Abstract This paper applies a multiscalar interactivity perspective in the study of how healthcare professionals enact skilled embodiment in ways that allow them to animate their rich environment during task performance. However, in focusing on interactivity, we are not only interested in the characteristics of embodiment as they are enacted in the here-and-now. While task performance involves not only the whole body (as a multi-sensory organ), but a historical, skilled body that affects the ecology in which a person is embedded, action-perception must be viewed as direct and distributed. That is, habitual performance and skilled embodiment emerge in coordination with lived experience and real-time affordances for action. Specifically, this paper investigates two real-life cases of how patients and medical staff engage in interactivity through rich embodiment including languaging. From an interactivity perspective, the first case indicates a novice doctor’s inability to pick up relevant information in the emergency medicine ecology. The outcome can be crucial and span patient dissatisfaction, erroneous results, and generally insufficient, and unsatisfactory healthcare. The second case provides a counterexample and illustrates how novice doctors can be supported in picking up task-relevant information as they can rely on other team members’ skilled embodiment. The article concludes that an interactivity perspective has implications not just for model-building in linguistics, semiotics and the cognitive sciences but also for practice where educational initiatives adopt the epistemologies behind such linguistic, communicative and cognitive models.

中文翻译：

---

急诊医学的熟练体现

摘要本文从多尺度交互角度研究医疗保健专业人员如何实施熟练的实施方式，以使其能够在任务执行过程中为其丰富的环境设置动画。然而，在关注交互性时，我们不仅对实施例的特征感兴趣，因为它们是在现在和现在实施的。尽管任务执行不仅涉及整个身体（作为一个多感官器官），而且涉及影响一个人所处的生态环境的历史悠久的熟练身体，但必须将行动感知视为直接的和分散的。即，习惯性表现和熟练的实施方式与生活经验和行动的实时承受能力协调出现。具体来说，本文调查了两个现实生活中的案例，这些案例是患者和医务人员如何通过包括语言在内的丰富体现来进行交互的。从互动的角度来看，第一种情况表明新手医生无法在急诊医学生态学中获取相关信息。结果可能是至关重要的，并且会跨越患者的不满意，错误的结果以及普遍不足和不令人满意的医疗保健。第二种情况提供了一个反例，并说明了如何帮助新手医生获取与任务相关的信息，因为他们可以依靠其他团队成员的熟练实施方式。文章得出的结论是，互动性观点不仅对语言学的模型构建有影响，