Flying to the right place at the right time: Optimizing Helicopter Emergency Medical Service (HEMS) dispatch.

Air ambulances are scarce and expensive assets. To be used efficiently they need to be dispatched to patients who will gain the most benefit. : To identify factors associated with low standdown rates and high conveyance rates, suggesting efficient use of air ambulance resources. Method: Eight months’ call history for a single...

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Continuous Dispatch Education and Service Improvement: Motivating Staff

Yorkshire Ambulance Service (YAS) completed a study which evidenced through quantitative data that Continuing Dispatch Education (CDE) improves service performance. In 2014 a CDE research poster was presented at a conference organized by the International Academies of Emergency Dispatch™ (IAED). To further understand what motivated this...

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Time to First Compression During Dispatcher-Assisted CPR is not Associated with ROSC or Survival to Discharge

Bystander Cardiopulmonary Resuscitation (CPR) has been recognized as a critical component in the survival of out-of-hospital cardiac arrest (OHCA); likewise, time is a factor in the effectiveness of CPR. Pre-arrival instructions (PAIs) for CPR performance by Emergency Medical Dispatchers (EMDs) increase the rate of bystander CPR and OHCA...

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Time to First Compression Using Medical Priority Dispatch System CPR Pre-Arrival Instructions Does Not Vary With Dispatcher Experience

In the absence of bystander Cardiopulmonary Resuscitation (CPR), cardiac arrest survival decreases 7%-10% for every minute of delay until defibrillation. Dispatcherassisted CPR (D-CPR) increase rates of bystander CPR and cardiac arrest survival, with chest compressions recognized as the most important component of bystander CPR. To...

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Time to First Compression using Medical Priority Dispatch System Compression- First Dispatch-CPR Protocols

Without bystander CPR, cardiac arrest survival decreases 7%-10% for every minute of delay until defibrillation. Dispatcher-assisted CPR (D-CPR) has been shown to increase the rates of bystander CPR and cardiac arrest survival. Other reports suggest that the most critical component of bystander CPR is chest compressions with minimal...

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Present Perceived Control: Controlling What We Can

The job of an emergency dispatcher is inherently stressful. As a 9-1-1 dispatcher, it is expected to receive a call for a multi-system trauma victim, a child drowning, an assault, amongst thousands of others, will be answered. These stressors are encountered multiple times per shift. While answering the call is controllable, the stressor...

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Four hands are needed for female bystanders to achieve the required chest compression depth during dispatcherassisted CPR: A randomized controlled trial

Adequate chest compression (CC) depth is paramount for resuscitation outcomes. Elderly rescuers are often unable to achieve the required 5-6 cm CC depth; thus, we investigated new strategies to improve CC performance. : To evaluate the effects of the Andrew Maneuver (four-hands CC) on the depth of CCs performed by elderly...

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