Original Research

A Systematic Review of the Relationship Between Ambulant Status and the Need for a Lights-and-Siren Ambulance Response to Crashes

Motor vehicle crashes (MVCs) can result in life-threatening injuries, and ambulances are therefore often dispatched at the highest priority response of lights­ and-siren (L&S). However, assigning L&S ambulance response based on type of incident alone may result in over-triage, meaning that the patient’s condition did not warrant L&S ambulance response. Potentially, the ambulatory status of the MVC patient at the scene (i.e., whether they can walk) could help...

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Comparison of Emergency Medical Service Stroke Identification and Neurologist In-Hospital Stroke Assessment: Results of the Pilot Study of Genova Network

Acute stroke is one of the five time-dependent conditions (first hour quintet, FHQ) that emergency medical services (EMS) must manage better and faster; early identification and treatment are critical to reduce both immediate damage and long-term disability. For Emergency Medical Communication Centers, the rapid and accurate identification of stroke patients is the challenge to be won in the coming years. : The main objective of this study is to evaluate the ability of...

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Correlation of Emergency Medical Dispatch Traffic/Transportation Incidents to On-Scene Outcomes

Research on motor vehicle accidents (MVAs) is robust, though most focuses on prevention and treatment. Emergency medical experts now recognize telecommunications’ vital role in the chain of survival; however, MVA research on telecommunicator impact on the MVA is limited. This study seeks to address that gap in research, examining the relationship between Emergency Medical Dispatch codes and on-scene findings. s: The objective of the study was to characterize all...

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Emotional Labor in Emergency Dispatch: Gauging Effects of Training Protocols

Previous studies of emergency dispatch personnel have established high levels of emotional labor, burnout, and turnover intention among this population of first responders. This study is the first to investigate the effect of emergency dispatch script protocols on workplace outcomes of burnout and turnover intention. Hypotheses: The study tests two related hypotheses: Greater script comfort among emergency dispatchers will be associated with decreased emotional exhaustion (Hl)...

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Emergency Medical Dispatch Identification of Opioid Overdose and Frequency of Naloxone Administration on Scene

Opioid overdoses have reached crisis proportions. One response has been to increase the availability of naloxone HCl (commonly referred to by the generic name naloxone), which reverses the effects of opioid overdose. The Medical Priority Dispatch System (MPDS®) includes instructions by which the Emergency Medical Dispatcher (EMD) can prompt the caller to find and use naloxone on overdose victims. However, these instructions are only provided on dispatch Chief Complaint (CC)...

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

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...

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

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...

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Willingness of Medical versus Non-Medical Emergency Responders to Accept Post-Incident Intervention

It has long been anecdotally held by emergency responders that non-medical emergency responders were less willing to accept post-incident intervention following a personally disturbing event than their medical counterparts. Methods: Aspects of emergency responder stress were studied across multiple disciplines of the emergency services: pre-hospital emergency medical services (EMS), fire protection, law enforcement, and emergency department (ED) or emergency room (ER) personnel....

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