Sick Person (Specific Diagnosis) is one of the most commonly used Chief Complaint Protocols in the Medical Priority Dispatch System™. Within the Sick Person Protocol, the 26-A-1 coding represents a group of patients with no specific identifiable complaint. This vague categorization presents a problem for dispatch systems and EMS responders alike, since so little is captured about the patient's true condition. The objective of this study was to determine whether changing the order of the "No" answer choice on the...
Training that aligns with learners' expectations and preferences can help improve job satisfaction and reduce turnover. Previously published results described the preferences of supervisors and trainers. However, little is known about emergency dispatchers' own preferences and expectations regarding training topics, styles, or delivery methods. The objective of this study was to describe the training methods and topics emergency dispatchers find most effective, what characteristics define successful versus unsuccessful...
Opioid overdoses have reached critical proportions in the United States of America (USA or US) and worldwide. The US Centers for Disease Control and Prevention report that more than 90 Americans die every day from opioid overdose, and the epidemic was recently declared a national public health emergency. One response to the crisis has been to increase the availability of naloxone HCl (commonly referred to by the brand name NARCAN), a treatment that reverses the effects of opioid overdose when injected or inhaled. The Medical Priority Dispatch System (MPDS®) version 13.0 includes instructions...
Extrication activities at the scene of motor vehicle accidents (MVA) result in extended scene times, and increase morbidity and mortality. Identifying the need for extrication-capable resources during the 9-1-1 call-taking process, and dispatching them without delay, is crucial to delivering the required response and patient care. Determining the need for extrication using this protocol currently relies on the 9-1-1 caller's answer to a single key question in the protocol: "Is anyone pinned (trapped)?" The aims of this study were to determine the predictive value of the single key question...
In emergency dispatching, pre-alerts are used to send responders to calls prior to getting a final dispatch code—assigned using an emergency dispatch system. Although this dispatching process has been used for several years, no research studies have demonstrated its significant benefit, in general. However, a study published in 2013, showed that pre-alerts can be effectively used to reduce dispatch time for out-of-hospital cardiac arrests (OHCAs), which has the potential to improve overall patient outcome. As emergency calls are received, the call is entered in the Computer Aided Dispatch...
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. ECCs that handle calls in multiple disciplines (medical, fire, and law enforcement) may have multiple protocols available for handling traffic incidents because the Medical Priority Dispatch System, Police Priority Dispatch System, and Fire Priority Dispatch System each contains its own traffic and transportation incident protocol...
Providing information about possible weapons on scene is an essential objective of police dispatching and clearly valuable to officer safety. However, up to now, no information has been available about how often callers report weapons as "involved or mentioned" in an incident, what types of weapons are most commonly reported, or which incident types most commonly have reported weapons associated with them. The primary objective of this study is to determine which types of weapons are reported most often and on which Police Priority Dispatch System (PPDS®)...
The objectives of this study were to compare hospital-confirmed acute myocardial infarction (AMI) outcomes with emergency medical dispatch (EMD) low acuity cases and to identify any common characteristics of the AMIs assigned to those low-acuity codes. This was a retrospective study utilizing EMD, emergency medical services (EMS), and hospital discharge datasets, collected at two emergency communication centers in Salt Lake County, Utah. The study sample included all hospital-confirmed medical cases that arrived to the hospital via EMS. Primary outcome measures...
