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.

4 Trackbacks

Leave a Reply

Your email address will not be published. Required fields are marked *

background image Blogger Img

High Performance EMS

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.

JEMS Talk: Google Hangout

Comments
daleloberger
EMS Deployment Community of Practice
A reader offered up this link to multiple fire department EMS analysis reports over time: https://sites.google.com/site/standardsofcoverfire/
2014-11-16 17:51:01
Rob Lawrence
Quick Thoughts from EMS World Expo 2014
In my High Performance EMS session I presented 'Robs 10 top tips' or Healthy Habits of High Performing Systems'. I majored on key elements of business practice, organizational performance and clinical excellence required in any high performing system, EMS or otherwise. My ten top tips were as follows: 1. Economic Efficiency. - money is getting…
2014-11-16 08:59:44
CJ Ewell
Is our success a sign of our failure?
A couple things- first, your discussion has nothing to do with schizophrenia and it does a disservice to your readers and the mentally ill to use this term inappropriately. Second, people need access to appropriate primary care options. Delivering these services in an expensive vehicle with a revolving cast of providers is a stop-gap, not…
2014-11-04 15:56:29
Phil Jordon
Impressions of the Ferno iN/X
John Staymose- You're only half correct on the weight issue. If you are lucky enough to work for an agency that has the Stryker lift system as well as the power cot, you do indeed enjoy having to do very little lifting. However, there are instances when your conclusion is erroneous. The major instance is…
2014-11-03 15:03:16
Laura Lant
Is our success a sign of our failure?
Interesting article, hit alot of points that are actual reality today - things realized but maybe not been focused on - I feel some of the issue is comunication and community education - we know what we do as providers and why we do it but does everyone else ? What is their actual perception?…
2014-11-02 07:48:53

Dale Loberger's Discussions


Follow Dale Loberger

FireEMS Blogs eNewsletter

Sign-up to receive our free monthly eNewsletter

LATEST EMS NEWS

HOT FORUM DISCUSSIONS