MPDS Reliably Predicts Low Acuity Categorization - @ JEMS.com


MPDS Reliably Predicts Low Acuity Categorization

Street Science


 
 

Keith Wesley | | Tuesday, June 26, 2007


Review of: Hinchey P, Myers B, Zalkin J, et al: "Low acuity EMS dispatch criteria can reliably identify patients without high-acuity illness or injury." Prehospital Emergency Care. 11(1):42-48, 2007.

The Science

During a six-month period, the authors of this study examined the emergency medical dispatch records of almost 24,000 dispatches. Medical Priority Dispatch System (MPDS) was used to categorize the calls. 2,703 calls were recorded as Alpha (lowest priority) of which 582 were excluded because of missing data. Of the remaining calls, only 21 were felt to have high acuity signs or symptoms by the responding paramedics. Of those, only eight were transported emergently.

They concluded that MPDS reliably predicted low acuity categorization greater than 99% of the time.

The Street

There continues be great debate over the value of priority dispatch systems. Most of the concern centers around missing high acuity calls that are mislabeled as low acuity. This large study provides greater evidence that, when used properly, MPDS is an accurate tool. In fact, after examining the eight patients who had high acuity symptoms and were transported emergently, I could make the argument that emergent transport was of minimal clinical value. None of them received life-saving interventions or medications.

Inefficient use of emergency medical dispatch significantly impacts EMS system resources. Sending ALS crews to care for low acuity patients prevents them from being available for more appropriate patients.




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Communications and Dispatch, Research

What's Your Take? Comment Now ...

Buyer's Guide Featured Companies

Featured Careers & Jobs in EMS

FEBRUARY 25-28, 2015

Baltimore Convention Center
Baltimore, Maryland USA
THE SHOW IS OPEN!

WEATHER REPORT


 

 

 

 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Innovation & Advancement

This is the seventh year of the EMS 10 Innovators in EMS program, jointly sponsored by Physio-Control and JEMS.
More >

Multimedia Thumb

Wesleyan Students Hospitalized for Overdose

11 students transported to local hospitals.
Watch It >


Multimedia Thumb

Denver Medic's Family Says Job Stress Contributed to Suicide

Veteran of over 25 years took her own life after a call.
Watch It >


Multimedia Thumb

Denver First Responders Join to Remember Paramedic

Veteran medic took her own life after fatal accident.
Watch It >


Multimedia Thumb

Rigs Going in Service from EMS Today 2015

Snap shots of some of the vehicles at EMS Today that will be on the streets soon
More >


Multimedia Thumb

Florida Hospital Fire

Fire halts construction project at Tampa cancer center.
More >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


More Product Videos >