• J J Clawson and B Sinclair.
• Medical Priority Consultants, Inc., Salt Lake City, UT 84111, USA. jeff@medicalpriority.com
• Prehosp Disaster Med. 1999 Apr 1;14(2):93-6.

IntroductionMedical Miranda, also called Secondary Emergency Notification of Dispatch (SEND), is a low cost, effective, and welcome addition to emergency medical dispatching systems. The benefits are recognized by emergency medical dispatchers who receive feeder calls from associated public safety agencies that have trained both their field staff and call-takers in the Medical Miranda protocol.HypothesisThe dispatchers would be more satisfied with feeder agencies that used the SEND protocol.MethodsA survey was conducted and analyzed, taking advantage of a situation in which two agencies (one used SEND) fed calls to the same communication center.ResultsDispatchers were more satisfied with the information gained from the feeder agency that used the SEND protocol and believed that the officers and dispatchers of that agency had a far better understanding of the emergency medical dispatcher's needs.ConclusionsWhen the emergency medical dispatcher does not talk directly with the reporting scene personnel or caller, Medical Miranda increases the usefulness of the information the dispatcher receives, helps the dispatcher better understand the reported medical emergency, and improves response appropriateness in emergency medical service (EMS) systems where responses routinely are prioritized.

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