The Big Decision: How Dispatchers Tackle Stroke Calls

Being the person on the other end of the phone when someone calls about a stroke. That's the job of emergency medical dispatchers (EMDs). They're the first step in the stroke survival chain. They need to spot stroke patients quickly and get them help fast. But studies show they sometimes miss the signs (undertriage) or mistake other issues for strokes (overtriage). This can cause problems, like wasting resources on non-stroke cases or missing real strokes. So, let's look into what affects their decisions. EMDs have to make quick calls based on what callers tell them. But these calls can be tricky. Sometimes, callers aren't sure what's happening, and symptoms might not be clear. EMDs also have to follow guidelines to make sure they're doing the right thing. But these guidelines can be tough to apply in real-life situations.Dispatchers might also be influenced by their own experiences and thoughts. For example, if they've seen a lot of strokes, they might be quicker to spot the signs. But if they've seen lots of false alarms, they might be more cautious about calling it a stroke. Training also plays a big role. Regular updates and practice can help EMDs stay sharp. But if training isn't up-to-date or isn't practical, it might not help as much. Lastly, the system they work in matters. If the dispatch center is understaffed or overwhelmed, it might be harder to make good decisions. Or, if there's not enough support for EMDs, they might struggle more. So, what can we do? Understanding these factors can help improve training and support for EMDs. This could lead to better decisions and faster help for stroke patients.