Rapid identification of sudden out-of-hospital cardiac arrest (OHCA) and delivery of bystander chest compressions in patients with ventricular fibrillation are key elements in the chain of survival. However, time to bystander compressions can be greatly affected by a wide variety of barriers, some beyond an EMD's control. The aim of this study is to identify and quantify the impact that barriers have on the time taken to achieve bystander compressions for suspected OHCAs. This retrospective, quantitative cohort...
Isabel talks with Dr. Matthew Levy, Medical Director of the Howard County Department of Fire and Rescue Services. They discuss the traits of high quality CPR, steps to improving the entire emergency response system, and bridging the gap between emergency dispatchers and responders...
In medical emergencies involving out-of-hospital cardiac arrests (OHCAs), bystanders reasonably, but sometimes incorrectly, expect that a call to 911 will result in a dispatcher guiding the caller through the steps of cardiopulmonary resuscitation (CPR). The primary objective of this research is to investigate the role of the dispatcher and dispatcher-assisted telephone-CPR (TCPR) in survival rates of OHCAs. This naturally led to an evaluation of the data collection practices of public safety answering points (PSAPs), emergency medical service (EMS) and fire departments, and hospitals for...
Measurement is a critical part of testing and implementing changes as well as identifying areas for further research, in prehospital care and dispatch. Kaunas, the second largest city in Lithuania, implemented the Medical Priority Dispatch System™ (MPDS®) to improve the efficiency, timely availability, consistency, and reliability of dispatch data and information. This in turn facilitated a research study into the care of cardiac arrest patients. Measurement is a critical part of testing and implementing changes, as well as identifying areas for further research...
Emergency Medical Dispatchers (EMDs), at emergency communication centers that have implemented the Medical Priority Dispatch System® (MPDS) protocols, use scripted questions to interrogate people calling 9-1-1. Based on this interrogation, case determinant codes are assigned– to identify the specific patient condition and enable optimal allocation and deployment of resources to ensure appropriate field responses. MPDS determinant codes for both OBVIOUS and EXPECTED DEATH exist for patients that are clearly and irreversibly dead, or have a terminal illness accompanied...
