Poster Abstracts

Evaluating the Effect of Proper Use of “Tell Me Exactly What Happened” Case Entry Questions on Chief Complaint Selection and Information Gathering at Emergency Police Dispatch

The most critical and difficult part of the Emergency Police Dispatcher’s (EPD) job may be the gathering of the initial problem description, which uses a scripted Protocol Case Entry Question (CEQ) but also requires interpretation on the part of the EPD. Specifically, at the beginning of the call, the EPD asks the caller the CEQ “Ok, tell me exactly what happened” (TMEWH). Based on the caller’s response, the EPD selects a Chief Complaint (CC) Protocol—a specific protocol that...

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MPDS Protocol 26 (Sick) and Paramedic Provider Impression

Northwell Health Center for Emergency Medical Services (CEMS) strives to provide the best prehospital care in the Northeast Region. CEMS Communications, an Accredited Center of Excellence with the IAED, continually monitors the effect of its MPDS system as it applies to our EMS response through Clinical and Communication Quality Assurance and Quality Improvement. : The objective of this study was to evaluate MPDS cases handled on Protocol 26 Sick Person (Specific...

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Providing Dispatchers “The Rest of the Story”

Historically, emergency medical dispatchers (EMDs) do not normally have the opportunity to learn about the outcomes of the patients who they have impacted. More often than not, ST-Elevation Myocardial Infarction (STEMI) cases are urgently transported and triaged within the hospital system, and dispatchers are not afforded the opportunity to learn “the rest of the story” about the patient’s outcomes. This leaves the EMDs wondering about the patient, not only from a survival...

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Preliminary and Potential Impacts of a Partnership Between EMS and Health and Human Services on Call Volumes Generated by EMS “Super-Users”

For years, rising EMS call volumes have taxed resources in EMS jurisdictions. A significant problem of utilization by frequent 911 callers has contributed to transports and ED utilization, some of which may be unnecessary. Solutions to this have been limited for field providers. Purpose: We wished to both pilot a new EMS partnership with our county’s Health and Human Services Agency (HHS) that could intervene with services for these “super-users,” and study the scope of the...

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Comparative Location Testing: An Analysis of Rapid-SOS PSAP Integration and the Effects on Location Accuracy for Smartphone 911 Calls

Today’s wireless 911 location technology is not always precise. As people move away from using landline phones, more and more calls to 911 are being placed from mobile phones, even indoors. In fact, over 70% of 911 calls today are made from mobile phones according, to the FCC. As such, the need exists to improve location accuracy for mobile 911 calls in order to provide fast and reliable 911 response. : The objective of this study was to evaluate a potential improvement...

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The Golf Course Project: GIS and CAD Solution to Difficult Access Locations

Lee County, Florida, has 108 golf courses. Snowbird season packs the golf courses with many who are older. Medical emergencies: stroke; cardiac arrest; fractures; back injuries; stings; and heat exhaustion are common. Access to patients on golf courses is challenging. Golfers can only see the lanais and back of houses—not street addresses. : To design a Graphic Information System (GIS) and Computer Aided Dispatch (CAD) solution to identify patient locations using common...

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Unlike calls from landline telephones, mobile phones do not provide EMS call handlers with a full address, and positional estimates from mobile phone signals can have a margin of error of up to 3000m (approx.. 9900 feet) in rural areas. We noticed that mountain casualties attending our Emergency Department in North Wales often struggle to pronounce Welsh-language place names. We wished to determine whether the ability of 999 callers to accurately pronounce (or describe) their...

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There is an on-going discussion on quality of cardiopulmonary resuscitation (CPR) as related to guideline target values for chest compression depth. Deeper compression depth is generally understood to be more effective. Interestingly, the American Heart Association (AHA) guideline requests a compression depth of “at least 5cm” whereas the European Resuscitation Council (ERC) guideline requests “at least 5 cm, but not to exceed 6 cm”. It is unknown which recommendation is more...

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