Cellma: Designed for Every A&E Department

Every day, thousands stream through the doors of Accident & Emergency (A&E) departments across the world. According to the UK Government’s report, in the three months leading up to January 2025, over 46,000 people on average visited major A&E departments daily, with another 27,300 attending minor injury units and walk-in centres. That’s nearly 73,000 urgent care interactions every single day. Over the past decade, A&E attendances have surged major department visits are up 18%, and minor attendances have risen by 44%. 

This tidal wave of demand has made one thing clear: the need for fast, intelligent, and fully integrated electronic health record (EHR) systems in A&E departments is critical. In this high-stakes environment, Cellma, a leading-edge EHR software, offers more than just digital documentation – it provides complete, structured, and responsive support for every stage of emergency care. 

Adhering to NHS Guidelines & Integrations 

Cellma is designed to meet and exceed the most critical NHS standards for emergency care. It is fully compliant with: 

• Emergency Care Data Set (ECDS): capturing demographic, clinical, and outcome data with SNOMED CT coding. 

• Information Standard DAPB0092-2062: ensuring data integrity and consistency across emergency services. 

• Ambulance Data Set (ADS): linking Computer Aided Dispatch (CAD) and Electronic Patient Records (EPR) for seamless patient journey mapping. 

• Welsh Emergency Care Data Set (WECDS): enabling cross-border consistency and coordination. 

• Same Day Emergency Care (SDEC) reporting: ensuring structured capture from July 2024 across England. 

• Data Linkage with Hospital Episode Statistics (HES): integrating longitudinal data for better outcomes and performance evaluation. 

• SNOMED CT-coded entries for structured care 

• ISO 27001-certified security, role-based access, audit logs 

• Full GDPR, NHS Digital, and Cyber Essentials Plus compliance 

• CIS2 and PDS integrations 
  
  

Monitoring Symptoms and Clinical Progression in A&E Care with Cellma 

Emergency services require fast, informed decisions, and the ability to continuously view and manage clinical information. Cellma enables A&E departments with configurable tools to visualise acute symptoms, and their progression where appropriate, in real-time. For example: 

Chest Pain: 

Document character, onset, radiation and associated symptoms (diaphoresis, dyspnoea) with Cellma’s chest pain template. There are built-in risk stratification tools (HEART score, TIMI etc.) to aid decision making in regard to acute coronary syndrome, and to trigger respective pathways associated with ECG, troponin levels, and cardiology referral. 

Head Injury: 

Cellma prompts clinicians through the assessment Glasgow Coma Scale (GCS), pupil response, and red flag signs, supporting rapid triage and escalation decision. Cellma incorporates NICE Head Injury Guidelines, providing an intelligent alerting mechanism for CT scanning and escalation to neurosurgery, which supports consistent care for minor and major trauma. 

Sepsis: 

Use of automated detection with SIRS criteria, NEWS2 scoring, and lactate monitoring where relevant enables sepsis to be identified at the earliest opportunity. When sepsis is identified, Cellma produces Sepsis Six care bundles in respect of aids such as IV antibiotics, IV fluids, and oxygen therapy and continues to monitor these items in real-time. 

Mental Health: 

Behavioural observations, safeguarding concerns, and suicide/self-harm risk assessments are embedded within triage flows. With direct access to mental health crisis pathways, clinicians can initiate psychiatric assessments or refer to liaison services through secure e-referral. For patients requiring urgent psychiatric input, Cellma enables secure referrals and documentation compliant with MHA assessments and liaison psychiatry workflows. 

Shortness of Breath & Asthma Exacerbation: 

Cellma supports structured documentation of respiratory rate, oxygen saturation, wheeze, accessory muscle use, and peak flow. It tracks treatment escalation—such as nebulisers, steroids, and oxygen therapy and integrates with observation charts to flag deterioration early. 

Abdominal Pain: 

Cellma captures location, nature, radiation, and associated symptoms like vomiting, bleeding, or distension. Red flag features such as guarding or rebound tenderness prompt escalation. Imaging (US/CT) requests can be created simply, and clinicians can be assisted with pathways for appendicitis, ectopic pregnancy, and obstruction. 

Trauma & Fractures: 

Cellma allows a complete Airway, Breathing, Circulation, Disability, Exposure (ATLS)-style assessment, featuring templates for limb injury, spinal trauma, and crush injuries including fractures. It tracks tetanus status, analgesia, immobilisation and imaging as well. Orthopaedic referrals can be arranged immediately using the built-in workflows. Configurable templates for limb injuries, spinal assessment, and fracture documentation, with trauma triggers for major trauma activation (MTC) is done through Cellma. 

Stroke & TIA: 

With embedded FAST assessments and NIH Stroke Scales, Cellma guarantees immediate assessment and activation of stroke pathways. Cellma links CT head ordering, thrombolysis eligibility checks and transfer to the appropriate specialist units if required. 

By embedding clinical scoring tools, alerts for red flags, and condition-specific templates, Cellma ensures that symptoms are not only documented, they are actively monitored, interpreted and acted upon in real time.  

Cellma in Emergency Care 

Cellma is purpose-built to support the speed, complexity, and pressure of emergency care. Far beyond basic note-keeping, Cellma acts as a fully centralised digital command centre for A&E departments. It assembles triage details, investigations, and risk scores to ensure that clinicians can find the information they require as quickly as possible. 

Let’s take a closer look at the modules that make this possible. 

Patient Admission and Scheduling (PAS) 

Cellma’s PAS ensures patient flow through the emergency department, from first contact through to discharge or admission. It continuously monitors location, waiting times, and episode history in real-time, giving staff the ability to assess patients in order of clinical priority. Because of the alerting and tracking built into Cellma, A&E staff will be alerted to patient delays, targets, or reassessment, to help staff prioritise patients better and manage resources effectively. 

Electronic Patient Record (EPR) 

The EPR module serves as the clinical brain of emergency operations, capturing structured data including triage notes, vital signs, clinical impressions, and interventions. It supports fast-paced documentation during acute care episodes with configurable templates for symptoms such as chest pain, trauma, or altered consciousness. Clinical alerts and escalation pathways are embedded to support real-time decision-making. 

Imaging and Labs Integration 

When fully interfaced with radiology and pathology, clinicians can achieve a streamlined ordering and viewing of investigations in Cellma without switching between individual systems. In the case of urgent imaging indicators such as CT scan and stroke or trauma (and important lab markers such as troponin or lactate), these investigations are flagged automatically, promoting reduced turnaround time, enabling early diagnosis and facilitating time critical interventions. 

Document Management 

Cellma’s document management module takes care of securely and readily available clinical documentation, from ambulance handovers to discharge summaries. This is executed through clearly defined structured templates, ensuring digital signing, governance and access control. Clinicians can also attach photographs, diagrams, or scanned documents to the clinical record, adding an important layer to the record. 

e-Pharmacy 

Emergency prescribing is handled within Cellma’s e-Pharmacy module, with integrated drug interaction checks, allergy alerts, and dosage calculators. It supports STAT dose ordering, controlled drug tracking, medication reconciliation, and electronic prescriptions, and generation of discharge medications (TTOs- to take out) with pharmacy review workflows– all traceable for audit and governance. Cellma is especially useful for managing controlled drugs or complex medication regimens in A&E settings. 

Multidisciplinary Team (MDT) 

A&E care is inherently collaborative, and Cellma’s MDT module facilitates this through shared views of the patient’s record across clinical teams. Mental health, safeguarding, elderly care, or surgical specialties can review and contribute in real time. Joint care plans and electronic referrals are documented within the same record, ensuring consistent and coordinated care. 

Business Intelligence and Reporting 

Cellma provides advanced clinical and operational reporting tailored for emergency settings. Departments can track four-hour breaches, sepsis bundle compliance, patient outcomes, and triage-to-treatment times. These insights drive audits, quality improvement, and adherence to NHS performance targets, while helping to identify bottlenecks and training needs. 

Finance and Billing 

Cellma’s Finance and Billing module allows activity-based costing, patient-level data, and coding accuracy to be captured in real-time. Finance links the clinical actions to financial outcomes in real-time, generating evidence to support cost recovery, billing and service planning. Particularly in times of financial constraints e.g. emergency care, the transparency that finance provides to decision-makers, can help with funding decisions and allocation of resources. 

Patient Portal 

Cellma’s patient portal allows patients to access their records, plans for follow-up, and lab results. Patients can view safety netting advice, or attend discharge follow up appointments (virtually) to mitigate avoidable reattendances to secondary care. The patient portal increases transparency, reinforces discharge instructions, and promotes patient participation in their recovery process. 

Referral Portal 

Patients requiring inpatient admission or specialist follow up will have their care transitioned swiftly and safely using Cellma’s referral portal. A good process and clear workflow ensure that criteria-based referrals can be undertaken seamlessly by clinicians, community clinics, or social services). 

Cellma’s AI Capability 

Cellma, a top-tier EHR software, harnesses AI to enhance A&E management and improve overall care quality. 

Natural Language Processing: NLP enables clinicians to rapidly analyse unstructured text from patient histories and clinical notes, extracting key information instantly to support faster diagnosis and decision-making. 

Artificial Intelligence enabled drug interaction alerts: Cellma’s AI assesses the patient care history in its database to automatically identify potential drug interactions to reduce adverse harm. 

These AI tools enhance delivery of care and make A&E more accurate, efficient, and safer for patients.  

Data Security: Protection built in and defaulted on

Cellma is built with security at its core, and ensures patient information is kept secure throughout every interaction. Role-based access control allows users to have access to only the relevant data needed for their role, while everything is fully traceable thanks to logs and timestamps. Data security protections start at encryption methods to store the data, and encryption ends in transmission. Cellma complies fully with NHS Digital standards, GDPR, and Cyber Essentials Plus certification having trusted protection and is always-on. 

In an era where A&E departments are seeing more patients than ever – and where every second matters – Cellma stands out as the intelligent EHR platform that turns chaos into clarity. From instant triage to structured discharge, it enables care teams to deliver safe, timely, and data-driven emergency medicine. 

Ready to give your A&E department a system that keeps pace with clinical urgency?