Author: Greg Scott, MBA, EMD-QI

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

Download Original Paper 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 determine whether either demonstrates a higher degree of caller...

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

Download Original Paper 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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Barriers Significantly Influence Time to Bystander Compressions in Out-of-Hospital Cardiac Arrest

Download Original Paper Rapid identification of sudden out-of-hospital cardiac arrest (OHCA) and delivery of bystander chest compressions in patients with ventricular fibrillation are key elements in the chain of survival. However, time to bystander compressions can be greatly affected by a wide variety of barriers, some beyond an EMD’s control. s: The aim of this study is to identify and quantify the impact that barriers have on the time taken to achieve bystander compressions for suspected OHCAs. Methods: This retrospective, quantitative cohort...

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Persons Descriptions Reported to Emergency Police Dispatch

Download Original Paper Identification of persons based on verbal descriptions is one of the key skills of police work. Gathering as much description information as possible immediately following the event—for example, at the point of emergency police dispatch—could substantially improve the accuracy of suspect descriptions, the ability to locate missing persons quickly, and other key outcomes of effective police work. : The primary objective of this study was to determine what amount and type of persons description information is collected by...

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Implications of Pre-Alerts for Medical Emergency Calls

Download Original Paper In emergency dispatching, pre-alerts are used to send responders to calls prior to getting a final dispatch code. Some studies have showed that pre-alerts can effectively reduce dispatch time for out-of-hospital cardiac arrests, potentially improving overall patient outcome. However, there is also a potential risk in running lights-and-siren on non-fully triaged calls. Although pre-alerts have been used for several years, no research studies have demonstrated its benefit, in general. s: The goal of this study was to determine...

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