![]() Protocol 9: Cardiac or Respiratory Arrest/Death Well, if you ever took the time to count, you’d find the “completely alert” KQ appears in all but six of the MPDS Protocols. Just how commonly used is this Key Question, you ask. Outcome-based refinements of body area injured and bleeding classifications.Deciphering more specific information from “Unknown Problem” situations.Detecting strokes that are “hidden” in other Chief Complaints.Chest pain (non-traumatic) outcome-based interrogation and coding refinements.Determining SERIOUS (life-threatening) bleeding.Determining life-threatening abnormal breathing.Determining true non-alertness and the level of its effects on outcome. ![]() These, which we call the “Holy Grails” of EMD, roughly in order, are: “based on my years of work in the field of emergency medical dispatch, there are several ongoing enigmas to be solved in the attempt to perfect the interrogation and response coding processes at dispatch that will drive much of the most important research as we move forward. As MPDS Inventor, Jeff Clawson, M.D., has stated: 2 The “Is s/he completely alert (responding appropriately)” KQ is so prolific because of its importance to emergency medical dispatch (EMD). What is the quality of respiration and level of consciousness ( secondary survey)? A higher-level response usually results for not alert patients or those with abnormal breathing. ![]() Now, the EMD wants to refine the assessment, depicting the situation more precisely. So, let’s talk about the Key Question (KQ) “Is s/he completely alert (responding appropriately)?” The KQ is among two questions in a majority of the Medical Priority Dispatch System ™ (MPDS®) Protocols, with the KQ: “Is s/he breathing normally?” coming in as a close second.įor starters (and the textbook answer), the two KQs are extensions of the information gathered on the Case Entry Protocol, when the mere presence of breathing and consciousness was the focal issue ( primary survey).
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