ED discharge letter

Thank you for your care of Sarah. **Admission Details** - Chief Complaint: Chest pain and shortness of breath. - Diagnosis: Suspected pulmonary embolism. **Treatment Provided** - Interventions: IV access established, oxygen administered, ECG performed, blood drawn for investigations, CT pulmonary angiogram performed. - Medications Administered: 5000 units of Heparin IV bolus. **Results of Investigations** - Pathology: D-dimer elevated at 1.5 mg/L. Troponin within normal limits. - Imaging: CT pulmonary angiogram confirmed a small pulmonary embolism in the right lower lobe. **Patient's Condition at Discharge** - Stable, chest pain resolved, saturating well on room air. - Vital Signs: BP 120/80 mmHg, HR 88 bpm, SpO2 98% on room air. **Discharge Instructions** - Medications: Enoxaparin 1mg/kg subcutaneously twice daily for 7 days, then review with GP. - Activity Level: Avoid strenuous activity for 1 week. - Warning Signs: Worsening chest pain, shortness of breath, leg swelling, or any signs of bleeding. - Follow-Up: Review with GP in 7 days for repeat blood tests and assessment. Kind regards, Nurse Emily Carter Registered Nurse 1234567