Emergency medicine mnemonics

Acute LVF management

LMNOP:[4]

Lasix (furosemide)

Morphine (diamorphine)

Nitrates

Oxygen (sit patient up)

Pulmonary ventilation (if doing badly)

Atrial fibrillation: causes of new onset

THE ATRIAL FIBS:[4]

Thyroid

Hypothermia

Embolism (P.E.)

Alcohol

Trauma (cardiac contusion)

Recent surgery (post CABG)

Ischemia

Atrial enlargement

Lone or idiopathic

Fever, anemia, high-output states

Infarct

Bad valves (mitral stenosis)

Stimulants (cocaine, theo, amphet, caffeine)

Causes of life threatening chest pain

PET-MAC[5]

P= Pulmonary embolism

E= Esophageal rupture

T= Tension pneumothorax

M= Myocardial infarction

A= Aortic dissection

C= Cardiac tamponade

GCS Intubation

Under 8, intubate.[6]

Ipecac: contraindications

4 C’s:[4]

Comatose

Convulsing

Corrosive

hydroCarbon

JVP: raised JVP differential

PQRST(EKG waves):[4]

Pericardial effusion

Quantity of fluid raised (fluid over load)

Right heart failure

Superior vena caval obstruction

Tricuspid stenosis/Tricuspid regurgitation/Tamponade (cardiac)

MI: immediate treatment

DOGASH:[4]

Diamorphine

Oxygen

GTN spray

Asprin 300 mg

Streptokinase

Heparin

PEA/Asystole (ACLS): cause

ITCHPAD[4]

Infarction

Tension pneumothorax

Cardiac tamponade

Hypovolemia/Hypothermia/Hypo-,Hyperkalemia/Hypomagnesmia/Hypoxemia

Pulmonary embolism

Acidosis

Drug overdose

Rapid sequence intubation (RSI)

SOAP ME

Suction

Oxygen

Airway Equipment

Positioning

Monitoring & Meds

EtCO2 & other Equipment[7]

Rapid Sequence intubation Medications (RSI) (CCRx)

Very Calmly Engage the Respiratory System

Vecuronium 0.1 mg/kg[8]

Cisatracurium 0.2 mg/kg[8]

Etomidate 0.3 mg/kg[8]

Rocuronium 0.6 mg/kg-1.2 mg/kg[8]

Succinylcholine 1 mg/kg[8]

Shock: signs and symptoms

TV SPARC CUBE:[4]

Thirst

Vomitting

Sweating

Pulse weak

Anxious

Respirations shallow/rapid

Cool

Cyanotic

Unconscious

BP low

Eyes blank

Shock: types[edit]

RN CHAMPS (Alternatively: “MR. C.H. SNAP”, or “NH CRAMPS”):

Respiratory

Neurogenic

Cardiogenic

Hemorrhagic

Anaphylactic

Metabolic

Psychogenic

Septic[9]

Subarachnoid hemorrhage (SAH) causes

BATS:[4]

Berry aneurysm

Arteriovenous malformation/Adult polycystic kidney disease

Trauma

Stroke

Syncope causes, by system[edit]

HEAD HEART VESSELS:[4]

CNS causes include HEAD:

Hypoxia/Hypoglycemia

Epilepsy

Anxiety

Dysfunctional brain stem (basivertebral TIA)

Cardiac causes are HEART:

Heart attack

Embolism (PE)

Aortic obstruction (IHSS, AS or myxoma)

Rhythm disturbance, ventricular

Tachycardia

Vascular causes are VESSELS:

Vasovagal

Ectopic (reminds one of hypovolemia)

Situational

Subclavian steal

ENT (glossopharyngeal neuralgia)

Low systemic vascular resistance (Addison’s, diabetic vascular neuropathy)

Sensitive carotid sinus

Tension pneumothorax: signs and symptoms

P-THORAX[10]

Pleuritic pain

Tracheal deviation

Hyperresonance

Onset sudden

Reduced breath sounds (and dyspnea)

Absent fremitus

X-ray shows collapse

Ventricular fibrillation: treatment[edit]

Shock, Shock, Shock, Everybody Shock, Little Shock, Big Shock, Momma Shock, Poppa Shock:[4]

Shock= Defibrillate

Everybody= Epinephrine

Little= Lidocaine

Big= Bretylium

Momma= MgSO4

Poppa= Pocainamide

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