official international peer-reviewed research journal published by the International Academies of Emergency Dispatch (IAED)®.
The speedy spread of the global outbreak of COVID-19 called for rapid deployment of tools to monitor its trends. In January 2020, the International Academies of Emergency Dispatch® (IAED) released an official statement about the novel coronavirus with specific guidelines for our Medical Priority Dispatch System (MPDS)-user agencies to use the Emerging Infectious Disease Surveillance (EIDS) Tool for Sick Person (Protocol 26), Breathing Problems (Protocol 6), and other Chief Complaints where the caller offers information leading the emergency medical dispatcher (EMD) to suspect a respiratory-type illness.
Research has showed that heart attacks present clinically with varying symptoms; and those symptoms are not always described by patients as chest pain or chest discomfort. Emergency Medical Dispatchers (EMDs) using the Medical Priority Dispatch System (MPDS™) are trained to select the Chest Pain/Chest Discomfort Protocol for non-chest pain heart attack symptoms or classic heart attack complaint of chest pain/chest discomfort. Nevertheless, it is still unknown how often callers report heart attack symptoms other than chest pain/chest discomfort, including what specific words/phrases they use to describe
The difficulty of evaluating the 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.
The primary objective of this study
was to determine the ability of an
Emergency Communication Nurse (ECN)
to appropriately identify the Abdominal
Pain Chief Complaint Protocol to use to
triage patients in low-acuity cases. The
secondary objectives were to establish
the most frequently used primary triage
code (Medical Priority Dispatch System™
(MPDS®) Determinant Codes), triggering
the use of the Abdominal Pain Chief
Complaint Protocol in the Emergency
Communication Nurse System™ (ECNS™),
as well as the percentage of these
calls resulting in a Recommended Care
Level (RCL) of “emergency a
The overall objective of the study was
to determine whether layperson callers
can effectively stop simulated bleeding
using an improvised or a commercial
tourniquet, when provided with scripted
instructions via phone from a trained
protocol-aided EMD.
Studies have cited dispatcher claims of
significant emotional, mental, and
physical stress as a result of their work,
however, there is very little literature that
ranks in order of prevalence or severity
the factors contributing to overall stress
specific to emergency dispatchers. The
aim of this study is to collect data that
will complement other research findings
in this field to inform the development of
new programs designed to address
specific factors contributing to dispatch
stress and build better psychological
health among this group.
