ECNS outcomes of MPDS Codes
Mike Brady, PhD, Mark Conrad Fivaz, MD, Peter Noblett, Greg Scott, MBA, EMD-QI, Chris Olola, PhD
Apr 23, 2024|Research Posters
Most UK ambulance services undertake remote clinical consultation of 999 emergency calls.
Most UK ambulance services undertake remote clinical consultation of 999 emergency calls.
Most UK ambulance services undertake a secondary assessment of 999 calls with nurses and paramedics to best manage delays in responses and reduce inappropriate admissions to hospitals. However, little is known about the differences in the types of cases managed by the two professions comparatively, their clinical outcomes, and the quality and safety they offer.
Dr. Conrad Fivaz, President of Priority Solutions Inc and chair of the ECNS council of standards, Ellen Edwards, Senior Professional Practice Educator for Clinical Support Desk at Welsh Ambulance Service, and Dr. Mike Brady, Consultant Clinician NHS 111, discuss the implementation of video technology at the Welsh Ambulance Service NHS Trust (WAST). They go over best practices, the types of calls best handled with video technology, and clinician feedback.
Dr. Chris Olola, Director of Research for the IAED, Greg Scott, Associate Director of Protocol Evolution, and Matt Hirschi, Data Analyst, discuss the IAED's data center: what it is, how it came to be, and how it can benefit your agency...
KÖNNEN EMDs MITHILFE DES MPDS AUF SICHERE WEISE KRANKHEITEN UND VERLETZUNGEN MIT NIEDRIGER DRINGLICHKEIT ERKENNEN? Ja! Indem Fragen wortwörtlich und in der richtigen Reihenfolge gestellt werden. Krankheiten und Verletzungen können eine niedrigere Dringlichkeit aufweisen. Das Medical Priority Dispatch System™ (MPDS®) priorisiert die Disposition aufgrund der Dringlichkeit einer Krankheit oder Verletzung. Um das System nutzen zu können, werden medizinische Notfalldisponenten (EMDs) darauf geschult, die Hauptbeschwerde eines Anrufers zu identifizieren, wobei sie ein besonderes Augenmerk auf vier...
CAN EMDs USING MPDS SAFELY IDENTIFY LOW-ACUITY ILLNESS AND INJURY? Yes! By asking questions in order and as written. Designed to Determine: Low-acuity illness and injury are non-urgent medical conditions and symptoms. The Medical Priority Dispatch System™ (MPDS®) prioritizes emergency dispatch by illness and injury acuity. In order to use the system, Emergency Medical Dispatchers (EMDs) are trained to identify a caller's Chief Complaint, with particular attention to four priority symptoms: chest pain, alertness, breathing problems, and serious hemorrhaging. EMDs ask callers exactly...
Most United Kingdom (UK) ambulance services undertake remote clinical consultation of 999 emergency calls, often using computerised decision support systems, such as the Emergency Communication Nurse System (ECNS). In 2021 the Welsh Ambulance Services NHS Trust implemented ECNS in a novel way. Both nurses and paramedics used the tool to assess the full range of Advanced Medical Priority Dispatch System (AMPDS) codes and acuities. This study reports the ECNS outcomes of the full range of AMPDS codes, aiming to inform future discussion, protocol evolution, and clinical models internationally.
The Welsh Ambulance Service NHS Trust (WAST) manages more than 500,000 calls every year, with its emergency ambulance staff attending more than 250,000 of these calls. WAST currently uses the Medical Priority Dispatch System to process its 999 emergency calls and is an accredited centre of excellence. WAST employs experienced nurses and paramedics to undertake 999 secondary telephone triages of 1) low acuity patients, 2) patients awaiting an ambulance response, and 3) patients whose condition may be managed effectively by an alternative to an ambulance...