Advanced Medical Priority Dispatch System

The Medical Priority Dispatch System (MPDS), sometimes referred to as the Advanced Medical Priority Dispatch System (AMPDS) is a unified system used to dispatch appropriate aid to medical emergencies including systematized caller interrogation and pre-arrival instructions. Priority Dispatch Corporation is licensed to design and publish MPDS and its various products, with research supported by the International Academy of Emergency Medical Dispatch (IAEMD). Priority Dispatch Corporation, in conjunction with the International Academies of Emergency Dispatch, have also produced similar systems for Police (Police Priority Dispatch System, PPDS) and Fire (Fire Priority Dispatch System, FPDS) MPDS was developed by Jeff Clawson from 1976 to 1979 when he worked as an emergency medical technician and dispatcher prior to medical school. He designed a set of standardized protocols to triage patients via the telephone and thus improve the emergency response system. Protocols were first alphabetized by chief complaint that included key questions to ask the caller, pre-arrival instructions, and dispatch priorities. After many revisions, these simple cards have evolved into MPDS. MPDS today still starts with the dispatcher asking the caller key questions. These questions allow the dispatchers to categorize the call by chief complaint and set a determinant level ranging from A (minor) to E (immediately life-threatening) relating to the severity of the patient's condition. The system also uses the determinant O which may be a referral to another service or other situation that may not actually require an ambulance response. Another sub-category code is used to further categorize the patient. The system is often used in the form of a software system called ProQA, which is also produced by Priority Dispatch Corp. Each dispatch determinant is made up of three pieces of information, which builds the determinant in a number-letter-number format. The first component, a number from 1 to 36, indicates a complaint or specific protocol from the MPDS: the selection of this card is based on the initial questions asked by the emergency dispatcher. The second component, a letter A through E (including the Greek character Ω), is the response determinant indicating the potential severity of injury or illness based on information provided by the caller and the recommended type of response. The third component, a number, is the sub-determinant and provides more specific information about the patient's specific condition. For instance, a suspected cardiac or respiratory arrest where the patient is not breathing is given the MPDS code 9-E-1, whereas a superficial animal bite has the code 3-A-3. The MPDS codes allow emergency medical service providers to determine the appropriate response mode (e.g. 'routine' or 'lights and sirens') and resources to be assigned to the event. Some protocols also utilise a single-letter suffix which may be added to the end of the code to provide additional information, e.g. the code 6-D-1 is a patient with breathing difficulties who is not alert, 6-D-1A is a patient with breathing difficulties who is not alert and also has asthma, and 6-D-1E is a patient with breathing difficulties who is not alert and has emphysema/COAD/COPD. This Protocol was created to handle the influx of emergency calls during the H1N1 pandemic: it directed that Standard EMS Resources be delayed until patients could be assessed by a Flu Response Unit (FRU), a single provider that could attend a patient and determine what additional resources were required for patient care to reduce the risk of pandemic exposure to EMS Personnel.