February 24, 2006Emergency Medicine JournalOpen Access

Does telephone triage of emergency (999) calls using advanced medical priority dispatch (AMPDS) with Department of Health (DH) call prioritisation effectively identify patients with an acute coronary syndrome? An audit of 42 657 emergency calls to Hampshire Ambulance Service NHS Trust

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Why the study?

Does telephone triage using AMPDS effectively identify patients with an acute coronary syndrome among emergency calls?

Population

42,657 emergency calls to Hampshire Ambulance Service NHS Trust from the Southampton area over an 8-month…

Comparison

Telephone triage using Advanced Medical Priority… vs Actual hospital diagnosis of ACS

Design

Cohort

Authors

CDCharles D. DeakinSouthampton General Hospital

Discussion

Member takes

Implication

AMPDS triage may under-detect ACS; leaves open whether refined protocols or adjuncts improve dispatch accuracy.

Structured PICO

Does telephone triage using AMPDS effectively identify patients with an acute coronary syndrome among emergency calls?

Population

42,657 emergency calls to Hampshire Ambulance Service NHS Trust from the Southampton area over an 8-month period, including 263 patients subsequently diagnosed with acute coronary syndrome (ACS).

Intervention

Telephone triage using Advanced Medical Priority Dispatch System (AMPDS) version 10.4 with Department of Health (DH) call prioritisation

Comparator

Actual hospital diagnosis of ACS (reference standard from Myocardial Infarct National Audit Project)

Outcome

Diagnostic accuracy (sensitivity, specificity, positive predictive value) of AMPDS for detecting ACS

Telephone triage using AMPDS has a low positive predictive value and misses a significant proportion of ACS cases, indicating it is not an accurate tool for clinical diagnosis of ACS.

Cite This Study

Charles D. Deakin (2006) studied this question.

synapsesocial.com/papers/6a07b45744ff8ad339f69acd https://doi.org/10.1136/emj.2004.022962

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Does telephone triage of emergency (999) calls using advanced medical priority dispatch (AMPDS) with Department of Health (DH) call prioritisation effectively identify patients with an acute coronary syndrome? An audit of 42 657 emergency calls to Hampshire Ambulance Service NHS Trust

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Does telephone triage of emergency (999) calls using advanced medical priority dispatch (AMPDS) with Department of Health (DH) call prioritisation effectively identify patients with an acute coronary syndrome? An audit of 42 657 emergency calls to Hampshire Ambulance Service NHS Trust

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider