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Re: [TEXAS_EMS] Decision Making in EMS

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Thanks, but I cannot take credit for it. It was written by Nick Nudell, of

the Idaho State EMS Office.

Gene G.

>

> (Applause) Excellent Gene! Wish more people had such awesome thought

> process! ;-)

>

> [wegandy1938@wegandy] wrote:

> > 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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>

>

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