What kind of chip do you have on your shoulder? Seriously. Just come clean and tell us.
I am not advocating every call to be an emergency response. But you want me to ask every 911 caller "Do you feel lights and sirens are needed to respond to your emergency?"
Have you ever really dispatched? The sweet 60 year old grandmother will tell you not to get those people in a big hurry for her husband while you can hear the agonal respirations in the background. Hang up from that call, and you will be getting cussed out from Billy's mom because they aren't there fast enough for his sprained wrist.
I am not going to put my opinion out about EMD. I know the program I use, and I know I don't like it. I have heard about others, and do not have any experience to rate them on.
I require three things before I get the tones started for the ambulance. Address, Phone Number, Chief Complaint. I can get the ambulance out the door once I get those. Then I can spend time on information gathering, calming the caller, EMD.... There are alot of call takers that don't see it that way, or their computers won't allow them to. That is a system failure.
In my region, dispatch should not tell you what your priority response is. We dispatch for 9 diffrent ambulance districts. If I tell you the chief complaint, and any additional information I can gather, you as the EDUCATED MEDICAL PROVIDER should be able to make the decision on your own, based on your agencies standing protocols.
I have had 24 hours of medical training through my dispatching position. Don't include my EMT cert in that, and realize that and refresher training is all that many dispatchers will recieve. So why are the paramedics, who have more than 100 times the medical education hours than I, putting call priority in to my hands?