1.1本规程涵盖了有效实施、执行和管理紧急医疗派遣职能所需的职责、知识、实践和组织支持的定义。 1.2本规程有助于规划和评估培训、实施和组织支持，以满足紧急医疗调度的功能需求。 1.3 本标准并非旨在解决与其使用相关的所有安全问题（如有）。本标准的用户有责任在使用前制定适当的安全和健康实践，并确定监管限制的适用性。 ====意义和用途====== 5.1本规程旨在促进使用经过培训的电信员担任紧急医疗调度员。它定义了基本技能和医学知识，以允许理解和解决构成其日常工作的问题。 为了充分利用经过培训的电信员作为应急医疗团队的职能成员，有必要通过增加紧急医疗调度优先级的概念来提升电信员的培训。 5.2所有定期接受公众紧急医疗援助呼叫并派遣紧急医疗人员的机构或个人应根据本惯例制定有效的紧急医疗调度员计划。该计划应包括医疗指导和监督以及紧急医疗调度优先参考系统。 5.3 EMD概念的成功使用取决于医疗界对EMS事务“到达前”状态的认识，以及他们在派遣时提供医疗指导的意愿。 5.4这种做法可能有助于克服一些关于紧急医疗调度的误解。这些包括来电者歇斯底里的不可控性、调度员缺乏时间、EMD的潜在危险和责任、对调度到达前指示的益处缺乏认识，以及对红灯、警笛和最大响应总是必要的误解。 5.5 EMD是EMS响应团队的成员，对整个应急系统的当前状态和能力有最广泛的了解。EMD在将呼叫者转换为有效的第一响应者方面具有即时救生能力。该实践承认EMD的作用包括: 5.5.1审讯技术， 5.5.2分诊决定， 5.5.3信息传输， 5.5.4电话医疗干预，以及 5.5.5活动期间的物流和资源协调。 5.6对于EMD，本规程取代任何其他EMSS标准，根据这些标准，个人可以获得资格，例如规程F1031。EMD的作用不是生成特定的诊断，而是准确地导出有限的信息体，分配适当的响应，并在参与响应的人员和单位之间进行清晰的沟通。查询、响应和资源协调协议至关重要，不得根据个人作为响应者的可能经验进行修改。 5.7作为与EMS系统的初始接触，EMD会受到与医疗实践相关的行动的质疑。该实践可被机构用作EMD培训、实践和组织的公认基线，并旨在取代 事实上 某些地区存在的标准。这种做法将有助于制定健全的EMD计划，减少法律行动的需要和潜力，并提供一套共同的绩效预期。 5.8它将通过适当了解医疗状况，从而更好地询问、呼叫者干预和决策，向调度室提供更准确的信息。它允许预先计划的响应、更安全的响应（更少的单元用灯光和警报器响应）、燃油和能源节约（更小的单元和更少的单元在可能的情况下使用），并且可以节省先进的生命支持资源，以在分层的情况下实现真正的先进生命支持紧急情况- 级别响应可用。

1.1 This practice covers the definition of responsibilities, knowledge, practices, and organizational support required to implement, perform, and manage effectively the emergency medical dispatch function. 1.2 This practice is useful for planning and evaluating the training, implementation, and organizational support to satisfy the functional needs of emergency medical dispatching. 1.3 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use. ====== Significance And Use ====== 5.1 This practice is intended to promote the use of trained telecommunicators in the role of emergency medical dispatcher. It defines the basic skills and medical knowledge to permit understanding and resolution of the problems that constitute their daily routine. To use trained telecommunicators fully as functioning members of the emergency medical team, it is deemed necessary to upgrade the telecommunicators' training by the addition of the concept of emergency medical dispatch priorities. 5.2 All agencies or individuals who routinely accept calls for emergency medical assistance from the public and dispatch emergency medical personnel shall have in effect an emergency medical dispatcher program in accordance with this practice. The program shall include medical direction and oversight and an emergency medical dispatch priority reference system. 5.3 The successful use of the EMD concept depends on the medical community's awareness of the “prearrival” state of EMS affairs and their willingness to provide medical direction in dispatch. 5.4 This practice may assist in overcoming some of the misconceptions regarding emergency medical dispatching. These include the uncontrollable nature of the caller's hysteria, lack of time of the dispatcher, potential danger and liability to the EMD, lack of recognition of the benefits of dispatch prearrival instructions, and misconceptions that red lights, siren, and maximal response are always necessary. 5.5 The EMD is the member of the EMS response team with the broadest view of the entire emergency system's current status and capabilities. The EMD has immediate lifesaving capability in converting the caller into an effective first responder. This practice recognizes the EMD's role as including: 5.5.1 Interrogation techniques, 5.5.2 Triage decisions, 5.5.3 Information transmission, 5.5.4 Telephone medical intervention, and 5.5.5 Logistics and resource coordination during the event. 5.6 For the EMD, this practice supersedes any other EMSS standards under which an individual may be qualified, such as Practice F1031. It is not the role of the EMD to generate a specific diagnosis but rather to elicit accurately a finite body of information, assign the appropriate response, and to communicate clearly among persons and units involved in the response. The protocols for inquiry, response, and resource coordination are essential and must not be modified based on an individual's possible experiences as a responder. 5.7 As an initial contact with the EMS system, the EMD is subject to questioning of actions as they relate to medical practice. This practice may be used by agencies as a recognized baseline for EMD training, practice, and organization and is intended to supplant de facto standards that exist in some areas. This practice will assist in developing sound EMD programs that will reduce the need and potential for legal action and provide a common set of expectations for performance. 5.8 It will bring more accurate information into the dispatch office by way of appropriate understanding of the medical condition and therefore better interrogation, caller intervention, and decision-making. It allows for preplanned responses, safer responses (fewer units responding with lights and siren), fuel and energy savings (smaller units and fewer units used when possible), and may save advanced lifesupport resources for true advanced life-support emergencies when a tiered-level response is available.