Skip to main content Accessibility help
×
Hostname: page-component-f554764f5-sl7kg Total loading time: 0 Render date: 2025-04-21T22:52:48.165Z Has data issue: false hasContentIssue false

1 - On Deciding to Not Decide

from Section 1 - Decision-Making

Published online by Cambridge University Press:  14 March 2025

Alex Koyfman
Affiliation:
University of Texas Southwestern Medical Center
Brit Long
Affiliation:
San Antonio Military Medical Center
Get access

Summary

The number of decisions an emergency clinician must make during a shift can quickly become overwhelming. Given the frequent interruptions, the suboptimal conditions, and the high levels of stress and uncertainty, it is extremely challenging for an emergency clinician to make all these decisions well – in some cases, it might even be impossible. Cognitive load theory suggests that all humans have a limited “bandwidth” (or “cognitive capacity”) that we can harness to make decisions and perform tasks. This bandwidth is typically used in three distinct ways. Intrinsic cognitive load is the bandwidth we devote to making a specific decision or performing a particular task. Extraneous cognitive load is the bandwidth that leeches into the environment around the decision or task we’re trying to accomplish; this bandwidth is spent buffering distractions and handling unrelated tasks. Finally, germane cognitive load is the bandwidth we use to learn and solidify a thought process or form a new skill.

Type
Chapter
Information
Emergency Medicine Thinker
Pearls for the Frontlines
, pp. 5 - 12
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Lovell, O. Sweller’s Cognitive Load Theory in Action. Woodbridge: John Catt Educational. 2020.Google Scholar
Duke, A, Sunstein, CR. Freerolls. SSRN. 2020. https://ssrn.com/abstract=3658663.CrossRefGoogle Scholar
Hammond, JS, Keeney, RL, Raffia, H. Even swaps: A rational method for making trade-offs. Harv Bus Rev. 1998. https://hbr.org/1998/03/even-swaps-a-rational-method-for-making-trade-offs.Google Scholar
Hammond, NE, Zampieri, FG, Di Tanna, GL, et al. Balanced crystalloids versus saline in critically ill adults – a systematic review with meta-analysis. NEJM Evid. 2022;1(2). https://evidence.nejm.org/doi/full/10.1056/EVIDoa2100010.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×