• Emerg Med J · Mar 2014

    How emergency physicians use biomarkers: insights from a qualitative assessment of script concordance tests.

    • Bernard Charlin, Sophie Wannepain, Stéphanie Gestin, Xavier Magdelein, Elsa Ferretti, Marine Guilly, and Thierry Pelaccia.
    • Department of Emergency Medicine, Centre Hospitalier Princesse Grace, , Principalty of Monaco, Monaco.
    • Emerg Med J. 2014 Mar 1;31(3):238-41.

    ObjectivesBiomarkers have been developed in emergency medicine to improve decision at bedside using Bayesian approach. We intend to determine the cognitive process actually utilised by emergency physicians to incorporate biomarkers in clinical reasoning.DesignWe invited eight emergency physicians to answer eight script concordance tests. Interviews were tape-recorded and qualitatively analysed using predetermined categories until saturation.ResultsEmergency physicians mainly mobilised intuition and non-Bayesian reasoning to incorporate biomarkers for diagnosis or treatment strategies.ConclusionsAlthough biomarkers have been developed to be used in a Bayesian approach, emergency physicians mainly use other analytical and non-analytical cognitive processes to introduce these tools in their clinical reasoning.

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