Response Time Zero

The best possible response time for any emergency is immediate. áThis is no simple theoretical goal, but a physical reality everywhere that a Public Safety Dispatcher,áusing standardáEmergency Medical Dispatcháprotocols,ácan be reached by phone. áThese calm “voices of hope”áquickly perform an initial triage to determine the type of medical or trauma situation being reported, dispatch appropriate emergency services as necessary, and provide quality instruction to the caller before any additional help arrives on scene.National Academies of Emergency Dispatch

The Navigatoráconference in Baltimore this week, sponsored by theáNational Academies of Emergency Dispatch, celebrated the efforts made in the last 33 years since Dr. Jeff Clawson developed aáset of protocols in an attempt to reduce the number of Code 3 medical runs through proper resourcing and to promote dispatching as a profession. áNow there areá65 million emergencyácalls for service each year to just over 3,500 Public Safety Answering Points (PSAPs) worldwide where the best are recognized as Accredited Centers of Excellence (ACE).

But not all calls requesting service are equal. áUsing theáMedical Priority Dispatch System (MPDS) protocols, automatedáthrough software likeáProQA,áthe initial triage phase is automated to provide a standardized format for carrying out the practice of priority dispatching. áThe acuity of the call is determined to categorize the dispatch response. áIncreasingly that response may include the possibility of alternative service endpoints in certain systems reforming the traditional “you call, we haul” strategy where each call ends with a transport to the hospital. áFor systemsáauthorized to use it, like many in Europe, PSIAMáprovides a secondary level of triage, commonly performed by nurses, for any lower acuity incidents that should not require an ED visit. áThis is a dramatic departure from the norm in the US and one that will require vertical integration of healthcare providers starting with EMS, the practical gatekeepers to a significant amount of healthcare in the community. Recognizing EMS as healthcare providers is also a shift in thinking from theáprevalentápublic safety mindset and one not taken in current healthcare reform.

The first link in the chain of the emergency response system, however, is the Emergency Medical Dispatcher. áThese are the true First Responders who are immediately present at the scene providing care even though they cannot see or physically be present with the patient.

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Comments
HP-EMS Profile: MedStar Mobile Healthcare | Hig...
HP-EMS Profile: MedStar Mobile Healthcare
[…] What I learned from MedStar about community paramedicine and how they support their crews on my visit to their facility in Fort Worth, Texas.  […]
2014-09-23 08:52:21
Betty lou Schau
HP-EMS Profile: MedStar Mobile Healthcare
What a great article, and kudos to MedStar for leading the way in Mobile Integrated Healthcare!
2014-09-15 11:32:45
Matt Zavadsky
HP-EMS Profile: MedStar Mobile Healthcare
WOW!! What a great article! Thanks so much for recognizing the people AND technology that make these programs work, whether here, or anywhere!
2014-09-12 08:06:15
Julia Harris
Is ‘SSM’ Still a ‘Bad Idea’?
I refuse to work for a system that does SSM. I did ride time in one of these county systems, and it was exhausting. I love running calls. I would like to work in a busier system but not at the cost of getting stuck in a truck for hours on end. I've done this…
2014-09-10 20:28:36
mdquik84
Is ‘SSM’ Still a ‘Bad Idea’?
When I worked in a system that implemented the SSM plan it shaved off about 1 minute of response time. This system had 3 units available. Medics were pressured by upper mgmnt of a 20min for medical and 10min for trauma(the same as in the EMT books). Some medics couldn't handle the pressure and were…
2014-09-06 12:45:11

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