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[Quo vadis joint emergency dispatch system?]

Florian Breuer1,2, Paul Brettschneider3, Stefan Poloczek1,4

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Emergency medical service (EMS) call volumes are rising. Standardized, protocol-based call taking and improved collaboration are essential for efficient emergency response and patient care.

Keywords:
EMS medical directorEmergency medical servicesEmergency medicinePreclinical treatmentQuality assurance

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Area of Science:

  • Emergency medicine
  • Public health systems
  • Healthcare management

Context:

  • Increasing call volumes in emergency medical service (EMS) dispatch centers, particularly in urban Germany.
  • Need for optimized control mechanisms in EMS dispatch to manage high call volumes efficiently.
  • Challenges in emergency call handling, exacerbated by events like the COVID-19 pandemic.

Purpose:

  • To explain standardized protocol-based emergency medical call taking.
  • To detail the internal structuring and pathways of EMS dispatch centers.
  • To differentiate between structured and standardized call taking processes, highlighting the reliability of standardized methods.

Summary:

  • Standardized protocol-based emergency call taking, based on international standards, is presented as best practice.
  • Quality management ensures adherence to protocols.
  • Improved collaboration and data transfer between EMS and non-life-threatening physician on-call services facilitate efficient call routing.
  • Interprofessional teams and specialized EMS resources enhance patient care and reduce unnecessary emergency department transports.

Impact:

  • Supports nationwide implementation of standardized, software-based emergency call taking.
  • Recommends intensive collaboration between EMS and non-life-threatening physician on-call services.
  • Advocates for specialized EMS resources and app-based alerting of first responders to improve emergency response.
  • Potential to improve care for specific patient groups and reduce burden on emergency departments.