Expert-Guided Prompting and Retrieval-Augmented Generation for Emergency Medical Service Question Answering

Large language models (LLMs) have shown promise in medical question answering, yet they often overlook the domain-specific expertise that professionals depend on, such as the clinical subject areas (e.g., trauma, airway) and the certification level (e.g., EMT, Paramedic). Existing approaches typically apply general-purpose prompting or retrieval strategies without leveraging this structured context, limiting performance in high-stakes settings. We address this gap with EMSQA, an 24.3K-question multiple-choice dataset spanning 10 clinical subject areas and 4 certification levels, accompanied by curated, subject area-aligned knowledge bases (40K documents and 2M tokens). Building on EMSQA, we introduce (i) Expert-CoT, a prompting strategy that conditions chain-of-thought (CoT) reasoning on specific clinical subject area and certification level, and (ii) ExpertRAG, a retrieval-augmented generation pipeline that grounds responses in subject area-aligned documents and real-world patient data. Experiments on 4 LLMs show that Expert-CoT improves up to 2.05% over vanilla CoT prompting. Additionally, combining Expert-CoT with ExpertRAG yields up to a 4.59% accuracy gain over standard RAG baselines. Notably, the 32B expertise-augmented LLMs pass all the computer-adaptive EMS certification simulation exams.

MMSense: Adapting Vision-based Foundation Model for Multi-task Multi-modal Wireless Sensing

Large AI models have been widely adopted in wireless communications for channel modeling, beamforming, and resource optimization. However, most existing efforts remain limited to single-modality inputs and channel-specific objec- tives, overlooking the broader potential of large foundation models for unified wireless sensing. To bridge this gap, we propose MMSense, a multi-modal, multi-task foundation model that jointly addresses channel-centric, environment-aware, and human-centered sensing. Our framework integrates image, radar, LiDAR, and textual data by transforming them into vision- compatible representations, enabling effective cross-modal align- ment within a unified feature space. A modality gating mecha- nism adaptively fuses these representations, while a vision-based large language model backbone enables unified feature align- ment and instruction-driven task adaptation. Furthermore, task- specific sequential attention and uncertainty-based loss weighting mechanisms enhance cross-task generalization. Experiments on real wireless scenario datasets show that our approach outper- forms both task-specific and large-model baselines, confirming its strong generalization across heterogeneous sensing tasks.

EgoEMS: A High-Fidelity Multimodal Egocentric Dataset for Cognitive Assistance in Emergency Medical Services

Emergency Medical Services (EMS) are critical to patient survival in emergencies, but first responders often face intense cognitive demands in high-stakes situations. AI cognitive assistants, acting as virtual partners, have the potential to ease this burden by supporting real-time data collection and decision making. In pursuit of this vision, we introduce EgoEMS, the first end-to-end, high-fidelity, multimodal, multiperson dataset capturing over 20 hours of realistic, procedural EMS activities from an egocentric view in 233 simulated emergency scenarios performed by 62 participants, including 46 EMS professionals. Developed in collaboration with EMS experts and aligned with national standards, EgoEMS is captured using an open-source, low-cost, and replicable data collection system and is annotated with keysteps, timestamped audio transcripts with speaker diarization, action quality metrics, and bounding boxes with segmentation masks. Emphasizing realism, the dataset includes responder-patient interactions reflecting real-world emergency dynamics. We also present a suite of benchmarks for real-time multimodal keystep recognition and action quality estimation, essential for developing AI support tools for EMS. We hope EgoEMS inspires the research community to push the boundaries of intelligent EMS systems and ultimately contribute to improved patient outcomes.

Real-Time Multimodal Cognitive Assistant for Emergency Medical Services

Emergency Medical Services (EMS) responders often operate under time-sensitive conditions, facing cognitive overload and inherent risks, requiring essential skills in critical thinking and rapid decision-making. This paper presents CognitiveEMS, an end-to-end wearable cognitive assistant system that can act as a collaborative virtual partner engaging in the real-time acquisition and analysis of multimodal data from an emergency scene and interacting with EMS responders through Augmented Reality (AR) smart glasses. CognitiveEMS processes the continuous streams of data in real-time and leverages edge computing to provide assistance in EMS protocol selection and intervention recognition. We address key technical challenges in real-time cognitive assistance by introducing three novel components: (i) a Speech Recognition model that is fine-tuned for real-world medical emergency conversations using simulated EMS audio recordings, augmented with synthetic data generated by large language models (LLMs); (ii) an EMS Protocol Prediction model that combines state-of-the-art (SOTA) tiny language models with EMS domain knowledge using graph-based attention mechanisms; (iii) an EMS Action Recognition module which leverages multimodal audio and video data and protocol predictions to infer the intervention/treatment actions taken by the responders at the incident scene. Our results show that for speech recognition we achieve superior performance compared to SOTA (WER of 0.290 vs. 0.618) on conversational data. Our protocol prediction component also significantly outperforms SOTA (top-3 accuracy of 0.800 vs. 0.200) and the action recognition achieves an accuracy of 0.727, while maintaining an end-to-end latency of 3.78s for protocol prediction on the edge and 0.31s on the server.

DKEC: Domain Knowledge Enhanced Multi-Label Classification for Electronic Health Records

Multi-label text classification (MLTC) tasks in the medical domain often face long-tail label distribution, where rare classes have fewer training samples than frequent classes. Although previous works have explored different model architectures and hierarchical label structures to find important features, most of them neglect to incorporate the domain knowledge from medical guidelines. In this paper, we present DKEC, Domain Knowledge Enhanced Classifier for medical diagnosis prediction with two innovations: (1) a label-wise attention mechanism that incorporates a heterogeneous graph and domain ontologies to capture the semantic relationships between medical entities, (2) a simple yet effective group-wise training method based on similarity of labels to increase samples of rare classes. We evaluate DKEC on two real-world medical datasets: the RAA dataset, a collection of 4,417 patient care reports from emergency medical services (EMS) incidents, and a subset of 53,898 reports from the MIMIC-III dataset. Experimental results show that our method outperforms the state-of-the-art, particularly for the few-shot (tail) classes. More importantly, we study the applicability of DKEC to different language models and show that DKEC can help the smaller language models achieve comparable performance to large language models.