AEDR 2016 Vol. 4 Issue 2

Characterization of Hospital-Confirmed Stroke Evidence for Callers Who Were Unable to Complete Stroke Test Requests from the Emergency Medical Dispatcher

The findings of a recent study suggest that a patient’s inability to complete all three tasks in a stroke identification tool used by Emergency Medical Dispatchers (EMDs) is a uniquely strong predictor of stroke. s: To examine the characteristics of the 17 cases in which the patient was unable to complete all three tasks in the Stroke Diagnostic Tool (SDxT). Methods: The retrospective descriptive study utilized stroke data from three sources in Salt Lake County, Utah,...

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Communication Factors Associated with Stroke Identification During Emergency Calls: A Systematic Review

The first opportunity for prompt identification of a stroke in the prehospital environment often occurs when people telephone for emergency medical services. A better understanding of how callers and dispatchers communicate during emergency calls may assist dispatcher identification of stroke. : To conduct a systematic review of the literature to determine communication factors associated with the identification of stroke during emergency calls. Methods: Six databases...

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9-1-1 State Your Emergencia: An Analysis of Participant Interaction in 9-1-1 Emergency Calls from Spanish Speakers

This study is a subset of ongoing research and conversational analysis of recorded 911 calls into a California dispatch center from Spanish-speakers who requested language interpretation in communicating their emergencies. Findings reveal how each participant—callers, calltakers, and language interpreters—affects how emergencies were communicated and understood. : This unique study researched the existing procedure when non-English speakers who are facing an emergency...

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The Evidence Base for a New “Vehicle in Floodwater” Emergency Dispatch Protocol

Every year 350–400 people die in submersed vehicles in North America, 1, 2 ,3 with these deaths accounting for up to 10% of all drownings.4 Vehicle submersion has the highest fatality rate of any type of single vehicle accident.5 In the past, emergency dispatch protocols for sinking vehicles either have been non-existent or were ineffective to deal with this rapidly deteriorating situation, in which a vehicle can fill with water and sink completely (if the water is deep enough), because with...

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Challenges in Utilization of Statistical Analysis Software in Emergency Dispatch Data Analysis and Advances in Data and Technologies

Emergency dispatch and emergency medical services (EMS) data keeps increasing every day—in quality, volume, and dimensionality. An Emergency Medical Dispatcher (EMD) at an emergency communication center is the primary link between the public caller requesting emergency medical assistance and EMS. Data collection starts when the EMD receives the call and ends when the patient is either treated on scene or admitted to the hospital. The data collected is mostly structured data containing both...

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Analysis of Evaluation Variability of Medical Emergency Calls Among Control Centers In Liguria, Italy

The evaluation of emergency calls received by Emergency Medical Communication Centers (EMCCs) is the first and most basic step to activating the rescue chain. It also represents an essential prerequisite for an optimal management of critical patients, by optimizing the methods of public medical response and management time. : The goal of the study is to evaluate whether the introduction of the Medical Priority Dispatch System™ (MPDS)® made more homogenous the evaluation...

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The Clinical Course and Outcome of Patients Identified as a Medical Priority Dispatch System (MPDS) Card 10 (Chest Pain)

Few studies have described the clinical course and outcome of specific cohorts of patients identified by their 911 call type.  Chest pain patients are especially important to study due to the time-sensitive nature of cardiac-related treatment. : To describe the clinical course and outcome of patients identified as an MPDS Card 10 (Chest Pain), including the positive predictive value (PPV), with primary Emergency Department (ED) diagnosis. Methods: All 911 calls between...

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The Impact of MPDS on Response Delay Time And Duration of Emergency Medical Calls

A fast response to an emergency call is one of the main objectives of an emergency medical communication center (EMCC). For decades, Italy had no formal emergency medical dispatch system to triage and respond to emergency calls.  Instead, it used healthcare providers such as nurses to triage and respond to such calls. In 2011, a scripted logic-based dispatch protocol system, the Medical Priority Dispatch System™ (MPDS®), was implemented in the Liguria Region EMCCs in Italy to...

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