【摘 要】：护士与医生在院前出诊的频率与经验存在差异，护士时常不为医生所信任。但院前救治环节中，医护的紧密协作非常重要，护士能否得到医生的信任，并与医生紧密协作，对做好院前救治具有重要影响。首先护士应充实自身知识与技能，能够成为医生的得力助手，同时也要提高自身在救治时的判断与决策能力，而批判性思维对护士判断与决策能力的培养非常有益。本文以护士在院前救治创伤病人时，如何运用批判性思维，提高自身在救治时的判断与决策能力为例进行了阐述与思考，借以提升护士的院前急救素质。

    Abstract： Doctors often don’t trust nurses， because nurses have fewer experiences in pre-hospital medical services. However， the relationship between doctors and nurses should not be like this. Nurses should be Doctors’ advisors with enhanced knowledge of emergency medical serves and decision making. This paper shows that nurses use critical thinking to improve patient’s pre-hospital assessment and management ......