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Title

Factors Affecting Emergency Medical Technicians’ On-Scene Decision-Making in Emergency Situations: A Qualitative Study

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Abstract

 Introduction: To save lives and reduce the disability and death of the patients, Emergency Medical Technicians (EMTs) must make timely decisions in complex and, sometimes, life-threatening situations. Since the pre-hospital decision-making is a continuous and important process. Objective: The present study aims to identify the factors affecting EMTs’ on-scene decision-making in emergency situations. Methods: A qualitative approach using in-depth semi-structured interviews and field observations was employed to explore the factors influencing EMTs’ on-scene decision-making in emergency situations. Purposeful sampling was performed with 19 participants including 12 EMTs, 3 dispatchers, 3 medical directions physicians and one EMS manager as a policy maker. Interviews were conducted from October 2018 to March 2018 and the data were analyzed using Graneheim and Lundman’ s content analysis approach. Results: Eight categories and 18 sub-categories emerged to describe the factors effective in Emergency Medical Technicians’ on-scene decision-making. they were cultural context (community’ s culture and organizational culture), interactions (malingering, threat and violence and considerations), competencies (acquisitive and intrinsic); personal feeling (positive feeling and negative feeling), authority (structural and in processing), education (public and professional), special conditions (patient’ s clinical situation, weather conditions, mission’ s time and mission’ s location), and organizational resource (facility and equipment, and human resources). Conclusions: To facilitate EMTs’ on-scene decision-making, it is recommended to clarify the EMTs’ responsibilities, promote the community’ s culture, modify people’ s expectations, police monitoring and control and value the star of logo on EMTs' uniform. The EMTs’ on-scene decision-making process should also be explored.

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    APA: Copy

    SAFI KEYKALEH, MEYSAM, KHORASANI ZAVAREH, DAVOUD, & BOHM, KATARINA. (2020). Factors Affecting Emergency Medical Technicians’ On-Scene Decision-Making in Emergency Situations: A Qualitative Study. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, 4(4), 0-0. SID. https://sid.ir/paper/745437/en

    Vancouver: Copy

    SAFI KEYKALEH MEYSAM, KHORASANI ZAVAREH DAVOUD, BOHM KATARINA. Factors Affecting Emergency Medical Technicians’ On-Scene Decision-Making in Emergency Situations: A Qualitative Study. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE[Internet]. 2020;4(4):0-0. Available from: https://sid.ir/paper/745437/en

    IEEE: Copy

    MEYSAM SAFI KEYKALEH, DAVOUD KHORASANI ZAVAREH, and KATARINA BOHM, “Factors Affecting Emergency Medical Technicians’ On-Scene Decision-Making in Emergency Situations: A Qualitative Study,” (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, vol. 4, no. 4, pp. 0–0, 2020, [Online]. Available: https://sid.ir/paper/745437/en

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