Abstract:Artificial Intelligence (AI) is increasingly introduced into healthcare settings, yet its integration into fast-paced, high-pressure domains such as Emergency Medical Services (EMS) remains limited. EMS work unfolds across distinct stages, each characterized by different information needs, constraints, and forms of collaboration. Designing effective AI support requires understanding how AI interventions align with, or disrupt, EMS work across its different stages.
We conducted semi-structured interviews with 25 EMS clinicians across the United States to examine how existing technologies currently support emergency services workflows and how they envision opportunities for, and concerns about, future AI-based support across different stages of emergency response. Our analysis reveals the cognitive, social, and procedural factors that enable EMS team coordination, which is grounded in situational awareness across distributed roles. EMS clinicians expressed significant concerns about how AI integration threatens this coordination mechanism across multiple dimensions: legal and privacy issues, technical reliability, contextual sensitivity, professional autonomy, and workflow friction. We propose five design principles for AI systems that augment distributed cognition and situational awareness, enabling EMS teams to deliver effective care under extreme constraints.
From: Emily Hou [view email]
[v1]
Mon, 15 Jun 2026 17:22:23 UTC (2,911 KB)
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