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 standard Emergency Medical Dispatch protocols, 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 Navigator conference in Baltimore this week, sponsored by the National Academies of Emergency Dispatch, celebrated the efforts made in the last 33 years since Dr. Jeff Clawson developed a set 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 are 65 million emergency calls 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 the Medical Priority Dispatch System (MPDS) protocols, automated through software like ProQA, 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 systems authorized to use it, like many in Europe, PSIAM provides 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 the prevalent public 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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Comments
JMatt
Did You Watch ‘Nightwatch’ Last Night?
This is so over dramatic.They Give EMS workers super powers and give them a Medical degree.They are not even nurses. They perform a hard job with some skill but cardiac message and opening up chests and make shift surgery ,inflating the lungs!! Come on!!! The comments by the EMS workers are very AWKWARD. " WE…
2015-01-27 02:23:13
Rob Lawrence
Did You Watch ‘Nightwatch’ Last Night?
i hope someone got patient consents. Did the GSW victim sign the forms? Hate to wake and anger the HIPPO monster!
2015-01-24 22:19:38
Sean Cerny
Did You Watch ‘Nightwatch’ Last Night?
We run lights and sirens mandatory to most calls. There's a lot of non emergent calls as well and ALOT of etoh calls. Also on every shift almost there is a GSW somewhere if not multiple. It's a high volume service. The tv aspect Is certainly there but I think they did a good job.
2015-01-24 13:02:54
Steven
Did You Watch ‘Nightwatch’ Last Night?
As a brother to one of the medics in the show, and also a fellow paramedic in new orleans, I can't stress enough that the fact that they only displayed one ETOH call is perfect to me. As you said, "this is the big easy" we run a cast majority of drunk calls, so many…
2015-01-23 15:54:29
keeley
Did You Watch ‘Nightwatch’ Last Night?
My last 12hr shift i worked 2 codes and a gsw so it happens at NOEMS more often then people realize and again every city is different unfortunately we see GSWs almost on a daily basis. ..enjoy the season NIGHTWATCH 🚑🚑🚑
2015-01-23 15:07:39

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