Scott Munro


Postgraduate Research Student
BSc (Hons)
+44 (0)1483 683851
DK 04

My research project

My qualifications

2013
BSc (Hons) Paramedic Practice
University of Surrey

Affiliations and memberships

College of Paramedics
Member

Business, industry and community links

College of Paramedics
Member of the Research and Development Advisory Committee

Research

Research interests

Research collaborations

My publications

Publications

Munro Scott, Joy Mark, de Coverly Richard, Salmon Mark, Williams Julia, Lyon Richard M. (2018) A novel method of non-clinical dispatch is associated with a higher rate of critical Helicopter Emergency Medical Service intervention,Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 26 (84) pp. 1-7 BioMed Central
Background



Helicopter Emergency Medical Services (HEMS) are a scarce resource that can provide advanced emergency medical care to unwell or injured patients. Accurate tasking of HEMS is required to incidents where advanced pre-hospital clinical care is needed. We sought to evaluate any association between non-clinically trained dispatchers, following a bespoke algorithm, compared with HEMS paramedic dispatchers with respect to incidents requiring a critical HEMS intervention.



Methods



Retrospective analysis of prospectively collected data from two 12-month periods was performed (Period one: 1st April 2014 ? 1st April 2015; Period two: 1st April 2016 ? 1st April 2017). Period 1 was a Paramedic-led dispatch process. Period 2 was a non-clinical HEMS dispatcher assisted by a bespoke algorithm. Kent, Surrey & Sussex HEMS (KSS HEMS) is tasked to approximately 2500 cases annually and operates 24/7 across south-east England. The primary outcome measure was incidence of a HEMS intervention.



Results



A total of 4703 incidents were included; 2510 in period one and 2184 in period two. Variation in tasking was reduced by introducing non-clinical dispatchers. There was no difference in median time from 999 call to HEMS activation between period one and two (period one; median 7 min (IQR 4?17) vs period two; median 7 min (IQR 4?18). Non-clinical dispatch improved accuracy of HEMS tasking to a mission where a critical care intervention was required (OR 1.25, 95% CI 1.04?1.51, p = 0.02).



Conclusion



The introduction of non-clinical, HEMS-specific dispatch, aided by a bespoke algorithm improved accuracy of HEMS tasking. Further research is warranted to explore where this model could be effective in other HEMS services.