8/7/2019 Page 360 Degree (3rd Edition)

http://slidepdf.com/reader/full/page-360-degree-3rd-edition 1/1

 

T

H

E

A

M

A

N

F

O

U

N

D

A

T

I

O

N

PAGE 360ᴼ February 18 to 24, 2011

TOPICS DISCUSSED THIS WEEK

As we mentioned in last bulleting about

Command & Control daily interactive

session.

This week all shifts participated with

enthusiasm in all sessions occurred.

Protocols were assigned to each

emergency medical dispatcher. This week

seven protocols were assigned. Each day

one protocol was discussed in every shift

Unconscious / Fainting

Stroke (CVA)

Convulsions / Fitting

Back Pain

Pregnancy / Child Birth /

Miscarriage

Chest Pain

Each EMD is evaluated on the basis of 

presentation& knowledge skills and case

studies.

BUSY HOURS STRATEGY

Twenty to twenty five consecutive

emergencies in one hour are considered

busy hour. Mainly in such scenarios

command and control switches into rush

hour mode

Breaks are freeze

Calls are wrap up in minimum time

by following all necessary measures

Intra coordination among EMDS are

carried away in a very disciplined

manner

In case of call drop ,EMDs

immediately call back for further

assistance of patient

Forms are re checked by supervisor

to avoid any human error

BEST CALL OF THE WEEK

Emergency #: 112653

Call Time: 1453 Hours

Chief Complaint: Fitting / Convulsion

Call taken By: EMD Herald

Total Call Duration: 11 Minutes

Dispatch Code: 12-D-2-E

Patient's Age: 22

Patient’s Gender: Male 

Summary:

An emergency call was received by EMD Herald at

around 1435 HRS From Malir the initial Chief 

complain of the caller was “The patient” was fitting at

that time so EMD Herald started following protocol

and gave the appropriate PDIs which really helped

the caller and since patient was still fitting he used

DLS link and stayed online with caller and told the

caller to let him know when patient stop fitting, after

patient stopped fitting he cleaned his airway and

checked agonal breathing at which it was learned

that patient was breathing too fast about 7 to 8 times

in 10 seconds and at that time our ambulance crew

arrived and dealt with the patient from there on.

It was a great effort by EMD Herald, he remainedonline with the caller motivated her and by giving

right Post Dispatch Instructions helped the caller in

taking care of the patient.

ALL ABOUT EMERGENCY MEDICAL DISPATCHING

Emergency Medical Dispatchers are specialized who answers calls to emergency

services. 111-11-2626 is the universal emergency services number. Emergency

Medical Dispatchers are responsible for answering calls to the emergency services

phone number and making sure that callers get the services and assistance they need.

With a universal emergency phone number, people who need help from the

ambulance service can call a single number which is easy to remember, rather than

having to look up individual phone numbers.

Emergency Medical Dispatchers typically work 7 to 10 hour shifts, and they may work

with a group of dispatchers to ensure that the line is never busy when people call.

When the phone rings and an EMD answers, he or she determines the nature of the

emergency, and dispatches emergency services as needed. For example, on an

emergency call where someone calls to report a heart attack, the EMD would

determine severity of emergency, and dispatch an ambulance. Disp atchers also talk

with emergency responders at the scene so that they can dispatch additional

responders as necessary.

Skilled EMDS can be in high demand. A good EMD can extract n ecessary informationfrom callers quickly and efficiently, keep callers calm and update them on the status of 

the emergency services they have dispatched, and coach callers on interventions such

as how to perform CPR the EMD needs to be able to handle a wide variety of 

situations, and stay cool, calm, and collected throughout.

PROTOCOL OF THE WEEK (UNCONCIOUSNESS) 

Unconsciousness denotes a state of consciousness from which an individual cannot be aroused, even with

painful stimulation.

COMMON CAUSES OF UNCONSCIOUSNESS:

Loss of consciousness may occur as the result of traumatic brain injury, and or brain hypoxia.

Other Causes May be due to:

Cardiac Arrest

Diabetic Problem

Fainting (Syncope)

Fitting

Head Injury

Heart Attack

Hypovolemic (Low blood Volume)

Irregular Heart Rhythm

Overdose, Poisoning, drugs

Respiratory insufficiency

Stroke (CVA)

WARNING SINGS OF UNCONSCIOUSNESS:Fainting episode or episodes of unconsciousness due to certain known or unknown reasons

If these signs are present call 111-11-2626 

Unconsciousness is one of the most life threatening emergencies in the Medical Priority Dispatch System

(MPDS) — every second counts. If your p atient has any of the listed symptoms, immediately call 111-11-2626.Sometimes fainting episodes go away and return, but never take it too lightly to be forgotten. If it occurs, get

help as quick as p ossible! Today Unconscious victim’s callers can benefit from calling the emergency number

and get instant possible help which was unavailable to patients in past years, which can decrease the

mortality rate of the country up to a greater extend. So again, don't delay — get help right away! Today callers

calling on the emergency number normally get the following help.

INSTRUCTIONS COMMONLY PROVIDED:

Help has been arranged for you and the ambulance has been sent for your patient on your given

address.

Monitor and maintain patient's airway, especially if patient is nauseated o r vomiting or if the level of 

consciousness is decreased.

Lay patient on his back and monitor respirations. Turn patient on their side if vomiting occurs.

Do not place pillow under patient's head.

a) Keep airway clear.

b) DO NOT GIVE FOOD OR DRINK.

c) Let patient assume position of comfort.

d) Calm and reassure patient.

e) Keep the patient warm (maintain body temperature).

Gather or list the patient's medications for the doctor.

Call back if the patient's condition changes before help arrives.

NEW COMMAND & CONTROL LOOKS QUALITY MANAGEMENT

No of calls listened in the Week: 387

No of times Problem in MPDS Detected: 21

Overall code Efficiency Ratio = 94.57 %

CPR Performed = 3

Average Call Duration of Emergency Calls Listened: 2 minutes

49 seconds.

Key Performance Indicators of Computer

Wireless Operators

Dispatch the Ambulance with Complete and accurate

information

Loud & Clear Voice during Communication

Nearest Ambulance Dispatched?

Land Marks Communicated?

Dispatch Time Communicated?

Charges information Communicated?

Emergency Dispatch Code Communicated?

Both Response times (to the attendant & to the

patient) recorded properly with the help of tracker

system?

Live Monitoring and latest updates of the ambulancesthrough tracker?

How to call 111-11-2626 effectively

Calling 111-11-2626 is very stressful and it's easy to feel

overwhelmed. 111-11-2626 call-takers are trained to guide

callers through the experience, but knowing what to expect

can help make the 111-11-2626 call go smoothly and ge t

emergency help where and when it's needed.

Know the difference between calling 111-11-2626 from a

landline phone and calling 111-11-2626 on a cell phone.

Know when to call 111-11-2626 and the worst calls to 111-11-

2626. If you choose to call 111-11-2626, know what to expect

and how to react.

Difficulty:Easy

Time Required: Until the 111-112626 call-taker hangs up

Here's How:

1. Stay calm. It's important to take a deep breath and not

get excited. Any situation that requires 111-11-2626 is,

by definition, an emergency. The dispatcher or call-taker

knows that and will try to move things along quickly, but

under control.

2. Know the location of the emergency and the number

you are calling from. This may be asked and answered a

couple of times but don't get frustrated. They are still

required to confirm the information. If for some reason

you are disconnected, at least emergency medical

dispatchers/ crews will know where to go and how to

call you back.

As the call progresses, you will hear clicking - do nothang up! 

3. Wait for the call-taker to ask questions, and then

answer clearly and calmly. If you are in danger of 

assault, the dispatcher or call-taker will still need you to

answer quietly, mostly "yes" and "no" questions.

4. Let the call-taker guide the conversation. He or she is

typing the information into a computer and may seem to

be taking forever. There's a good chance, however, that

emergency services are already being sent while you are

still on the line.

5. Follow all directions. In some cases, the call-taker will

give you directions. Listen carefully, follow each step

exactly, and ask for clarification if you don't understand.

6. Keep your eyes open. You may be asked to describe

victims, suspects, vehicles, or other parts of the scene.

7. Do not hang up the call until directed to do so by the

call-taker.

Tips:

1. No matter what happens - Stay Calm.

2. Cell phones may not tell the call-taker where you are.

Know the differences when calling 111-11-2626 on a cell

phone.

What You Need:

A phone.

A deep breath.

To know where you are.