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A Proposed Theoretical Framework for Clinical Judgment in EMS.

Mihaiela R Gugiu¹, Kim D McKenna², Thomas E Platt³

¹The National Registry of Emergency Medical Technicians, Columbus, Ohio.

Prehospital Emergency Care

|March 4, 2022

Summary

Emergency Medical Service (EMS) clinicians face complex decision-making. This study proposes a new theoretical framework to guide clinical judgment in prehospital care from dispatch to patient handoff.

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Area of Science:

Emergency Medicine
Prehospital Care
Clinical Judgment Theory

Background:

Prehospital care involves undifferentiated patients with diverse medical problems.
EMS clinicians integrate numerous environmental, patient, and event cues for decision-making.
Existing theoretical frameworks do not fully capture the prehospital clinical experience.

Purpose of the Study:

To propose a novel theoretical framework for clinical judgment in the prehospital setting.
To address the gap in understanding the complex EMS clinical decision-making process.
To provide a framework applicable from dispatch to patient handoff.

Main Methods:

Building upon established methodologies.
Applying these to the clinical practice of EMS clinicians.
Incorporating leadership and communication within the framework.

Main Results:

A theoretical framework for prehospital clinical judgment is proposed.
The framework integrates cues, on-scene information, and assessments.
It encompasses the entire EMS experience, including leadership and communication.

Conclusions:

The proposed framework enhances understanding of prehospital clinical judgment.
It offers a structured approach for EMS clinicians' complex decision-making.
This theoretical model supports improved prehospital care delivery.