Why the study?
Does the police operated 112 emergency call system accurately dispatch mobile emergency care units to acute coronary syndrome cases?
Does the police operated 112 emergency call system accurately dispatch mobile emergency care units to acute coronary syndrome cases?
The accuracy of police-operated 112 dispatch for acute coronary syndrome cases is moderate, highlighting a need for improved training and medical supervision.
Moderate ACS dispatch accuracy in this cohort; hypothesis-generating and should not yet change protocols.
BACKGROUND: The accuracy of the Danish police operated "112" emergency call system was studied. Dispatch of the anaesthesiologist staffed mobile emergency care unit (MECU) to acute coronary syndrome (ACS) cases was used as an indicator of accuracy of dispatch to life threatening emergencies. METHODS: This was an observational cohort study of patients given a 112 system report of heart attack and patients with a provisional diagnosis of ACS made on scene by the MECU. Sensitivity, specificity, and positive predictive value with 95% confidence intervals (CI) were calculated. RESULTS: There were 341 reports of "heart attack" and 205 patients with ACS. Sensitivity was 75% (95% CI 68% to 80%) specificity 90% (89% to 92%) and positive predictive value 45% (40% to 50%). CONCLUSION: The accuracy of 112 dispatch of the MECU was found to be moderate. We suggest more training of dispatch staff and medical supervision.
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Mikkel Strømgaard Andersen (2006) studied this question.
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