Table 8.

Examples of lessons learned and recommendations concerning communication and requests for help between dispatch centers (based on encountered challenges before and during the first three COVID-19 waves).

Area	Lessons learnt	Recommendations	Participants (ID)
Communication and request for help between dispatch centers	Lesson learnt	Cross-border request of resources possible via multi-lingual EMRIC documents; documents are time-consuming and complex therefore dispatchers prefer direct communication (DE, NL, BE)	7
	Lesson learnt	Delayed and ineffective information exchange after request for help from NL was issued by DE; DE cannot update secondary callers on ambulance status (incl. time of arrival)	7