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Decision Making in EMS

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> My friend Nick, made the following comment, which I think goes a long way

> to explaining the difficulties we have in deciding what we ought to do in EMS.

>

> " In the end, I think most decisions are made for reasons that include

> available evidence... and a number of other system factors. You can double

blind

> study everything but at the end of the day you have to make a decision as to

> the best thing for that patient. I credit my boss with the four L's... they

are

> Legend, Law, Literature, and Life. "

>

> " When practicing critical thinking, compare statements made with the 4

> L's... determine which one supports the statement. Been doing something

> forever=Legend, you do it because you have to=Law, you read/researched

it=Literature,

> or you need to do it to save a life-Life (like duck when someone is shooting

> at you... do you really need research to prove that one?). "

>

If we all made decisions in prehospital care based upon these criteria, we

might actually do a much better job for our patients.

Gene G.

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