Emergency Dispatch Research Articles

Systematic review and meta-analysis on the mental health of emergency and urgent call-handlers and dispatchers.

Call-handlers and dispatchers (CHDs) working in specialized emergency and urgent communication centres are essential in supporting public safety and health. Evidence suggests that these professionals are at increased risk of mental health conditions, including post-traumatic stress disorder (PTSD), depression, anxiety and alcohol abuse among other conditions; however, reliable prevalence estimates remain undetermined. We provide the estimated pooled prevalence for PTSD, depression, anxiety and hazardous drinking among emergency and urgent CHDs globally. We searched 10 electronic databases, grey literature and the Annals of Emergency Dispatch and Response. Eligible studies reported original quantitative data and used validated self-reported measures on the prevalence of mental health conditions of interest (i.e. PTSD, depression, anxiety and alcohol use) within CHD professionals. Three reviewers independently screened results for eligibility. Prevalence estimates were pooled using random-effects meta-analyses. In total, 16857 references were retrieved. From these, 183 full-text articles were assessed for eligibility, of which 37 articles were included in this systematic review, and 13 articles provided necessary quantitative information for meta-analyses. In total, 7759 CHDs were considered across nine different countries. The overall pooled prevalence for PTSD was 17.8% (95% confidence interval [CI] 12.4-24.0%), depression was 28.2% (95% CI 20.7-36.2%), anxiety was 17.2% (95% CI 6.6-31.5%) and hazardous drinking was 17.8% (95% CI 6.9-32.2%). These findings indicate CHDs are at significant risk of mental health problems. Further quantitative and qualitative research is warranted to help understand the psychological risks of working as a CHD and guide appropriate psychological support.

Effects of a sedentary behaviour intervention in emergency dispatch centre phone operators: a study protocol for the SECODIS randomised controlled cross-over trial

IntroductionSedentary behaviour is a public health problem. We mainly have sedentary behaviour at work, transforming them into occupational risk. To our knowledge, there is no intervention study on the reduction...

Occupational stress profiles of prehospital and clinical staff in emergency medicine-a cross-sectional baseline study.

Occupational stress among emergency medical staff remains a central problem. Prior to the COVID-19 pandemic, many studies were focused on the working conditions of clinical emergency staff, but few examined the occupational stress profiles of prehospital emergency dispatchers (ED). The aim of this study is therefore to provide baseline data on the differences in occupational stress profiles between prehospital and clinical emergency medical staff. ED, emergency nurses (EN), and trauma surgeons on duty (TS) were questioned using the established and validated standardized short version of the instrument for stress-related job analysis for hospital physicians (ISAK-K). Differences between occupational groups were compared using the Mann-Whitney U test. Our data indicate significant differences in perception of stressors between professional groups (p < 0.05), with ED showing the highest psychological stress, followed by EN. Social stressors and emotional dissonance were significantly higher in ED and EN compared to TS (p < 0.05). Time pressure was identified as major stressor for ED and TS, but not for EN (p < 0.01). All professions showed moderate high levels of uncertainty and frustration (p = n.s.). Support from colleagues and supervisors was the greatest positive resource for all professional groups (p = n.s.). In accordance with current literature, our results advocate for a re-evaluation of the identified stressors, as ED, EN, and TS continue to show high levels of occupational stress. Training programs for coping with emotional dissonance and social stressors are likely to be crucial for reducing job stress among ED and EN.

Reasons for calling in medical emergencies: development of a structured semantic model based on a randomised sample of medical emergency calls from an integrated emergency dispatch centre

Zusammenfassung Hintergrund Rettungsleitstellen sehen sich mit steigenden Herausforderungen durch kontinuierlich steigende Notrufzahlen konfrontiert. Zur besseren Strukturierung und Priorisierung der Notrufgespräche werden vielerorts standardisierte Abfragesysteme implementiert. Aktuelle Entwicklungen im Bereich der künstlichen Intelligenz eröffnen neue Möglichkeiten der Entscheidungsunterstützung von Disponierenden. Voraussetzung hierfür ist ein prozesshaftes Modell des Notrufdialogs. Ziel der Arbeit Auf Basis einer Analyse der komplexen Anrufgründe von Notrufgesprächen wird deren übergreifende Struktur abgeleitet und modellhaft dargestellt. Material und Methoden 50 randomisiert ausgewählte Aufzeichnungen medizinischer Notrufe einer integrierten Rettungsleitstelle aus dem Jahr 2022 wurden transkribiert, unter Anwendung einer qualitativen Inhaltsanalyse induktiv codiert, kategorisiert und in ein prozesshaftes Modell des Notrufdialogs überführt. Ergebnisse Das typische Notrufgespräch besteht aus zwei konsekutiven Prozessen, einem Einstiegs- und einem Rückfrageprozess. Der Einstiegsprozess dient der Informationsgewinnung mit dem Ziel, abschätzen zu können, ob es sich beim Notrufgrund um ein einzelnes Hauptproblem, die Kombination aus mehreren Gesundheitsbeeinträchtigungen oder ein Ereignis vor bzw. nach einer Gesundheitsbeeinträchtigung handelt. Der Rückfrageprozess dient der Präzisierung der Zustands- bzw. Problembeschreibung. Diskussion Auf Basis der zufällig ausgewählten Notrufgespräche konnte der idealtypische Ablauf des Notrufgesprächs abgeleitet und in einem phasen- bzw. prozesshaften Modell dargestellt werden, auf dessen Grundlage nun KI-gestützte Notrufabfragesysteme entwickelt werden können.

Psychiatric diagnoses, somatic disorders, and emergency dispatches among individuals who used a national suicide crisis line

Crisis line responders initiate emergency dispatches by activating 911 or other local emergency services when individuals are determined to be at imminent risk for undesired outcomes. This study examined the association of characteristics, psychiatric diagnoses, and somatic symptoms with emergency dispatches in a national sample. Veterans Crisis Line data were used to identify contacts (i.e., calls, texts, chats, emails) that were linked with medical records and had a medical encounter in the year prior to contact. Hierarchical logistic regression clustered by responders was used to identify the association among demographics, psychiatric diagnoses, and somatic disorders, and emergency dispatches. Analyses examined 247,340 contacts from 2017 to 2020, with 27,005 (10.9%) emergency dispatches. Odds of an emergency dispatch increased with each diagnosis (three diagnoses Adjusted Odds Ratio [AOR] (95% CI) = 1.88 [1.81,1.95]). Odds were highest among individuals with substance use disorders (SUD) (alcohol AOR (95% CI) = 1.85 [1.80,1.91]; drugs AOR (95% CI) = 1.63 [1.58, 1.68]), which may be a result of intoxication or overdose during contact, requiring further research. Having more psychiatric and somatic conditions was associated with greater odds of an emergency dispatch, indicating that comorbidity contributed to the need for acute care.

Relationship between cancer status and medical response by an emergency dispatch center: From a French SAMU database

Objective: In many countries the first line response to an emergency call is decided by the emergency dispatch center EMS clinician. Our main objective was to compare the pre-hospital response to calls received from cancer and non-cancer patients. We also compared the reasons for calling, for each group.Methods: We conducted a retrospective cohort study of data collected between January 1, 2016 and December 31, 2020, from emergency dispatch center records of the Isère county, France. Statistical tests were conducted after matching one cancer patient with two non-cancer patients, resulting in a cohort of 44,022 patients. We used multivariate logistic regression to determine the impact of patient cancer status on the medical decision taken in response to the emergency call.Results: Overall, data on 849,110 patients were extracted, including 16,451 patients with a diagnosis of cancer and 29,348 non-cancer patients. In the matched cohort, cancer was associated with a higher odds of having a mobile intensive care unit (MICU) (OR=2.02 [1.81-2.26, p<0.001) or an ambulance being dispatched to the patient’s home or other location (OR=2.36 [2.24-2.48], p<0.001). The two most frequent medical responses were to send an ambulance (58.6%) and giving advice only (36.8%). The five main reasons for the emergency call for the cancer group were cardiovascular disease symptom’s (13.5%), respiratory problems (10.6%), digestive disorders (10.4%), infections (8.9%) and neurological disorders (6.0%).Conclusion: An MICU or an ambulance was more often dispatched for cancer patients than for others. Considering that cancer is a very frequent comorbidity in western countries, knowledge of the patient’s cancer status should be sought and taken into consideration when a patient seeks emergency help.

A study on GIS-based spatial analysis of emergency response for disaster management: Focusing on Seoul

This study aims to analyze the operation of fire emergency dispatch, understand the impact of golden time on fire emergency dispatch, and identify factors and improvement measures for effective fire emergency dispatch with in prime time. According to the results of the study, rescue dispatch activities varies depending on the nature of the incident. The summer season had a higher number of calls than other seasons, and Saturday was the day of the week with the highest number of calls (i.e., Spring: 13,189, Summer: 15,652, Fall: 13,128, Winter: 14,545). When analyzing the spatial distribution of rescue incidents, it is found that rescue incidents were concentrated in some areas. In particular, the arrival time tended to be relatively long in areas south of the Han River and in areas where some fire stations or safety centers were not deployed. Results showed that rescue incidents dispatched by the stations other than neighboring stations were also concentrated in certain points. Based on these findings, the following policy implications can be drawn: first, the location of fire stations or safety centers should be adjusted; second, dispatch personnel and equipment should be strengthened; third, interagency cooperation should be strengthened; and fourth, prevention and education programs should be strengthened. Implementing these policy recommendations will improve fire emergency services' efficiency and response capabilities and minimize the occurrence and damage of life-saving events.

"Breaking down in tears, soaked in sweat, and sick from the heat": Media-based composite narratives of first responders working during the 2021 Heat Dome.

During the summer of 2021, a deadly, unprecedented multiday Heat Dome engulfed western Canada. As a result of this extreme heat event (EHE), emergency dispatchers received an unparalleled increase in incoming 911 calls for ambulance, police, and fire (as first responders) services to attend to hundreds of heat-vulnerable community members succumbing to the heat. With 103 all-time heat records broken during this EHE and indoor temperatures of nearly 40°C, the first responders attending these calls faced extensive job demands and highly challenging operating conditions. Initial investigations have explored the health system-level impacts; however, little has been done to explore the impact on the first responders themselves. Therefore, this study aimed to improve our understanding of EHEs' impacts on the operational capabilities and health of first responders, specifically police, fire, ambulance, and dispatch services. A systematized review and content analysis of media articles published on the 2021 Heat Dome in Canada was conducted (n = 2909), and four media-based composite narratives were developed highlighting police, fire, ambulance, and dispatch services. The Job Demands-Resources (JD-R) model was applied as atheoretical framework for occupational burnout. The media-based composite narratives highlighted that first responders faced record-breaking call volumes, increased mental-health-related claims, and exhaustive heat-related physiological stress. Using the JD-R model as a theoretical framework for occupational burnout, we identified three measures of stressful job demand: work overload (e.g., the surge in call volume, firefighters responding to medical emergencies), emotional demands (e.g., severe medical emergencies, sudden deaths, unresponsive patients, distraught family members), and physical demands (e.g., resuscitation in personal protective equipment, heat-related illness). The experiences described underscore the importance of supporting first responders during work in extreme heat conditions. These findings have important implications for addressing rising rates of burnout during and following public health crises, such as EHEs, a problem that is increasingly being recognized as a threat to the Canadian public healthcare system.

Диспетчерское сопровождение оказания первой помощи очевидцами события при внегоспитальной остановке кровообращения у пострадавшего: реалии и перспективы

Summary. Purpose of the study. The purpose of this work is to analyze the practical experience of remote support of first aid in out-of-hospital circulatory arrest using the example of the State Budgetary Institution of Health “Emergency Station of the Gelendzhik Resort City” of the Ministry of Health of the Krasnodar Territory. Material and methods. The empirical basis of the scientific research was the analytical material on dispatching support for the provision of first aid in case of out-of-hospital circulatory arrest, contained in the works of Russian and foreign scientists. A study was made of the regulations governing the organization of first aid, including dispatching support for its provision. Research results and their analysis. The experience of the GBUZ “Emergency Station of the Resort City of Gelendzhik” of the Ministry of Health of the Krasnodar Territory showed that the effectiveness of cardiopulmonary resuscitation in cases of circulatory arrest before the arrival of an ambulance, when eyewitnesses provided first aid during dispatching support (the proportion of successful resuscitations – 8.6%), was similar to that in cases of circulatory arrest in the presence of emergency medical professionals (7.4%). In this regard, one of the options for increasing the frequency and quality of CPR by eyewitnesses of the incident may be to accompany the CPR by a telephone emergency dispatcher.

IoT-based Collision Detection System

All around the world, a sizable percentage of traffic deaths take place every day. Two effective methods for reducing traffic fatalities include implementing systems that allow for real-time incident reporting can significantly reduce the time it takes for emergency services to be notified. Providing thorough training for emergency dispatchers, responders, and other personnel involved in the response process is crucial. The incidence of automobile accidents has increased as technology and auto manufacturing have advanced. Due to limited emergency facilities, the survival rate following an accident is quite low. Our strategy would help find an accident and identify it so that the rescue squad and the rider's emergency contact could be informed.

Reasons for contacting a crisis line and the initiation of emergency dispatches

ObjectiveTo better understand processes of mental health crisis line utilization by examining associations between reasons for contacting a crisis line with the initiation of emergency dispatches (i.e., activation of 911 or local emergency services) in a national sample. MethodsContacts (i.e., calls, texts, email, and chats) to the Veterans Crisis Line (VCL) across 2017–2020 were used to examine associations among stated reasons for the contact and the use of an emergency dispatch. Hierarchical logistic regression models were used to determine the odds of an emergency dispatch by reason for the contact. ResultsSuicidal thoughts/crisis were present in 61.5% of contacts that ended in emergency dispatches and were associated with the largest adjusted odds of a dispatch, (Adjusted Odds Ratio [AOR] [95% CI] = 9.34 [9.21, 9.48]), followed by homicidal thoughts/crisis (AOR [95% CI] = 3.84 [3.73, 3.95]), and third-party concerns (AOR [95% CI] = 2.42 [2.37, 2.47]). Substance use/ addiction (AOR [95% CI] = 2.14 [2.10, 2.18]), abuse and violence (AOR [95% CI] = 1.89 [1.82, 1.96]), and physical health (AOR [95% CI] = 1.87 [1.84, 1.91]) were also associated with increased odds of a dispatch. ConclusionsEmergency dispatches are primarily used in response to imminent suicide risk but are also used in other potentially violent or lethal circumstances such as homicides, violence or abuse, and other crises. These findings highlight the role that crisis lines play in emergency service delivery, and the need to better understand how they are utilized under real world circumstances.

Reassessment of the emergency medical service deployment indication catalogue after traffic accidents

The emergency physician indication catalogue is based on outdated studies and provides limited guidance for alarm criteria following traffic accidents. Advances in vehicle safety technology and changes in available resources necessitate are-evaluation of the indications. The aim of this retrospective registry study is to identify preclinically assessable variables for severe injuries sustained in traffic accidents. Atotal of 47,145 individuals involved in accidents between 1 January 2000 and 31 December 2021 from the GIDAS database were included. Separate datasets for severe (AIS3+) and minor injuries were evaluated. Ejection (PPV 80.6%), entrapment (PPV 75.6%), burning vehicles (PPV 57.1%), challenging rescue situations (PPV 56.3%), vehicle disintegration (PPV 51.6%), and amnesia (PPV 50.3%) indicated severe injuries among vehicle occupants. For vulnerable road users (motorcyclists, cyclists, pedestrians), helmet loss (PPV 61.1%), being run over/dragging (PPV 41.9%), opponent vehicle window breakage (PPV 35.8%), and subsequent collision with objects (PPV 31.1%) were also identified. The χ2-test revealed significant associations between the variables and severe injuries. Combined variables achieved PPV values above 82%. The current emergency physician indication catalogue provides limited preclinically detectable criteria and should be revised based on the objective registry data. Query models for emergency dispatchers should be tested.

Analyzing emergency call volume, call durations, and unanswered calls during the first two waves of the COVID-19 pandemic compared to 2019: An observational study of routine data from seven bavarian dispatch centres

BackgroundThe spread of the COVID-19 pandemic and the corresponding implementation of measures such as stay-at-home orders and curfews had a major impact on health systems, including emergency medical services. This study examined the effect of the pandemic on call volumes, duration of calls and unanswered calls to the emergency number 112. MethodFor this retrospective, descriptive study, 986,650 calls to seven emergency dispatch centres in Bavaria between January 01, 2019 and May 31, 2021 were analysed. The absolute number of calls and calls per 100,000 inhabitants as well as the number of unanswered calls are reported. The Mann‒Whitney U test was used to compare mean call durations between 2019 and 2020/2021 during several periods. ResultsCall volume declined during the pandemic, especially during periods with strict lockdown restrictions. The largest decline (−12.9 %) occurred during the first lockdown. The largest reduction in the number of emergency calls overall (−25.3 %) occurred on weekends during the second lockdown. Emergency call duration increased, with the largest increase (+13 s) occurring during the “light” lockdown. The number of unanswered calls remained at a similar level as before the pandemic. ConclusionThis study showed that the studied Bavarian dispatch centres experienced lower call volumes and longer call durations during the first two waves of the COVID-19 pandemic (up to May 2021). Longer call durations could be the result of additional questions to identify potentially infectious patients. The fact that the number of unanswered calls hardly changed may indicate that the dispatch centres were not overwhelmed during the study period.

Pediatric Out-of-Hospital Cardiac Arrest: The Role of the Telecommunicator in Recognition of Cardiac Arrest and Delivery of Bystander Cardiopulmonary Resuscitation.

Telecommunicator CPR (T-CPR), whereby emergency dispatch facilitates cardiac arrest recognition and coaches CPR over the telephone, is an important strategy to increase early recognition and bystander CPR in adult out-of-hospital cardiac arrest (OHCA). Little is known about this treatment strategy in the pediatric population. We investigated the role of T-CPR and related performance among pediatric OHCA. This study was a retrospective cohort investigation of OHCA among individuals <18 years in King County, Washington, from April 1, 2013, to December 31, 2019. We reviewed the 911 audio recordings to determine if and how bystander CPR was delivered (unassisted or T-CPR), key time intervals in recognition of arrest, and key components of T-CPR delivery. Of the 185 eligible pediatric OHCAs, 23% (n=43) had bystander CPR initiated unassisted, 59% (n=109) required T-CPR, and 18% (n=33) did not receive CPR before emergency medical services arrival. Among all cases, cardiac arrest was recognized by the telecommunicator in 89% (n=165). Among those receiving T-CPR, the median (interquartile range) interval from start of call to OHCA recognition was 59 seconds (38-87) and first CPR intervention was 115 seconds (94-162). When stratified by age (≤8 versus >8), the older age group was less likely to receive CPR before emergency medical services arrival (88% versus 69%, P=0.002). For those receiving T-CPR, bystanders spent a median of 207 seconds (133-270) performing CPR. The median compression rate was 93 per minute (82-107) among those receiving T-CPR. T-CPR is an important strategy to increase early recognition and early CPR among pediatric OHCA.

Having Children and Being Married Are Predictors of Burnout and Obesity Among Working Men: Effects of Latent Profile Analysis.

Emergency call-takers and dispatchers' (ECDs) work makes them vulnerable to occupational burnout and health problems. The aim of this research was to apply a Person-Oriented approach in order to examine the relationships between burnout risk factors (having children), personal resources (being married), and health consequences (overweight and obesity) among men working in these positions. The burnout syndrome was assessed among 228 Polish ECDs using The Link Burnout Questionnaire and the method of latent profile analysis (LPA). All ECDs were characterized by high levels of occupational burnout exhibited in 3 out of its 4 dimensions. The LPA allowed us to differentiate 4 patterns of burnout, taking into account socio-demographic variables, the length of employment as ECD and body weight. The need to balance the demands of professional work with having children and marital roles played an important role in predicting the level of professional burnout. There was a relationship between the dimensions of occupational burnout and age, being married, and having children. Being married was associated with a greater intensity of emotional exhaustion, and the level of exhaustion was higher if the employee had children in their care. Health consequences in the form of overweight and obesity can be associated with levels of emotional exhaustion and professional effectiveness. The application of the Person-Oriented approach presents hidden correlations between burnout predictors and health consequences.

Modeling and simulation of complex emergency dispatch based on BIPSO

In emergency task scheduling, this study proposes a complex model for emergency scheduling. It is based on the particle swarm algorithm and improves upon the traditional version. Additionally, the study recommends the use of the binary particle swarm optimization algorithm (PSO). The study proposes applying the multi-objective task scheduling-particle swarm optimization algorithm (MOTS-PSO) to the complex emergency scheduling model by combining it with the multi-objective function. Compared to other algorithms, the proposed improved algorithm exhibited the lowest average number of iterations, which consistently fell within the range of 130, and achieved a 100% success rate for optimization searches on the majority of functions. When compared with other models, the proposed research model demonstrated superior performance, exhibiting the lowest total scheduling cost, total execution time, and data transfer time of 280 and 900, respectively, for the task quantity of 5000. Furthermore, the proposed model exhibited the lowest maximum execution cost for a single node, which remained within the range of 0.45S. The outcomes of the experiments demonstrate that the proposed research model adequately satisfies the requirements for complex scheduling and its simulability has been confirmed.

Emergency Dispatches for Suicide Attempts during the COVID-19 Pandemic in Okayama, Japan: An Interrupted Time-series Analysis.

Emergency Dispatches for Suicide Attempts during the COVID-19 Pandemic in Okayama, Japan: An Interrupted Time-series Analysis.

이동보조기기 수리서비스 플랫폼 구축에 관한 연구

Objective : This study was conducted to investigate the components necessary to build a mobility devices repair service platform to provide various information related to mobility devices repair and to support rapid repair.&#x0D; Methods : In order to analyze the current status and requirements for repairing mobility devices, we conducted focus group interviews with people with disabilities who use mobility devices in October 2022, and analyzed the navigation structure and UI through the platform site maps of five organizations providing repair services in Korea and abroad. Results : In the focus group interviews, there was a demand for quick and convenient repair support services and various information provision. As a result of analyzing the repair service platform, we derived principles such as UI/UX design to make the platform more accessible, a repair service structure that can provide emergency dispatch services quickly, and a structure that can provide various information, and based on these, we prepared a plan for building the platform. Conclusion : In order to meet the various needs for mobility devices repair services, a quick and convenient repair service platform should be built based on PC or App, and a specific system should be established to ensure the right to mobility of people with disabilities.

The barriers and facilitators to initiation of telephone-assisted bystander cardiopulmonary resuscitation for patients experiencing out-of-hospital cardiac arrest in a private emergency dispatch centre in South Africa

BackgroundThe incidence of cardiovascular diseases, and with it out-of-hospital cardiac arrest (OHCA), is on the increase in low- to middle-income countries (LMICs), like South Africa. Interventions such as mass public cardiopulmonary resuscitation (CPR) training campaigns and public access defibrillators are expensive and out of reach for many LMICs. Telephone-assisted CPR (tCPR) is a cost-effective, scalable alternative. This study explored the barriers and facilitators to tCPR uptake in OHCA in a private South African emergency dispatch centre. MethodsThis qualitative study applied inductive dominant content analysis to emergency call recordings of OHCA cases into a private emergency dispatch centre. Calls were analysed to the latent level to identify barriers and facilitators. Cases were sampled randomly, until data saturation. ResultsSaturation occurred after the analysis of 25 recordings. A further three recordings were analysed to confirm saturation of the facilitators; yielding a final sample size of 28 calls. Overall, t-CPR was offered in 23 (82.1%) cases, but only initiated in 8 (34.8%) of these calls. Five barriers (“Poor Communication”; “Lack of Support”; “Caller Hesitance or Uncertainty;” “Emotionality”; and “Practical Barriers”) and three facilitators (“Caller Willingness”; “Support” and “CPR in Progress”) were extracted. ConclusionNumerous barriers limit the initiation of tCPR in the South African private sector EMS. It is crucial to address these barriers and leverage the facilitators in order to improve tCPR uptake. This study highlights the importance of using specific language techniques and developing tailored tCPR algorithms to overcome these barriers, which is underpinned by standardised training of call-takers.

Практика дистанционного консультирования очевидцев события диспетчерами экстренных служб по вопросам оказания первой помощи: предложения по совершенствованию нормативно-правовой базы

Summary. The objectives of the study are to examine the international experience in the sphere of normative-legal regulation of the practice of remote counseling of eyewitnesses of an event by first aid emergency dispatchers, to assess the existing legal prerequisites for the introduction of the first aid dispatcher service in our country and to determine the priority directions of improvement of the domestic normative-legal base in order to create conditions for the successful implementation of the practice in the Russian Federation at the federal level. Materials and research methods. A search of scientific literature on the topic of the study in Russian and English by combinations of keywords was performed in 2023. Additional search was carried out in the bibliographic lists of the publications included in the review. The search and analysis of normative legal acts of the Russian Federation was carried out with the help of reference legal systems Garant and ConsultantPlus. Results of the study and their analysis. The authors have formulated and proposed for discussion by the professional community a number of normative proposals aimed at the systematic organization and ensuring the effective implementation of first aid dispatcher service practice in the Russian Federation at the federal level.