MPDS v12.2 puts Pre-Arrival Instructions on the fast-track

The National Academies of Emergency Dispatch® (NAED™) is pleased to announce the release of its newest version of the Medical Priority Dispatch System™ (MPDS®) featuring the new fast-track pathway to Pre-Arrival Instructions (PAIs) and a modified CPR sequence to complement recommendations of the American Heart Association (AHA) for emergency cardiovascular care.

MPDS v12.2 bypasses the questions and instructions on Protocol 9 for patients with suspected medical arrest, directing the EMD to proceed with CPR immediately from Case Entry. This direct link was created in an effort to meet AHA recommendations to reduce the time from discovery of cardiac arrest to “hands on chest.”

Brett Patterson, NAED Academics and Standards Associate, said the fast-track pathway in tandem with the modified CPR PAIs greatly enhances the patient’s chance of survival.

“Research has shown that delays should be minimized throughout the entire resuscitation,” he said. “The emphasis is to follow the directions of the EMD and get the compressions started almost immediately after the discovery of medical arrest and the call is made to 9-1-1. The update is imperative for Protocol.”

A new PAI pathway created for Unconscious Choking patients directs the caller to give compressions first in an effort to dislodge the obstructions before attempting ventilations. This is a change from the previous version where “Unconscious Choking” patients were part of the Ventilations first pathway.

Other enhancements to MPDS v12.2 include:

  • The new ECHO-level determinant and Case Entry PDI for a person on fire improves response time and care for this time-critical emergency.
  • Modified wording of the Agonal Breathing Detector allows for better caller understanding; mandatory links have been added to improve agonal breathing detection.
  • The suffix “W = Fireworks” added to Protocol 7 allows for a more specific code and response for complaints involving recreational fireworks.
  • Rules and Axioms and a new CEI added to Protocol 9 address cardiac emergencies other than arrest including circulatory assist devices and wearable external defibrillators.
  • Modifications to Protocol 12 better detect hypoxic and atypical seizures through Key Questioning and patient monitoring.
  • Modifications to Protocol 28 and the Stroke Diagnostic Tool better address Transient Ischemic Attack (TIA) and facilitate early stroke center notification.
  • Instructions for breastfeeding and manual nipple stimulation added to Protocol F help control post-partum bleeding and cramping.

Version 12.2 is available in both ProQA Paramount and ProQA 3.4. MPDS v.13 will only be available in ProQA Paramount.

 The NAED is a non-profit standard setting organization promoting safe and effective emergency dispatch services worldwide. For more information, visit the Web site at http://www.emergencydispatch.org.


Contact Kris Berg
(800) 960-6236 ext. 116