How An EMS Call Is Handled: Responding to a Severe Bleed
We recently filmed a simulated emergency call at a real ambulance control centre to demonstrate how an EMS call is handled when someone suffers a severe bleed. Although we cannot show the dispatcher’s screen for confidentiality reasons, this breakdown walks through the exact dialogue, questions, and step-by-step instructions used during the call. The aim is to show how dispatchers quickly assess priority, dispatch help, and provide crucial life-saving advice until the ambulance arrives.
Initial Assessment and Call Prioritisation
Once the call comes in, the operator immediately asks key questions: “Is the patient breathing?” and “Tell me exactly what’s happened.” These questions identify if the patient is conscious and how urgent the situation is. The operator then confirms the full address, postcode, and town to ensure help arrives at the correct location without delay. Throughout, the caller receives reassurance: “You’re doing really well, we’re coming as fast as we can.”
Gathering Critical Patient Information
Next, the dispatcher collects essential details. These include the patient’s age, sex, the number of people hurt, and whether the patient is awake or breathing. If the wound resulted from an attack, the operator checks if the attacker is still nearby or has fled. This step protects both the caller and the crew in transit.
Assessing the Bleed and Advising Immediate Action
Once bleeding is confirmed, the operator shifts to giving instructions. They first ask if a knife or object is still in the wound, advising clearly: “Do not pull it out.” Next, they instruct the caller to place the phone on speaker, so both hands are free to assist. At this point, the dispatcher guides the caller step-by-step: “Get a clean, dry cloth or towel,” then, “Press down firmly and don’t lift it up to look.”
Ongoing Support Until the Crew Arrives
As time passes, the operator remains on the line to offer updates and reassurance. They ask the caller to confirm if the bleeding has slowed, and if not, advise: “You’re probably not pressing hard enough.” The dispatcher also checks for signs of change, like loss of consciousness or worsening symptoms. Importantly, the caller is reminded not to give food or drink and to avoid moving the patient unless absolutely necessary. The final instruction is to ensure the door is unlocked for the arriving crew and to stay with the patient at all times.
Conclusion
This real-time simulation clearly shows how an EMS call is handled under pressure. From start to finish, the dispatcher maintains control, gathers vital information, and gives clear, actionable advice. With each instruction, the operator increases the patient’s chances of survival. Their calm voice and detailed guidance not only help treat the bleed but also reassure the caller in a chaotic moment. Ultimately, the coordination between caller and dispatcher plays a life-saving role before the ambulance team even arrives.
Leave a Reply