The zero point survey and egg-timer model combined for crew management

Abstract

Managing a complex scene and a critically unwell patient at the same time is a challenge for any paramedic, in terms of both personal preparation and crew resource management. While modern paramedicine requires new solutions to situated challenges, a good starting point is to review existing frameworks to seek ways of maximising the safety of the care delivered by paramedics. This paper provides a synthesis of the theoretical egg-timer model of disparity combined with a practical framework called the zero point survey as cohesive tools for operational paramedics to optimise their performance while experiencing high-stress situations. This synthesis provides a valuable aide mémoire for strategies to improve personal performance, leadership and teamworking in relation to the care of a critically unwell patient. Such models fit within current practice, and have the potential to lead to safer paramedic care through the practical application of human factors theory, with team management skills and psychological interventions to improve patient outcomes.