What happens in the emergency room (ER) examination room?

In this video, Christopher Crowell, MD from StoneSprings Hospital Center explains what happens when a patient is brought into the emergency room.
In the ER Examination Room, the first thing that’s checked are vital signs. Watch Justin Williams, MD, of Methodist Stone Oak Hospital, explain what happens after receiving vital signs.
Jennifer Dekoschak, RN
Emergency Medicine
Learn about the process of entering the ER from triage to treatment. Watch this video with Jennifer Dekoschak, RN from Parkland Medical Center.
The ER examination room is the primary space in which patients receive care, says Josh Schuster, RN and Director of the Emergency Department. Learn more in this video.
Mark A. Sloan, MD
Emergency Medicine
In the emergency room (ER) examination room, a doctor or nurse practitioner will do a problem-focused exam, meaning he or she will examine the parts of your body that may be causing your problems. For example, if you come in for a sprained wrist, they’ll look at the muscles and the bones in your wrist. If you come in for chest pain, they’ll listen to your heart and breathing sounds, and may order blood tests or scans.
Melissa Taylor
Emergency Room Nursing

The medical condition bringing you to the emergency room determines much of what happens in the exam room. There are a few things that you can rely on happening, including the following:

  1. You will receive a medical screening exam by an ER Physician. An ER physician, ER nurse, and possibly, a Physician Assistant or Nurse Practitioner will ask you questions for a more detailed history and understanding of the reason for your visit.
  2. If your condition is such that you are unconscious, or otherwise unable to speak for yourself, a medical history about your condition may be solicited from family members, friends at the bedside, nursing home or assisted living facility records and staff reports, your previous hospital records, and from ambulance personnel involved in your pre-hospital care. Ambulance personnel may even call ahead and send data like an EKG to the ER physician prior to arrival in the case where CPR and other life sustaining measures are already in progress and need to be continued immediately upon patient arrival to the exam room.
  3. X-rays, blood tests, CAT scans, ultrasounds or other diagnostic tests will be ordered, if appropriate, and you may be informed of these orders.
  4. Medical specialists may be called by your ER physician to perform consultations, evaluations and, possibly, treatments.
  5. Your physician may order medications for you such as pain medication, antibiotics, breathing treatments, blood thinners, anti-nausea medication or other medications targeted to reduce your discomforts. You may receive intravenous [IV] fluids for hydration, or even blood transfusions for anemia [low blood count].
  6. At completion of your medical screening exam, you [or your designated, responsible significant other] will be informed of your medical diagnosis and treatment recommendations by your ER physician. Your recommendations will be for discharge from the ER, admission to a specific specialty area of the hospital, or transfer to a medical facility best suited to care for yourspecific health need.

The ER exam room may also be the place where you speak with a social worker, law enforcement [if necessary], or a chaplain/minister. You may interact with a variety of important members of your health team including housekeepers, and techs. You will have a primary ER nurse who cares for your medical, educational, and spiritual needs, along with your physician. The nurse coordinates much of your care and serves as a liaison between you and your physician.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.