期刊
PREHOSPITAL EMERGENCY CARE
卷 27, 期 4, 页码 427-431出版社
TAYLOR & FRANCIS INC
DOI: 10.1080/10903127.2022.2048756
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This article discusses the challenges faced by EMS clinicians in the prehospital setting and proposes a theoretical framework for clinical judgment to address these challenges.
In the prehospital setting, EMS clinicians are challenged by the need to assess and treat patients who are clinically undifferentiated with a large constellation of possible medical problems. In addition to possessing a large and diverse set of knowledge, skills, and abilities, EMS clinicians must integrate a plethora of environmental, patient, and event specific cues in their clinical decision-making processes. To date, there is no theoretical framework to capture the complex process that characterizes the prehospital experience from dispatch to handoff, the interface between cues and on-scene information and assessments, while incorporating the importance of leadership and communication. To fill this gap, we propose a theoretical framework for clinical judgment in the prehospital setting that builds upon previously defined methodologies and applies them to the clinical practice of EMS clinicians throughout the EMS experience.
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