Mnemonics For Emergency Medicine Rotations And Practice

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Mnemonics For Emergency Medicine Rotations And Practice

5 years ago

~10.3 mins read
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 (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. · 
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


6. Endotrachial tube deliverable drugs
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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