Second-Party Caller Information for a Falls Case

While teaching a Medical Priority Dispatch System (MPDS®) refresher course in Canton, Illinois, USA, at the Canton County Sheriff’s Office Dispatch Center, I was asked an interesting question by a student “What do you do when a second party caller doesn’t know the answer to your questions?” The student’s question was inspired by a recent investigation request from the 911 center’s local fire department involving a case dispatched as a BRAVO-level response to a fall patient. Emergency medical...

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Emergency Call to EMS in the United Kingdom for a 35-year-old Female Experiencing an Addison’s Crisis.

Addison’s disease is a rare, chronic condition brought on by failure of the adrenal glands, affecting people of all ages. It affects the production of cortisol and aldosterone, both essential in the body’s functioning. A very low level of cortisol can be life threatening, since cortisol regulates blood pressure and the immune system, balances the effect of insulin, and helps the body respond to stress. Aldosterone helps to control blood pressure and regulate salts in the blood. Symptoms of...

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The Distribution of a Fire Priority Dispatch System’s™ Call Incident Types and Priority Levels in Selected U.S. Fire Agencies

The extent of fire emergencies in our communities is of great concern, not only to the public, but to the nation’s fire departments, whose role is not only to respond to them, but to mitigate and, even earlier, to prevent them.  The variety of types of fire-related emergencies reported to 911 is of significant interest to this ongoing mandate. s: The aim of this study was to characterize the distribution of calls handled using a Fire Priority Dispatch System (FPDS™) in...

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Characterization of Call Prioritization Time in a Police Priority Dispatch System™

Time-to-dispatch in a 911 center continues to be a topic of much discussion in public safety. This study represents a first attempt to classify a subset of time-todispatch, call prioritization time, the time required to gather critical information prior to dispatching the call. The study characterizes call prioritization time in two Police dispatching agencies by determining overall median call prioritization time for all Chief Complaints (CCs) in the agencies studied, then by...

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The Distribution of 911 Triaged Call Incident Types within the Emergency Communication Nurse System™

This study examined the distribution of the MPDS® Chief Complaint protocols and determinant codes assigned by the EMD as eligible for nurse triage, as well as the distribution of the Chief Complaint protocols contained in the Emergency Communications Nurse System™ (ECNS™) secondary nurse triage process, as determined by the emergency communications nurse (ECN). Protocol distribution was also examined by patient gender. : This study characterized protocol and gender...

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Informal Convergence at Major Emergency Incidents in Kenya

Convergence behavior” is the informal, spontaneous movement of people, messages, and supplies toward a major emergency incident area. This form of movement brings needed aid to many victims, but at the same time the resultant congestion makes organization and control of the rescue and relief efforts more difficult. Whenever a major emergency incident occurs in Kenya, typically a huge crowd of sightseers and personnel converge at the scene. This report provides a review of informal convergence...

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A Case with a Sting in the Tail

Clinical call handlers use a clinical decision support software system (CDSS) called the Emergency Communication Nurse System™ (ECNS™) to further triage calls considered eligible for secondary triage post the interaction the patient or caller had with the Emergency Medical Dispatcher (EMD). EMDs use a primary emergency triage system called Medical Priority Dispatch System (MPDS®) to triage callers accessing 911 services. This call involved a teenage boy calling 999 in England, UK, on behalf of...

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A Silent But Deadly Aortic Dissection

It was fairly early one day when a young man about 40 years of age called in to the 112 emergency line and asked for an ambulance. The reason was chest pains. He was very calm and “showed“ no signs through the phone that he was in pain or any kind of distress. So I asked him if the patient was himself or if he had someone with him that he was calling for. He replied that he was indeed the patient, and when asked about the chest pain, he said that he had had some discomfort since late the night...

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