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from Section 1 - Decision-Making
Published online by Cambridge University Press: 14 March 2025
Emergency medicine (EM) falls into a unique category among medical specialties. We are generalists, but also specialists in resuscitation and point-of-care procedures. Our skillset overlaps with so many specialties, yet the mindset necessary for the ED clinician is completely different. When an EM physician walks into the room, they make an instantaneous judgment: Sick, or not sick? “ABC,” or “H&P”? They use all their senses (hopefully with the exception of taste) to elucidate what might be going on with their patient. Unlike the situation faced by most other physicians, ED patients are completely undifferentiated. In addition, there is no control over the volume or timing of arrival of patients to the doors of the ED. This constellation of peculiarities requires a unique approach to medical decision-making (MDM) that involves a careful balance between modes of thinking and cognitive load in order to avoid cognitive errors.
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