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learning
time management

That final fatal error: crew resource management

02 April 2018
Features
02 April 2018
Volume 8 · Issue 1

Abstract

Providing safe clinical care to the community is the cornerstone of modern paramedic practice. Crew resource management (CRM) is a strategy to investigate and mitigate errors and research into these concepts is limited in paramedicine. A conceptual framework specific to CRM in paramedicine in needed. The Egg Timer Model of Disparity, designed by Willis and published in Summers and Willis (2010), is put forward as a conceptual model worthy of explorative review.

Ethan is a newly qualified paramedic working for a state ambulance service. He has been sent to work at a station he has not worked at before and with a paramedic he has never met. Almost immediately after he arrives at work, the crew is despatched to an emergency call for a male with shortness of breath and chest pain. On the way to the call, both crew members have considered what might be causing the chest pain which allows them to be prepared and make the necessary decisions in a timely manner. On arrival at the scene, the crew members both engage in a process of history-taking and differential diagnosis, and find it difficult to agree upon a cause of the chest pain and shortness of breath. Ethan believes that the patient should be carried to the ambulance in a carry chair, whereas the other more experienced paramedic states that the symptoms are not cardiac in nature and the shortness of breath is mild enough for the patient to walk the short distance to the ambulance.

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Crew resource management
Paramedicine
Human error
Conceptual framework