White Paper
06 Fri, 2026
A landmark case study from Monroe-Livingston Regional EMS, where pediatric medication dosing accuracy moved from a baseline of 79% to a sustained 97%. The paper examines the iterative quality improvement journey, the tool redesigns that closed the final gap, and the three things sustained reliability above 95 percent actually requires.
A structured case that the conversational AI chatbot, as a clinical interface for paramedics making time-sensitive decisions on real patients, is the wrong tool for the moment. The argument examines the legal architecture of EMS protocols, the inherent limitations of large language models, the cognitive load problem, and the chain of accountability that protects patients and clinicians.