IAED Official Statements
James Featherstone, the Interim Fire Chief of the Los Angeles City Fire Department (LAFD), was notified today the LAFD was in violation of the "safe practices" provision of the Department's license to use the MPDS protocols. The notification further states that unless the LAFD's use of the MPDS protocols improves to meet defined MPDS protocol compliance standards within sixty (60) days, the Department's license to use the MPDS protocols will be revoked.
On Tuesday, March 4, 2014, Dr. Clawson, Brett Patterson, and Fred Hurtado will entertain questions from the press and other interested parties after the fire commission meeting.
The Academy has received a number of inquiries about recent articles that have appeared in the Los Angeles Times regarding the MPDS. Dr. Marc Eckstein had initially agreed to meet with Academy representatives to discuss the issues that he had raised publicly. However, Dr. Clawson was notified yesterday that after a discussion with the Fire Chief there would be no meeting between Dr. Eckstein, LAFD, and Academy representatives.
Academy representatives will travel to Los Angeles in early March to meet with City officials and local media representatives to correct particular factual misrepresentations that have been made publicly about the medical appropriateness and efficacy of the MPDS.
The link of the CBS local radio station interview of Dr. Eckstein is below:
The recent article in the Los Angeles Times regarding a study finding problems with LAFD dispatchers and significantly delayed times to start CPR was forwarded to the International Academies of Emergency Dispatch (IAED) by a large number of its members. This article questioned the validity of the IAED’s widely used Medical Priority Dispatch System (MPDS), specifically the vital process of starting CPR quickly when confronted with the sudden collapse of an adult. The article cites an internal study that “… raised concerns about time-consuming scripted questions dispatchers are required to ask…” and that “LAFD call handlers must work through a series of pre-written questions and responses before they can give CPR instructions…” In fact, the MPDS requires only minimal questioning for such cases. The delays associated with the audio example cited in the report are clearly related to calltaker non-compliance to the protocol, not the protocol itself. Specifically, a patient re
June 14, 2010
Since the North American release of the MPDS version 12.1 in March of 2010, the Academy has received some inquiries regarding Protocol 28 - Stroke (CVA), and the required Stroke Diagnostic Tool. The following represents the Academy's official position on the use and rationale of this evolving protocol:
Since the actual treatment of ischemic stroke became a possibility and then a more viable reality in many EMS systems, the IAED has worked with several stroke centers, experts, and early on, the National Institutes of Health (NIH) to concurrently evolve the Dispatch Life Support (DLS) treatment of stroke patients. A joint position statement was crafted by the Academy with the lead stroke researcher at NIH, Dr. John Marler. That document is included in the Principles of EMD textboo
October 22, 2010 [ Download PDF ]
Brett A Patterson
IAED Academics, Standards, & Research
For the Medical Council of Standards
Practically as soon as the new Guidelines for CPR and Emergency Cardiovascular Care (ECC) were released by the American Heart Association (AHA) on October 18, 2010, the telephone and e-mail inquiries to the International Academies of Emergency Dispatch (IAED) began. It is truly exciting to see so much enthusiasm about the evolving clinical standards in our profession! This update is designed to keep you informed regarding the process of the Medical Priority Dispatch System™ (MPDS) protocol evolution with regard to current international standards of patient resuscitation.
First, it is very important to remind MPDS users of the Academy’s ongoing commitment to maintaining the Dispatch Life Support (DLS) s
HIGHLY IMPORTANT NEWS TO ALL* DISPATCH CENTERS
*** PLEASE CHECK OFTEN FOR UPDATES ***
Pre-Implementation Awareness Document
Date: March 22, 2010
Subject: Accelerator Stuck & Can't Stop Vehicle Protocol - Emergency Release
Due to re
The recent Lancet study on cardiac-only bystander CPR demonstrates the growing evidence of the superior patient survival aspects of this relatively new resuscitation method. Cardiac-only resuscitation in a multi-center study in Japan demonstrated...
Dispatch Implementation of AHA/ERC/ILCOR CPR Guidelines into v11.2 of the MPDS are Underway
The American Heart Association (AHA), European Resuscitation Council (ERC), and other ILCOR-affiliated resuscitation councils have released their new Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care in the December 13, 2005 issue of the AHA journal Circulation, and the November 28, 2005 issue of the ERC journal Resuscitation. The new guidelines have been...