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IAED releases Version 13.1 of Emergency Medical Protocol

Pam Stewart
(800) 363-9127 ext. 131

IAED releases Version 13.1 of Emergency Medical Protocol

The International Academies of Emergency Dispatch® (IAED™) Council of Standards has approved a significant revision to the Medical Priority Dispatch System™ (MPDS®), and the IAED is pleased to announced the release of MPDS version 13.1. This new version is the latest and most up to date in a long line of Medical Protocol releases, the first of which made its debut 38 years ago.

MPDS v13.1 includes several enhancements and improvements that will affect many of the protocols. One of these is that the Agonal Breathing Detector is now called the Breathing Verification Diagnostic. This change more accurately describes when the tool should be used (it is used to verify effective breathing, not when the breathing appears to be uncertain or Agonal). Also, on Protocol 12, it’s no longer make it necessary to use the Breathing Verification Diagnostic when it is obvious that the patient is actively waking up.

Protocol 23 also saw changes with this latest update that address the opioid and fentanyl crisis. There are additional Key Questions, suffixes, and instructions about opioids. New Key Questions also establish the availability of Narcan and naloxone when the patient has overdosed on narcotics.

Protocol 24 now includes information and instructions on Stillbirth and Female Genital Mutilation situations. The updated Protocol has also added a SIGNS-OF-LIFE Warning, which addresses stillbirth or miscarriage events where the infant has any signs of life. A revision to Protocol G helps the dispatcher more effectively handle products-of-conception versus fetus deliveries. The wording in the Protocol is now more sensitive and direct.

Version 13.1 also includes a new Operator Question for 3rd- and 4th-party callers in Protocol 32. Answers to the questions will directly enable the Determinant Code 32-D-1 “LIFE STATUS QUESTIONABLE.”

“MPDS v13.1 is a prioritized release of protocol changes based on input from users and recent Dispatch Life Support research,” said Brett Patterson, IAED Academics & Standards associate and Medical Council of Standards chair. “This is the first release in a new incremental strategy aimed at efficiency with clinical priorities taking precedence. These changes will provide needed options for EMDs dealing with challenging situations.”

Priority Dispatch® has also updated the protocols in its ProQA® software to reflect these MPDS v13.1 changes. Key new features include: Sub-Chief Complaint (Sub-CC) Selection on Case Entry called the Selection Tree; added Trimester Calculator Diagnostic Tool that uses the reported “due date” to determine the gestational trimester of a pregnant woman; and a modified Sudden Arrest Reset Button on the Chief Complaint Protocols that handles arrest while on protocols with safety issues.

“At the Academy and Priority Dispatch, our goal is to help the emergency dispatcher do his or her job better,” said Dr. Jeff Clawson, Chair, Rules Committee for the IAED Medical Council of Standards. “This increases safety and effectiveness for the first responders and creates better outcomes for callers. By implementing the IAED’s MPDS v13.1 changes in ProQA, we know that certified emergency dispatchers using ProQA have the best and most intelligent tool available to reliably and efficiently help their callers and first responders.”

For more information about MPDS v13.1 and the IAED, visit the website at http://www.emergencydispatch.org. For more information about how the Medical Priority Dispatch System can increase the effectiveness and safety of your EMS system, visit prioritydispatch.net.

About the IAED

The IAED is the world’s foremost standard-setting and certification organization for emergency communications with over 64,000 members in 46 countries. More than 3,000 communication centers in 23 languages employ IAED’s protocols and training in medical, fire, and police dispatching.