Using a Mobile Application to Address Stress-Related Symptoms in Emergency Dispatchers

Download PDF Emergency dispatchers report significant job stress, yet few controlled investigations examine their specific psychological complaints. Additionally, research examining the use of interventions directed at alleviating their work-related stress is limited. : This study aims to examine the efficacy and feasibility of a mobile application (PTSD Coach) on various indicators of psychosocial well-being among emergency telecommunicator dispatchers. Methods: A sample of 117 emergency dispatchers attending the 2018 NAVIGATOR conference agreed to...

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Response to First Reported U.S. COVID-19 Case Enhances Protocols and Alerts

Download PDF On January 19, 2020, relaxing in his Snohomish County living room and watching the early news reports about Coronavirus Disease 2019 (COVID-19) in Wuhan City, Hubei Province, China—the city he’d just returned from—the patient became concerned. He had not been feeling well and decided to go to his primary care physician. Shortly after arriving at the physician’s office, his doctor contacted the Health District Officer. They drew a blood sample and overnighted it to the Centers for Disease Control and Prevention (CDC) lab in Atlanta. The patient went home to...

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Measuring the Impact of Training on Emergency Medical Dispatcher Management of General Mental Crisis Calls and Suicide Calls

Download PDF Historically, 911 professionals have not received specialized training in dispatch and call management related to mental crises and suicidality. This lack of training may contribute to lack of confidence and elevated anxiety in successfully handling these call types. A new model of training, Emergency Mental Health Dispatching™ (EMHD), which aims to equip 911 professionals to manage these calls has been developed to address this need. : The objective of this case study was to measure the impact of EMHD via two specific aims. The first aim...

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

Download PDF When evaluating the information provided by 911 callers, Emergency Police Dispatchers (EPDs) use scripted protocols to ensure that important details are not missed and that questions are not omitted. Specifically, at the beginning of the call, EPDs ask callers to “Tell me exactly what happened” (TMEWH). Since EPDs must select the correct Chief Complaint (CC) Protocol based on the caller’s response, getting a complete response to TMEWH—and interpreting it correctly—is one of the most significant elements of an EPD’s job. However, no studies have...

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

Download PDF 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 inform the ambulance dispatch priority, given that ambulation reflects...

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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

Download PDF 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 Emergency Medical Dispatchers (EMDs) and rescuers to rapidly and...

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

Download PDF 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 cases (based on determinant codes) triaged using the Medical Priority...

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Emotional Labor in Emergency Dispatch: Gauging Effects of Training Protocols

Download PDF 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) and decreased turnover intention (H2). Methods: The study uses...

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

Download Original Paper 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) Protocols on which overdoses are expected to be handled....

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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

Download Original Paper 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 determine whether either demonstrates a higher degree of caller...

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