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Emergency Medicine Specialist Template

Fracture Clinic Note

A professional Emergency Medicine Specialist template for healthcare professionals.
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About this template

Streamline your orthopaedic documentation with our Fracture Clinic Note template. Designed for busy clinicians in emergency medicine and orthopaedic specialities, this template captures essential details like working diagnoses, treatment plans, and follow-up schedules with ease. Whether you're managing a broken bone or tracking recovery, this note provides a clear, concise summary of each patient encounter. Heidi, our AI medical scribe, intelligently populates sections such as examination findings and patient discussions directly from your consultation, ensuring comprehensive and accurate records every time. Improve efficiency and maintain high standards of patient care with this invaluable clinical tool for fracture management and follow-up.

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FRACTURE CLINIC Working Diagnosis: Left distal radius fracture, 28 October 2024, fall onto outstretched hand (FOOSH) mechanism. PLAN: 1. Continue non-weight bearing on left wrist. 2. Maintain current cast for another 3 weeks. 3. Commence gentle finger and elbow range of motion exercises. 4. Arrange follow-up appointment for cast removal and review with orthopaedics. 5. Prescribe paracetamol 1g QDS PRN for pain. SUMMARY: Today: Patient presented today for their initial follow-up after sustaining a left distal radius fracture. The patient reports pain is well-controlled with paracetamol and denies any neurovascular compromise or increased swelling. Cast remains intact and comfortable. Examination: Left upper limb: Cast intact, no signs of skin irritation or pressure areas. Capillary refill time <2 seconds in all digits. Sensation intact to light touch in radial, median, and ulnar nerve distributions. No tenderness over uncasted areas. Full, pain-free range of motion in shoulder and elbow. Fingers show good active and passive range of motion. Discussion: Discussed the current healing progress and the importance of cast care. Reviewed exercises for fingers and elbow to prevent stiffness. Explained the timeline for cast removal and the next steps for rehabilitation. Patient verbalised understanding and agreed with the plan. "I look forward to seeing them in" 3 weeks "with the above plan." Dr. Alex Carter Emergency Medicine Consultant City General Hospital, London
FRACTURE CLINIC Working Diagnosis: [working diagnosis, date of injury, and mechanism of injury] (Only include if explicitly mentioned in transcript, context or clinical note; else omit placeholder, retain heading and lead-in, and leave blank.) PLAN: [plan] (Write as a numbered list. Only include if explicitly mentioned in transcript, context or clinical note; else omit section entirely.) SUMMARY: Today: [summary of today's review] (Only include if explicitly mentioned in transcript, context or clinical note; else omit section entirely.) Examination: [examination findings] (Only include if explicitly mentioned in transcript, context or clinical note; else omit section entirely.) Discussion: [discussion with patient] (Only include if explicitly mentioned in transcript, context or clinical note; else omit section entirely.) "I look forward to seeing them in" [follow-up timeframe] (Number of weeks or next clinic appointment date. Only include if explicitly mentioned in transcript, context or clinical note; else omit section entirely.) "with the above plan." [clinician's name] (Only include if explicitly mentioned in transcript, context or clinical note; else omit placeholder, retain heading and lead-in, and leave blank.) [clinician's title and position] (Only include if explicitly mentioned in transcript, context or clinical note; else omit placeholder, retain heading and lead-in, and leave blank.) [practice name and location] (Only include if explicitly mentioned in transcript, context or clinical note; else omit placeholder, retain heading and lead-in, and leave blank.)
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Specialty

Emergency Medicine Specialist

Used

1 times

Type

Note

Last edited

24.3.2026

Created by

Nazeef Malik

Document

Adrian M ED

Adrian Kerner

Emergency Medicine Specialist, New Zealand

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