There are some problems in emergency medical records, such as incompleteness, inaccuracy, lack of information, nonstandard and language barriers. According to the relevant data, the emergency observation medical records have the following problems and are incomplete. Due to the urgent time to fill in emergency observation medical records, doctors may ignore some important details, resulting in incomplete and inaccurate medical records. Doctors may make subjective assumptions when filling out emergency observation medical records, or make wrong diagnosis and lack information because of insufficient information. Emergency observation medical records may lack important medical information, such as past medical history and medication history. This may affect the subsequent diagnosis and treatment. Irregular, different doctors may have different filling standards for emergency observation medical records, which will lead to differences in the format and content of medical records and language barriers. For foreign patients or patients with language barriers, doctors may have language communication barriers, resulting in incomplete and inaccurate medical record information. These problems may lead to incomplete or unscientific diagnosis and treatment scheme of emergency observation medical records. Therefore, medical personnel need to fill in emergency observation medical records in strict accordance with standard procedures.