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Clinical Roles in the Medical Communications Centre: A Rapid Scoping Review.

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Emergency medical services (EMS) are integrating clinicians into medical communications centres (MCCs) to manage increased call volumes. Nurses, paramedics, and physicians provide triage, advice, and referrals, optimizing resource allocation for patient needs.

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Area of Science:

  • Emergency Medical Services
  • Healthcare Management
  • Clinical Informatics

Background:

  • Rising 911 call volumes strain emergency medical services (EMS) capacity.
  • Integration of clinical roles within emergency medical communications centres (MCCs) is a strategy to optimize resource allocation.
  • Understanding the scope and nature of these integrated clinical roles is crucial for effective implementation.

Purpose of the Study:

  • To conduct a rapid scoping review exploring the nature and scope of clinical roles within emergency MCCs.
  • To identify the types of clinicians employed and their primary functions in the MCC setting.
  • To synthesize existing literature on the integration of clinical expertise into emergency medical dispatch.

Main Methods:

  • Rapid scoping review methodology utilizing PubMed and other sources.
  • Inclusion of diverse study designs (reviews, experimental, observational, expert opinions).
  • Duplicate data extraction and verification, with evidence level assessment using the prehospital evidence-based practice (PEP) scale.

Main Results:

  • 31 studies published between 2002-2022 from 17 countries were included.
  • Nurses were the most common clinicians (83%), followed by paramedics (34%) and physicians (14%).
  • Key roles included triage (71%), advice (57%), and referral to non-emergency care (40%).

Conclusions:

  • A broad range of literature supports the integration of clinical roles in MCCs.
  • MCC clinicians (nurses, paramedics, physicians) significantly contribute to triage, advice, and referrals.
  • These integrated roles help match resources to patient needs, potentially reducing unnecessary ambulance dispatches.