EMS resources responding to an emergency call. The information processing, if only to identify the problem and the location of the patient, has always been a logical part of the process of call completion. The ambulance would then complete the independent truck dispatcher training book pdf, return to the station, and wait for the next telephone call.
1950s that the use of radio dispatch became widespread in the United States and Canada. Dispatch methodology was often determined by the business arrangements of the ambulance company. In some cases, it might be under contract to the local hospital, and dispatched from there. In many cases, small independent ambulance companies were simply dispatched by a family member or employee, employed part-time in many cases. Ambulance dispatchers required little in the way of qualifications, apart from good telephone manners and a knowledge of the local geography. In 1967, the number was established as the national emergency number for the United States, although by 2008, coverage of the service was still not complete, and about 4 percent of the United States did not have 9-1-1 service. As the skill set of those in the ambulance increased, so did the importance of information.
Ambulance service moved from ‘first comefirst served’ or giving priority to whoever sounded the most panicked, to trying to figure out what was actually happening, and the assignment of resources by priority of need. This occurred slowly at first, with local initiatives and full-time ambulance dispatchers making best guesses. Priority codes developed for ambulance dispatch, and became commonplace, although they have never been fully standardized. As it became possible for those in the ambulance to actually save lives, the process of sending the closest appropriate resource to the person in the greatest need became very important. Dispatchers needed tools to help them make the correct decisions, and a number of products initially competed to provide that decision-support. Fire Department assigned some of its paramedics to their dispatch centre in order to interview callers and prioritize calls.
Most such systems were based on either reference cards or simple flip charts, and have been described by lay people on more than one occasion as being like a “recipe file” for ambulance dispatchers. Physicians began to see a dramatic new potential for the saving of lives by means of simple scripted telephone instructions from the dispatcher, and the concept of Dispatch Life Support was born. The concept became an area of medical research, and even EMS Medical Directors debated on the best approach to such services. As technology, and particularly computer technology, evolved, the dispatching of EMS resources took on an entirely new dimension, and required completely new skill sets. The process of dispatching was supported by computers, and moved in many locales to a paperless system that required above average computer skills.
EMD systems to become algorithm-based decision support tools. CAD systems to constantly monitor the location and status of response resources, making response resource assignment recommendations to human dispatchers, allowing human dispatchers to watch the physical movement of their resources across a computerized map, and creating a permanent record of the call for future use. Emergency medical dispatchers and prioritized dispatching have become a critical and demanding part of EMS service delivery. Jeff Clawson, has been turned over to Medical Priority Consultants, Inc. Clawson as a non-profit advisory organization to develop products and services provided by PDC. In most modern EMS systems, the Emergency Medical Dispatcher will fill a number of critical functions. The first of these is the identification of basic call information, including the location and telephone number of the caller, the location of the patient, the general nature of the problem, and any special circumstances.