A few quick tips, do everything you need to do for the patient, ie IV EKG, labs, fluid, assesment, foley whatever , in one trip and always think to cut your time in the room by a third. if you spend to much time in one room you will drown. next, and some will dissagree, I dont feed my patients in the ER , if your hungry you shouldnt be there. and third most of your patients do not need to be in the ER, they show up for alot of things that are not emergencies, toothache, uti, std, etc.etc focus on the sickest person first, then the bs ones.