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Mnemonics For Emergency Medicine Rotations And Practice
5 years ago
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1. Drugs for V-fib/pulseless v-tach (new ACLS as of 2001)
"EVAL My Pumper":
Epinephrine
Vasopressin
Amiodarone (class IIb--better for heart failure)
Lidocaine (indeterminate - better for young, healthy or persistent)
MgSO4 (IIb for hypomagnesemic state or torsades)
Procainamide (IIb for intermittent/recurrent VF/VT)
2. Trauma: motor vehicle accident considerations
I AM SCARED:
Impact (head-on, rear-end, t-bone, rollover, rotational etc.)
Auto vs. pedestrian, bike, motorcycle (start @ speed >10mph) Medical history (cardiac, coagulolation, liver, immuno, obese, prego)
Speed (>50 mph?)
Compartment intrusion (>12 inches?)
Age (<5 or >55 y.o.?)
Restraints (lap & shoulder, either, airbag, infant or child seat?) Ejection/ Extrication (eject=25x greater death, extr>20min)
Death (at scene, same vehicle, other)
3. Decompression sickness
Boyle's law: volume of gas is inversely proportionate to its pressure.
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Therefore, BOYLE:
Breathe (as you ascend) Or Your Lung Explodes ·
Breathe as you ascend after scuba diving, since the pressure decreases on surfacing, so the gas volume in lungs increases.
4. Pain history checklist
OLDER SAAB:
Onset
Location Description (what does it feel like)
Exacerbating factors
Radiation
Severity
Associated symptoms
Alleviating factors
Before (ever experience this before)
5. Asystole: treatment
"Have some asystole "TEA":
Transcutaneous pacing
Epinephrine
Atropine
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O NAVEL:
Oxygen
Naloxone
Atropine
Ventolin (albuterol)
Epinephrine
Lidocaine
If you can't get IV access established, and have necessity to administer resuscitative medicationss, remember you have the airway and can give the above drugs.
Drug delivery is enhanced if diluted with 10cc NS and rapid introduced for aeresolization. ·
7. Alternatively, bare bone version is ALE, as above.
Atropine
Lidocaine
Epinephrine
8. RLQ pain: differential
APPENDICITIS:
Appendicitis/ Abscess PID/
Periods/Pancreatitis
Ectopic pregnancies/ Endometriosis
Neoplasia
Diverticulitis
Intussusception
Crohns Disease/ Cyst (ovarian)
IBD
Torsion (ovary)
Irritable Bowel Syndrome
Stones
9. Subarachnoid hemorrhage (SAH) causes
BATS:
Berry aneurysm
Arteriovenous malformation/ Adult polycystic kidney disease Trauma (eg being struck with baseball bat)
Stroke
10. Syncope causes, by system
HEAD HEART VESSELS:
CNS causes include HEAD:
Hypoxia/ Hypoglycemia
Epilepsy
Anxiety
Dysfunctional brain stem (basilvertebral 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
11. Coma and signicantly reduced conscious state causes:
Causes COMA:
CO2 and CO excess
Overdose: TCAs, Benzos, EtOH, insulin, paracetamol, etc. Metabolic: BSL, Na+, K+, Mg2+, urea, ammonia, etc.
Apoplexy: stroke, SAH, extradural, subdural, Ca, meningitis, encephalitis, cerebral abscess, etc.
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