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Emergency Medicine Rules of the Road (click here for all 16)

    1. Read the triage note
      • Patients/medics may have told triage nurse something important but forgot to or couldn’t tell you
      • If there is an inconsistency between triage and your history make sure to clarify that
    2. History is king
      • It is not the patient’s job to provide a good history; it is your job to elicit one
      • Listen to your bedside nurse if they raise concerns and document your response
      • Know when to dig deeper, like with timing and duration for chest pain
      • If there is pain always have them show you exactly where by pointing.
    3. Always think worst case scenario first  
      • This is also in the original 10 commandments: LINK or see summary below
      • Reasonably rule out the more rare but more dangerous explanation before landing on the benign one.
      • Remember: you are a detective not a gambler and ER patients are guilty until proven innocent

EMresouce.org is an online resource for Emergency Medicine Providers

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TESTIMONIALS & QUOTATIONS

“Dr. Pregerson. You have no idea how many times you rescued me over the years with your exceptional handbooks. I put you in the ranks of the great ones (Like Tintinalli, Rosen, Greg Henry, etc. I love your handbooks and recommend them often to young doctors whom I mentor.”  – Gordy Leingang, DO, FACEP, FACOEP. Bismarck, ND.

“It’s not our patient’s job to prove they are sick.  It’s our job to prove they are not.”  – Yaron Ivan, MD

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