![]() 11 British Columbia Resuscitation Research Collaborative, British Columbia, Canada British Columbia Emergency Health Services, British Columbia, Canada Department of Emergency Medicine, University of British Columbia and St.Paul's Hospital, British Columbia, Canada. 10 British Columbia Resuscitation Research Collaborative, British Columbia, Canada Department of Emergency Medicine, University of British Columbia and St.9 British Columbia Resuscitation Research Collaborative, British Columbia, Canada Centre for Health Evaluation and Outcome Sciences, British Columbia, Canada.8 British Columbia Resuscitation Research Collaborative, British Columbia, Canada Division of Critical Care, University of Alberta, Alberta, Canada.7 British Columbia Resuscitation Research Collaborative, British Columbia, Canada British Columbia Emergency Health Services, British Columbia, Canada.Paul's Hospital, British Columbia, Canada Centre for Health Evaluation and Outcome Sciences, British Columbia, Canada. 6 British Columbia Resuscitation Research Collaborative, British Columbia, Canada Department of Emergency Medicine, University of British Columbia and St.5 British Columbia Resuscitation Research Collaborative, British Columbia, Canada Faculty of Science, University of British Columbia, British Columbia, Canada.4 British Columbia Resuscitation Research Collaborative, British Columbia, Canada British Columbia Emergency Health Services, British Columbia, Canada Faculty of Medicine, University of British Columbia, British Columbia, Canada.3 British Columbia Emergency Health Services, British Columbia, Canada.Electronic address: 2 British Columbia Resuscitation Research Collaborative, British Columbia, Canada British Columbia Emergency Health Services, British Columbia, Canada School of Population & Public Health, University of British Columbia, British Columbia, Canada. 1 British Columbia Resuscitation Research Collaborative, British Columbia, Canada Faculty of Science, University of British Columbia, British Columbia, Canada.Using a prioritization scheme that accounts for the presence of either single or multiple signs and/or symptom combinations for the Breathing Problems CC protocol would be a more accurate method of assigning DELTA-level cases in the MPDS. Cardiac arrest patients are significantly less likely to be asthmatic than those without CA, and vice versa. The study findings demonstrated that MPDS KQ answer combinations relate to patient acuity. The percentage of CA outcomes in asthmatic patients was significantly higher in DSBB plus not alert DSBB plus not alert plus changing color and DSBB plus not alert plus clammy conditions cases, compared to asthmatic abnormal breathing cases. Based on the KQ combinations, the CA patients who also had the not alert condition were significantly older than other patients. ![]() Ineffective breathing and not alert conditions had the highest cardiac arrest quotient (CAQ). The MPDS DELTA-level constituted the highest percentage of cases (74.0%) and the difficulty speaking between breaths (DSBB) condition was the most prevalent (50.3%). Overall, based on the original MPDS Protocol (before generating KQ combinations), patients with abnormal breathing and clammy conditions were the youngest. Descriptive statistics were used to evaluate measures between study groups.įorty-two thousand cases were recorded 52% of patients were female and the median age was 61 years. Key Question combinations were generated and analyzed from 11 months of dispatch data, and extracted from MPDS software and the computer assisted dispatch system. This was a retrospective study conducted at one International Academies of Emergency Dispatch (IAED) Accredited Center of Excellence. The hypothesis in this study was that certain combinations of caller answers to the breathing problems protocol key questions (KQs) are correlated with different but specific patient acuities. While "severe breathing problems" is a significant predictor of cardiac arrest (CA), previous data have demonstrated that the DELTA-level determinant codes in this CC contain patients across a wide spectrum of acuity. The Breathing Problems Chief Complaint (CC) protocol in the Medical Priority Dispatch System (MPDS) was the system's most frequently used protocol.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |