Evaluation frameworkHow We Test Models on Prehospital Tasks
General benchmarks miss emergencies. This framework builds on the evaluation design in our Paramedic AI Copilot report. Grading procedures marked "proposed" are the standard we intend for released sets.
Task definitions
| Task | Input | Expected output | Primary measures |
|---|
| Protocol Q&A | Question, optionally with retrieved protocol text | Answer with its source | Clinical correctness, protocol and source consistency |
| Medication reference | Drug question | Indication, contraindications, dosing reference | Medication accuracy, dose errors |
| ECG interpretation | ECG description or tracing | Rhythm and key findings | Interpretation accuracy |
| Scenario decision support | Simulated patient scenario | Priorities and recognition of life threats | Recognition, completeness, uncertainty handling |
| Documentation extraction | De-identified report text | Structured fields | Field accuracy, false-positive rate |
Scoring rubric
Each response is scored on: clinical correctness, completeness, protocol consistency, medication accuracy, ECG interpretation, recognition of life-threatening conditions, appropriate handling of uncertainty, and reference/source consistency. Each response is also checked for unsafe recommendations. Proposed scale: correct, partially correct, incorrect.
Error categories
- Incorrect medication or dose
- Contraindicated intervention
- Failure to recognize a life-threatening condition
- Incorrect ECG interpretation
- Fabricated protocol information
- Unsupported clinical claims
- Failure to acknowledge insufficient information
- Inappropriate confidence
- Incorrect interpretation of retrieved material
The unsafe-response rate is responses containing a predefined unsafe recommendation divided by all evaluated responses. Retrieval is scored separately (for example Recall@K).
Clinician grading (proposed)
- Credentialed EMS clinicians grade against a written reference standard
- Graders are blinded to which model or configuration produced each answer
- Two independent graders per item, with a third adjudicating disagreements
- Inter-rater agreement is reported
- Model version, prompts, knowledge base and hardware are documented for reproducibility