Communication is a fundamental aspect of paramedicine; it is the forefront to every critical clinical decision made (Nordby, 2015). Communication in paramedicine often occurs in high-stress environments with limited time and begins the chain reaction of treatment procedures (Nordby, 2015).

Paramedics communicate with various people; patients, partners and third-party managerial dispatch centres. Communication is often in multiple forms such as radio, face-to face, online, verbal and non-verbal (Nordby, 2015). The basis of decisions made by paramedics is often due to information received from communication (Nordby, 2015). Misinterpretation or poor communication may lead to adverse decisions and clinical outcomes, making it a crucial element (Nordby, 2015).

A large amount of call-outs for paramedics is the elderly population, particularly in the fall category (Paul et al., 2017). This is an area which has been identified as in need for improvement in communicative behaviors and understanding patient perspective (Dwyer, Gabbe, Tran, Smith & Lowthian, 2018). Learning to better communicate with this large portion of the ambulance patient base will likely build a positive reputation for the service and improve patient experience. Optimistically, this may increase call-out numbers, provide improved patient care and allow for superior clinical outcomes.

Building an ePortfolio will provide a range of evidential articles and enhance knowledge in various areas of communication through reading, categorising and summarising. Higher quality communication may help paramedics obtain crucial details in patient assessments and histories to avoid mistakes in treatments arising from miscommunication. It may also lead to more effective communication with managerial and dispatch personnel.