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Each state is free to add or subtract levels as each state sees fit. Therefore, due to differing needs and system development paths, the levels, education requirements, and scope of practice of prehospital providers varies from state to state.
In the United States, the Medical Priority Dispatch System (MPDS), Criterion-Based Dispatch, and Computer aided call handling (CACH) are common protocols. In the United Kingdom, AMPDS is one of two Department of Health and Social Care approved computer programs for 999/112 medical emergency call triage; used across Scotland, Wales, Northern ...
STAT MedEvac is among the largest aeromedical agencies in the United States, with 17 helicopters based in Pennsylvania, Ohio, Washington D.C., and Maryland - serving those states, the southern tier of New York State and West Virginia. Its main dispatch center is in Pittsburgh at UPMC Presbyterian Hospital.
He designed a set of standardized protocols to triage patients via the telephone and thus improve the emergency response system. Protocols were first alphabetized by chief complaint that included key questions to ask the caller, pre-arrival instructions, and dispatch priorities. After many revisions, these simple cards have evolved into MPDS.
EMS providers work under the authority and indirect supervision of a medical director, or board-certified physician who oversees the policies and protocols of a particular EMS system or organization. [52] Both the medical director and the actions they undertake are often referred to as "Medical Control".
[86] [87] They may also provide advice and devise protocols for treatment, with a medical director acting as the most senior medical adviser to the ambulance service. In the United States, EMS became an officially recognized subspecialty by the American Board of Emergency Medicine in 2010, and the first examinations were held in 2013. [88]
9-1-1 emergency dispatch center. An emergency medical dispatcher is a professional telecommunicator, tasked with the gathering of information related to medical emergencies, the provision of assistance and instructions by voice, prior to the arrival of emergency medical services (EMS), and the dispatching and support of EMS resources responding to an emergency call.
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