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Thinking “Appropriately” About Dispatch

High Performance EMS

Not just a dispatch decision, but a potentially career-defining choice between the safety of an automated recommendation given by CAD that is overly simplistic versus the risk of making a bold decision to better utilize scarce resources toward a better result. Dispatch and deployment is sometimes described as more “ art ” than “ science.”

CAD 198
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Two Cases: Was it an error to activate the cath lab? Add AG case for 3rd one, except it is already listed as inferior aneurysm case.

Dr. Smith's ECG Blog

She r eports mild dyspnea and persistent fatigue In the ambulance, saturations were 100% on 2 liters with normal BP and pulse. Multivessel CAD 2. She was found to have a hs-cTnI of approximately 7000 ng/L. She was transferred and on arrival, she denies chest pain. The calculated post stress ejection fraction is 44%.

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Defining Appropriate Responses in a Tiered System

High Performance EMS

Some computer-aided dispatch (CAD) software did better than others by considering the average travel time of an actual route instead of allowing nearness to be determined by a straight-line distance. If available, the supervisor is added to effectively create an ALS transport ambulance.

BLS 264
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Where Do We Go Next?

High Performance EMS

Your existing historical CAD records contain the necessary information to build such dynamic views in real-time. The existence of identifiable causes explains the ability to properly forecast the vicinity of calls in addition to their timing.

CAD 100
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Syncope and ST Elevation on the Prehospital ECG

Dr. Smith's ECG Blog

A 75 yo with h/o CAD, CABG, and HFrEF presented after a syncopal episode. He rehydrated and had no orthostatic symptoms prior to discharge, ambulated well. - There was no prodrome and no associated symptoms such as SOB or CP. The medics recorded an ECG: There is STE in V1-V3 and aVL, with reciprocal ST depression in II, III, aVF.

STEMI 52
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My First Delivery

My Paramedic Blog

I hop into the ambulance, and log onto the CAD (Computer Assisted Dispatch) device. The call pops up onto our CAD. I look at the notes on the CAD it read: Crowning. I explain the gravity of the situation to the parents when the second ambulance crew arrives to help out. Me: “Sure, that’s all good with me.”

CAD 52
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An Odd Place

My Paramedic Blog

Of course we get called early in the evening and as we sit inside our ambulance, I hear dispatch announce over the radio… “Code 3 for a testicular bleed…” I remember looking at Jessica thinking… Oh nooo! ” We quickly got back into our ambulance and drove back to the main road.