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Ep 201 How EM Experts Think Part 2: Data Gathering, Diagnostic and Treatment Decision Making, Test Ordering and Interpretation, Documentation, Emotional Resilience

Emergency Medicine Cases

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The Art of Clinical Documentation

This chapter explores the vital role of documentation in clinical practice, particularly in emergency medicine, where efficient note-taking can significantly impact patient care. It critiques the limitations of electronic medical records and emphasizes the effective use of templates to enhance documentation quality while avoiding oversights. The discussion also addresses the complexities of test ordering and the need for shared decision-making, underscoring the balance between thorough assessments and avoiding unnecessary tests.

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