Topic: emergency medical services

Comparison of Emergency Medical Service Stroke Identification and Neurologist In-Hospital Stroke Assessment: Results of the Pilot Study of Genova Network

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...

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European Emergency Number 112 in Liguria, Italy: Results of the First Year of Activity

On February 14, 2017, the Region of Liguria (one of the 20 regions of Italy) activated a first level public safety answering point that uses the universal European Emergency Number (EEN), 1-1-2. This implementation had 3 primary purposes: immediate call pickup/answering for all emergency calls; a fast call transfer to a secondary PSAP – either medical, police or fire; and filtering of inappropriate calls. This study reports on several performance indicators for the first...

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Implementation of the European Emergency Number 112 in Liguria, Italy

On July 29, 1991 the 91/396/CEE European Community introduced the short number 1-1-2, as the only one European emergency number (EEN).  In Italy, the implementation of European Decision began with the legislative decree of August 1st, 2003, and subsequent amendments and additions. In Liguria, Italy, the signing of Memorandum of Understanding between Liguria Region President and Interior Ministry in September 2016, initiated the EEN planning.   s: Purpose of this...

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Comparison of Emergency Medical Service Stroke Identification and Neurologist In-Hospital Stroke Assessment: Preliminary Results of the Genova Network

The main objective of this study was to compare emergency medical dispatch (EMD) stroke identification with hospital-confirmed stroke. The secondary objective was to compare the results of stroke diagnostic tool (SDxT) of Medical Priority Dispatch System™ (MPDS®) with National Institutes of Health Stroke Scale (NIHSS) used in hospital by neurologists.   METHODS: Data utilized for the observational study were taken from a preliminary stroke dataset collected at San Martino Hospital...

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Assessing the Impact of Opening Greetings in Handling Emergency Calls: Genova 118 Experience

S The manner in which calls are handled at the emergency telecommunication center has a significant role in effective management of assistance on the scene. The main information needed to start a response is the location of the incident, which usually means the complete address. The Genova 118 Center has recently modified its standard greeting from “Genova 118” (STD1) to “Genova 118, where do I send the ambulance?” (STD2). The aim of this study is to verify whether the new standard...

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Evaluation Variability Of Emergency Medical Calls Among Emergency Medical Communication Centers In Liguria, Italy

The evaluation of emergency calls received by Emergency Medical Communication Centers (EMCCs) is the first and basic step for activating the chain of survival. It also represents an essential prerequisite for optimal response to and management of critical patients. : The objective of this study was to evaluate whether the introduction of a single, structured, and standardized emergency medical dispatch system provided a more uniform evaluation of all emergency calls...

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Comparison of Emergency Medical Dispatcher Stroke Identification and Paramedic On-Scene Stroke Assessment

Some have argued that there is no need for a dispatcher stroke evaluation because emergency medical services (EMS) responders can perform a more detailed, in-person stroke evaluation in the field. In fact, little or no research exists to determine whether dispatch stroke evaluations are actually redundant when compared with EMS field responder assessments. : The purpose of this study is to determine whether some strokes identified by emergency medical dispatchers (EMDs)...

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The Description of Hierarchy Bias Concept in Emergency Dispatch Coding and its Implications for Accuracy in Response and Outcome-based Studies

The value of dispatch in modern Emergency Medical Services (EMS) systems cannot be understated. Among many other roles, an Emergency Medical Dispatcher (EMD) is responsible for accurate response selection. Response is based on EMD-assigned dispatch codes upon completion of caller-interrogation questions in a dispatch protocol system. When two or more signs, symptoms, or situational conditions are encountered in a calltaker evaluation, but are assigned and reported as a single,...

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