The Task Force on the management of chest pain was created by the committee for Scientific and Clinical Initiatives on 28 June 1997 after formal approval by the Board of the European Society of Cardiology. The document was circulated to the members of the Committee for Scientific and Clinical Initiatives, to the members of the Board and to the following reviewers: J. Adgey, C. Blomstro¨m-Lundqvist, R. Erbel, W. Klein, J. L. Lopez-Sendon, L. Ryde´n, M. L. Simoons, C. Stefanadis, M. Tendera, K. Thygesen. After further revision it was submitted for approval to the Committee for Practise Guidelines and Policy Conferences. The Task Force Report was supported financially in its entirety by The European Society of Cardiology and was developed without any involvement of the pharmaceutical industry.

/pdf/task-force-on-the-management-of-chest-pain-1abk7sixj4.pdf

Task force on the management of chest pain.

Task Force on the management of chest pain

Interaction between emergency medical dispatcher and caller in suspected out-of-hospital cardiac arrest calls with focus on agonal breathing. A review of 100 tape recordings of true cardiac arrest cases.

Background: Cardiac arrest is the most widely recognised prehospital event that early intervention can directly affect. Chance of survival from this event decreases every minute that passes without treatment. To deliver a rapid ambulance response to these patients the early detection of cardiac arrest by control room staff is crucial. To achieve this, the London Ambulance Service (LAS) uses the Advanced Medical Priority Dispatch System. What impact has AMPDS had on identifying patients in cardiac arrest? Does compliance with AMPDS protocol influence the identification of patients in cardiac arrest? Methods: A two stage study was undertaken. The first, compared cases coded as “cardiac arrest” and found by the responding ambulance to be in cardiac arrest before the implementation of AMPDS. This was compared with cases triaged as “cardiac arrest” and found to be in cardiac arrest across three years after AMPDS implementation. The second stage compared AMPDS compliance, over a 32 month period against the percentage of cardiac arrest calls that were found to be cardiac arrest upon the ambulance arrival. The correlation coefficient was calculated and analysed for statistical significance. Findings: AMPDS resulted in a 200% rise in the number of patients accurately identified as suffering from cardiac arrest. A relation was identified between identification and AMPDS compliance ( r 2  = 0.65, p = 0.001). Discussion: The implementation of AMPDS increased accurate identification of patients in cardiac arrest. Additionally, the relation between factors identified suggests compliance with protocol is an important factor in the accurate recognition of patient conditions.

https://emj.bmj.com/content/emermed/21/1/115.full.pdf

Does the use of the Advanced Medical Priority Dispatch System affect cardiac arrest detection

Cardiac arrest predictability in seizure patients based on emergency medical dispatcher identification of previous seizure or epilepsy history

Effect of a Comprehensive Quality Management Process on Compliance With Protocol in an Emergency Medical Dispatch Center

The emotional content and cooperation score in emergency medical dispatching.

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Effect of a Comprehensive Quality Management Process on Compliance With Protocol in an Emergency Medical Dispatch Center

The emotional content and cooperation score in emergency medical dispatching.