Department of Emergency Medicine, University of California San Francisco, San Francisco, California, USA.
Emerg Med J. 2012 Oct;29(10):848-50. doi: 10.1136/emermed-2011-200150. Epub 2011 Aug 17.
The emergency medical dispatcher (EMD) receiving a call via 911 is the first point of contact within the acute care system and plays an important role in early stroke recognition. Published studies show that the diagnostic accuracy of stroke of EMD needs to be improved. Therefore, the National Association of Emergency Medical Dispatchers implemented a stroke diagnostic tool modelled after the Cincinnati stroke scale across 3000 cities worldwide. This is the first time a diagnostic tool that requires callers to test physical findings and report those back to the EMD has been implemented. However, the ability of EMD and 911 callers to use this in real time has not been reported. The goal of this pilot study was to determine the feasibility of an EMD applying the Cincinnati stroke scale tool during a 911 call, and to report the time required to administer the tool.
紧急医疗调度员(EMD)通过 911 接听电话,是急性护理系统中的第一个联系人,在早期识别中风方面发挥着重要作用。已发表的研究表明,EMD 中风的诊断准确性需要提高。因此,国家紧急医疗调度员协会在全球 3000 个城市实施了一种基于辛辛那提中风量表的中风诊断工具。这是第一次实施需要呼叫者测试身体发现并将这些发现报告给 EMD 的诊断工具。然而,尚未报告 EMD 和 911 呼叫者实时使用该工具的能力。本试点研究的目的是确定 EMD 在 911 呼叫期间应用辛辛那提中风量表工具的可行性,并报告实施该工具所需的时间。