Top 28 Emergency Department Physician Interview Questions and Answers [Updated 2025]

During a critical trauma case, a patient arrived with severe injuries. I quickly assessed the situation and worked closely with the trauma nurse. We communicated efficiently, with me directing the interventions while she prepared the necessary medications. Together, we stabilized the patient, and the teamwork resulted in a successful transfer to surgery.

During a busy night shift, I had a disagreement with a nurse about the best approach to manage a patient with severe asthma. The nurse preferred nebulizer treatments, while I felt an early intubation was necessary. We discussed our reasons calmly, and I acknowledged her concerns. Ultimately, we decided to implement my plan but monitored closely. The patient improved, reinforcing the importance of communication in high-stakes situations.

In a multi-car accident, I led a team of nurses and paramedics. I quickly assessed the situation, prioritized the most critical patients, and delegated tasks effectively. Clear communication was key, as I kept everyone informed. We managed to stabilize all patients before transport, learning the importance of rapid assessment and teamwork.

During busy shifts, I prioritize my tasks by addressing the most critical patients first. I communicate with my team to ensure we're all on the same page and I don't hesitate to ask for support. During any brief lulls, I take a moment to practice deep breathing.

In a recent case, I diagnosed a patient with pneumonia. I explained the diagnosis using simple terms, stating that it was an infection in the lungs. I involved the family by encouraging them to ask questions. I also ensured they understood how we would start treatment and what to expect next, which helped ease their concerns.

During my third year in the emergency department, I mentored a new resident who struggled with triage. I spent a shift with them, explaining the protocols and encouraging them to practice. By the end of the day, they felt more confident and were able to apply the skills effectively, resulting in quicker patient assessments.

During a recent flu outbreak, our department faced an unexpected surge in patients. I quickly adapted by coordinating with nursing staff to triage patients more efficiently, ensuring that we saw critical cases first. This experience taught me the importance of flexible leadership in a high-pressure environment.

In my previous role, I had a patient who was suffering from severe chest pain and was clearly anxious. I sat down next to him, held his hand, and reassured him that we were going to take care of him. I explained each step we were taking to ease his fears. By the end of the visit, he expressed immense gratitude for the comfort I provided, which reinforced my belief in the power of empathy in emergency medicine.

In a mass casualty incident, we typically use the START method, categorizing patients into immediate, delayed, minimal, and expectant. This allows us to prioritize those who can be helped right away. Quick assessments help us determine who needs urgent care, and we always maintain clear communication with the team to manage the situation effectively.

When assessing a patient with chest pain, I first check their vital signs and level of distress. Then, I gather a comprehensive history that includes their medical and cardiac history. A physical exam follows, focusing on the chest, and I order an ECG and troponin tests to evaluate for myocardial infarction. I also keep in mind other potential causes, such as pulmonary or gastrointestinal issues, and prepare for rapid intervention if needed.

First, I would prepare the necessary equipment and ensure the room is ready. Then, I would pre-oxygenate the patient for about 5 minutes. After that, I would administer a sedative followed by a neuromuscular blocker. Once the patient is adequately relaxed, I would visualize the airway and insert the endotracheal tube. Finally, I would confirm correct placement through capnography.

In an emergency setting, I would differentiate these by noting that MI often presents with chest pain radiating to the left arm and is associated with sweating, while aortic dissection presents with sudden, severe chest or back pain and may involve neurological symptoms. I would obtain an ECG for MI and consider a CT scan for dissection.

Nitroglycerin is primarily indicated for relief of angina and acute coronary syndrome. It's contraindicated in patients with hypotension or if they've taken PDE-5 inhibitors within the last 48 hours due to the risk of severe hypotension.

In a suspected STEMI, I would first identify the leads showing ST elevation, such as V2-V4 for anterior STEMI, and correlate these findings with the patient's chest pain. Prompt reperfusion therapy is crucial.

My approach begins with ensuring the patient's airway is secure, followed by immediate IV fluid resuscitation with crystalloids. I would start broad-spectrum IV antibiotics and continually monitor their vital signs, reassessing the need for additional interventions.

For managing traumatic brain injuries, we first assess the patient's GCS to determine the severity. A CT scan is typically ordered to visualize any intracranial bleeding. We monitor for signs of secondary injuries and ensure proper blood pressure management. If there's significant swelling or mass effect, we discuss a decompressive craniectomy with neurosurgery early on. It's crucial to have a multidisciplinary approach throughout care.

First, I would don the necessary PPE and then assess the patient's vital signs, focusing on their respiratory function. After isolating the patient, I would take a detailed history and arrange for a COVID-19 test while monitoring their condition.

When treating a pediatric patient, it's crucial to assess their developmental stage to communicate effectively. Drug dosing must be calculated based on weight because children process medications differently. I also always involve caregivers to gather medical history and provide support.

I would first check the vital signs of the patients. The one with respiratory distress would be prioritized as they may be at immediate risk of airway compromise. Next, I would assess the trauma patient for massive hemorrhage, and lastly, evaluate the stroke patient's symptoms to determine any time-sensitive treatments.

I would first ensure that the patient is fully informed about their condition and the potential consequences of refusing treatment. Then, I would communicate openly with the family, explaining the importance of respecting the patient's autonomy. If the patient understands their decision, I would support them, while also exploring any fears or concerns they may have.

In this scenario, I would prioritize the patient's urgent need for surgery. I would ask a trusted team member to handle calls from authorities, keeping them informed of essential details without compromising patient care. I would focus on the patient during the surgery and ensure that I have arranged for updates to be communicated to authorities once the patient's situation is stable.

In that situation, I would remain calm and take a moment to assess what’s happening. I would then approach the panicked team member, reassure them, and clearly delegate a task to help them regain focus.

I would calmly introduce myself and explain that I'm here to help. I would use non-threatening body language and ask open-ended questions, acknowledging the patient's feelings to build trust. If they remain agitated, I would offer them choices, like sitting in a quieter room or having a support person present.

I would first assess the available supplies to understand exactly what is missing. I would prioritize patients based on their severity, ensuring those who need immediate attention are treated first. Furthermore, I would communicate openly with my team about the situation to brainstorm efficient ways to use our limited resources.

I would first assess the critical patient to determine their immediate needs. I would let the non-critical patient know that their results might take a bit longer due to the emergency, ensuring they understand I am still monitoring their situation. Then, I would prioritize the critical patient and involve my team to assist with any necessary procedures.

I would first assess both patients swiftly. I would prioritize the deteriorating patient for immediate intervention and delegate stable patient management to a nurse or colleague. I’d stay updated through periodic checks while coordinating care.

If the fire alarm goes off, I would immediately assess the patient's current status and ensure they are stable before considering any action. I would communicate clearly with my team to prepare for a potential transfer of care and follow emergency protocols for evacuation.

I would start by listening to the family member's concerns and acknowledging their feelings. Then, I would explain the treatment plan and the medical reasons behind it, ensuring that the patient is included in the discussion to express their own wishes.