In this episode of the Pre-Hospital Care Podcast, we explore Radu Venter’s insightful article “EMS Decision-Making”, which challenges the deeply held belief that faster is always better in emergency medicine. Venter questions the culture of constant urgency in EMS, the idea that every decision must be made in seconds, and argues that this mindset can sometimes compromise patient care, particularly in complex or ambiguous clinical scenarios that exist outside the realm of immediate cardiac arrest.

Drawing on the concept of the OODA Loop (Observe, Orient, Decide, Act), Venter highlights its limitations when rigidly applied to paramedic practice. While timely action remains vital, he suggests that taking a moment to pause, observe, and plan can often lead to more accurate decisions and improved outcomes.

We discuss how typical EMS training environments, often built around high-speed, high-stress simulations, may inadvertently reinforce reaction over reflection. The conversation explores how a culture of mindful, measured decision-making can empower clinicians to better manage uncertainty, allocate resources effectively, and ultimately provide safer, higher-quality care. Join us as we reframe what “fast” really means in pre-hospital medicine.

Read the full article here: https://substack.com/home/post/p-101941847