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“Medical Miranda”—Improved Emergency Medical Dispatch Information From Police Officers

Published online by Cambridge University Press:  28 June 2012

Jeff J. Clawson
Affiliation:
Medical Priority Consultants, Inc., Salt Lake City, UT, USA
Bob Sinclair
Affiliation:
Medical Priority Consultants, Inc., Salt Lake City, UT, USA
Corresponding
E-mail address:

Abstract

Introduction:

Medical Miranda, also called Secondary Emergency Notification of Dispatch (Secondary Emergency Notification of Dispatch), is a low cost, effective, and welcome addition to emergency medical dispatching systems. The benefits are recognized by emergency medical dispatchers who receive feeder calls from associated public safety agencies that have trained both their field staff and call-takers in the Medical Miranda protocol.

Hypothesis:

The dispatchers would be more satisfied with feeder agencies that used the Secondary Emergency Notification of Dispatch protocol.

Methods:

A survey was conducted and analyzed, taking advantage of a situation in which two agencies (one used Secondary Emergency Notifi-cation of Dispatch) fed calls to the same communication center.

Results:

Dispatchers were more satisfied with the information gained from the feeder agency that used the Secondary Emergency Notification of Dispatch protocol and believed that the officers and dispatchers of that agency had afar better understanding of the emergency medical dispatcher's needs.

Conclusions:

When the emergency medical dispatcher does not talk directly with the reporting scene personnel or caller, Medical Miranda increases the usefulness of the information the dispatcher receives, helps the dispatcher better understand the reported medical emergency, and improves response appropriateness in emergency medical service (Emergency Medical Service) systems where responses routinely are prioritized.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1999

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References

1) Clawson, JJ: Dispatch Priority Training—Strengthening the Weak Link. Journal of Emergency Medical Services 1981;6:3236.Google Scholar
2) Clawson, JJ, Martin, RL, Lloyd, B et al. : The Emergency Medical Dispatch as a medical professional. Journal of Emergency Medical Services 1996;21:6972.Google Scholar
3) American Society for Testing and Materials (ASTM): Standard practice for emergency medical dispatch F1258-95. Annual Book of ASTM Standards. 1995.Google Scholar
4) Clawson, JJ: Quality assurance: A priority for medical dispatch. Emergency Medical Services 1989;18:5358.Google ScholarPubMed
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6) National Institutes of Health: Emergency medical dispatching: Rapid identification and treatment of acute myocardial infarction. NIH Publications 1994; No. 94.Google Scholar
7) Clawson, J, Cady, G, Martin, R, Sinclair, R: The impact of a comprehensive quality management process on compliance to protocol in an emergency medical dispatch Center. Ann Emerg Med 1998;32:578584.CrossRefGoogle Scholar
8) Clawson, J: Medical Miranda. Journal of Emergency Medical Services 1985;10:5455.Google Scholar
9) National Association of Emergency Medical Services Physicians (NAEMSP) and the National Association of State Emergency Medical Service Directors (NASEMSD): Use of warning lights and siren in emergency medical vehicle response and patient transport. Prehospital and Disaster Medicine 1994;9:133136.CrossRefGoogle Scholar
10) Supreme Court of the United States: 384 U.S. 436, No. 759 Miranda vs. Arizona. 1966.Google Scholar

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