ABSTRACT
This chapter articulates contemporary insights into non-clinical considerations that impact on paramedic decision-making over patient treatment and (non-)conveyance to hospital emergency departments. After introducing the concept and role of choice architecture, it moves on to provide a flavour of tensions surrounding extrinsic influences on decision-making over care destinations for patients, in the context of rising demand for services, scarcity of resources and professional and institutional worries over blame and accountability.
