Response Time Zero

The best possible response time for any emergency is immediate. This is no simple theoretical goal, but a physical reality everywhere that a Public Safety Dispatcher,using standardEmergency Medical Dispatchprotocols,can be reached by phone. These calm “voices of hope”quickly 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 Navigatorconference in Baltimore this week, sponsored by theNational Academies of Emergency Dispatch, celebrated the efforts made in the last 33 years since Dr. Jeff Clawson developed aset of protocols in an attempt to reduce the number of Code 3 medical runs through proper resourcing and to promote dispatching as a profession. Now there are65 million emergencycalls 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. Using theMedical Priority Dispatch System (MPDS) protocols, automatedthrough software likeProQA,the initial triage phase is automated to provide a standardized format for carrying out the practice of priority dispatching. The acuity of the call is determined to categorize the dispatch response. Increasingly 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. For systemsauthorized to use it, like many in Europe, PSIAMprovides a secondary level of triage, commonly performed by nurses, for any lower acuity incidents that should not require an ED visit. This 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 theprevalentpublic 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. These 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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High Performance Emergency Medical Services (HP-EMS) systems provide effective clinical care promoting positive patient outcomes and community wellness while maintaining a focus on improving economic efficiency of the system.  This site is dedicated as a community seeking to increase agency performance by promoting useful information regarding the developing trends and improvements in the efficiency of delivering basic and advanced medical care in the field.

Comments
Joey
Static v. Dynamic: A Continuum of Cost
There are pros and cons with each model but the bottom line comes down to optimizing your EMS system and delivering rapid care within a cost efficient model. I have always worked in a drama series called "housewives of a static system" as well as in a nationally recognized dynamic system and I can honestly…
2014-08-26 06:31:07
David
Static v. Dynamic: A Continuum of Cost
John Brophy is that you.... If having a sustainable funding source , money for research, proper equipment like power cots, video laryngoscopes, state retirement, community education funding, and not eating and pooping in a gas station makes me Emergency. Then Rampart I need orders for a lobotomy. If running more calls to bill Medicare and…
2014-08-23 18:41:36
David
Is ‘SSM’ Still a ‘Bad Idea’?
If it's such a great idea why hasn't Fire Dept embraced it?
2014-08-23 14:19:25
Todd
Static v. Dynamic: A Continuum of Cost
David...I agree with John and Roger. EMS is a business and we've got to start treating it that way. The days of sitting around the station waiting for a call have come and gone. To be efficient you've got to be out in your service where the calls happen. This is the future of EMS…
2014-08-23 13:55:46
John
Static v. Dynamic: A Continuum of Cost
I thought Johnny and Roy retired in the 70's. People with a mindset like yours are what keeps the paramedicine profession from evolving like the other emergency services have. The definition of insanity...doing the same things over and over expecting something different to happen.
2014-08-23 10:53:29

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