Paramedic Resource are delighted to present History Taking, Examination, and Record Keeping in Emergency Medicine

Good record keeping is essential in medicine, a point often stressed by the defence organizations. ED records are frequently very bad - which may cause medicological problems as well as impairing effective patient care. The reason is inexperience. This book explains what it is important to record (and why) and gives examples.

Good records are essential in the ED. This book explains the reasons for keeping good records and describes how ED records should be kept, both in general terms and emphasizing the essential information to be recorded with different mechanisms of injury and in different anatomical sites. Some performas for collecting information on examination, especially orthopaedic and neurological examination, but none which specifically covers record-keeping or even discusses it other than to stress its importance.

FREE Resource:  Record Keeping Emergency Medicine flow chart listed in the Paramedic Learning Zone

Good medical and nursing records are essential in A&E for adequate clinical care as well as for medicolegal reasons. This book describes, with many examples, the information that A&E records should contain. It is essential for the new A&E doctor and A&E nurse practitioner.