Copenhagen has recently switched to a dispatch system where a 911 call taker determines it's a medical call and transfers it to a nurse, who dispatches ambulances accordingly. Two types of ambulances are available: one with two paramedics, and the other with an emergency doctor and paramedic driver. Emergency doctors can bring much of the hospital to the patient, being able to make diagnosis's and write prescriptions, saves many trips to the hospital for EMTs and patients alike.
The only complaint about the new dispatch system I heard was, while the nurses doing the dispatching were much more medically knowledgeable than the previous dispatchers, they were not the strongest dispatches in terms of sending the appropriate units to the right place.
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