From what I understand.. The new test that's being fast tracked has as short as 4 hours from test to results..I'm told the test takes about 3 days.
Is this a live map?View attachment 81940
I've been mapping all dispatches that have been associated with "possible PUI" for Anne Arundel County the past few days (the pink X's indicate positive indication by dispatch/EMD of possible PUI criteria being met; an interesting finding is that many of the PUI calls have been reported at urgent care facilities and senior living facilities; as of 1849 EDT on Thursday, 19 March 2020, 115 locations have been flagged PUI, 147 not marked PUI, 82 unknown if PUI, and 344 not being applicable [indication that it was recorded before PUI tracking was initiated]). Their criteria seems to vary each day: last Thursday, it seemed like any (1) Sick person w/ abnormal breathing (Protocol 26C02) or (2) breathing problems (Protocol 6) was being treated as possible PUI; earlier this week, they began to reign in the overtriage and use the Emerging Infectious Disease Tool with the specific COVID-19 update and practically every (1) Protocol 6 - Breathing Problems or (2) Protocol 26 - Sick Person (not just 26C02) was being identified as PUI; lately, with the updated CDC clinical criteria and associated update to EMD screening guidelines, the question, "Does anyone on the scene have a fever or the presence of cough?" has been capturing not only (1 & 2) Protocols 6 and 26, but even more broad Protocols (e.g., 31 - Unconscious/Fainting or 10 - Chest Pain). Likewise, I believe they've reconfigured their response protocols to treat 26C02, 06C01, and 06C02 (among others, most likely) as Delta Responses (.d) instead of the default Charlie (.c).
Thoughts?
It's manually updated but with all my free time...Is this a live map?
They have a number of TGs on the state's FIRST system, but most are ENC.Any idea what the National Guard and Air National guard will be using as for communications if deployed to regions for aid?
I'm just watching the confirmed cases; seems to me that every respiratory illness should be treated as a PUI, for the safety of the pre-hospital responders.
The dispatch protocol in AACo *seems* to be an initial call type announcement, either "trouble breathing" or "respiratory distress," or non-specifically, a "sick person." Then the call is updated when responding units check on the air with "possible PUI." Not sure what is contained in the CAD notes. Once ready for transport, an EMS officer or paramedic might update, either confirming PUI status, or sometimes not a PUI. I would think that a dispatch to a healthcare facility, aka urgent care, nursing home or doctor's office would have a more definite PUI status attached to the callout.I can't speak for other companies, but I know that we are treating every "breathing difficulties" call as potential PUI until we get sufficient information from the patient and family to make a more informed decision. Our dispatchers are screening every call (including police requests) so there is a lot of due diligence being carried out. It won't catch every instance of a symptomless infection, but believe me when I say we are being very cautious.
I think precautionarily, all Protocol 6 (Breathing Problems) and Protocol 26-D-1, 26-B-1, 26-C-2, 26-A-12 (Sick Person: Not Alert; Sick Person: Unknown Status; Sick Person: Abnormal Breathing; Sick Person: Coronavirus Illness [suspected]) are assumed as "possible PUI". Additionally, those protocols along with all medical calls where there's suspected COVID-19 symptoms are followed-up with the Emerging Infectious Disease Tool (EIDT) which has a specific COVID-19 configuration which EMD/calltakers use to determine if PUI criteria are met.The dispatch protocol in AACo *seems* to be an initial call type announcement, either "trouble breathing" or "respiratory distress," or non-specifically, a "sick person." Then the call is updated when responding units check on the air with "possible PUI." Not sure what is contained in the CAD notes. Once ready for transport, an EMS officer or paramedic might update, either confirming PUI status, or sometimes not a PUI. I would think that a dispatch to a healthcare facility, aka urgent care, nursing home or doctor's office would have a more definite PUI status attached to the callout.
So is the protocol numbering system that you mention something that MIEMSS has standardized, is it an Anne Arundel County system, or is it something that the CAD vendor created? Do you by chance have a sharable reference that defines all the protocols?I think precautionarily, all Protocol 6 (Breathing Problems) and Protocol 26-D-1, 26-B-1, 26-C-2, 26-A-12 (Sick Person: Not Alert; Sick Person: Unknown Status; Sick Person: Abnormal Breathing; Sick Person: Coronavirus Illness [suspected]) are assumed as "possible PUI". Additionally, those protocols along with all medical calls where there's suspected COVID-19 symptoms are followed-up with the Emerging Infectious Disease Tool (EIDT) which has a specific COVID-19 configuration which EMD/calltakers use to determine if PUI criteria are met.