Acronyms Flashcards
ATMIST handover
A = age, name, DOB of patient
T = time of incident/onset of symptoms
M = mechanism of injury or medical complaint
I = injuries/exam findings/investigation results
S = signs (GCS, obs, A-E)
T = treatment given (what/when/how much)
SPOILT - Intra-uterine resuscitation
S = stop synto
P = pressure (ensure normotension/correct hypotension)
O = oxygen (if hypoxic)
I = IV fluids
L = lateral position
T = tocolysis - beta agonists, nitrates
METHANE - Major Incidents
M = major incident declared?
E = exact location
T = type of incident
H = hazards present or suspected
A = access - routes that are safe to use
N = number, type, severity of casualties
E = emergency services present those required
SCOOP - Management of acute postoperative neck haematoma
S = steristrips (remove)
C = cut sutures
O = open skin
O = open muscles
P = pack over wound
PART - Optimising USS Image
P = Pressure
A = Alignment
R = Rotation
T = Tilt (angle in relation to skin)
Don’t forget to think about depth and gain.
STOP BANG - Risk of OSA
S = snoring (loudly)
T = tired —> daytime sleep/somnolence
O = observed to stop breathing/choke/gasp
P = pressure —> HTN
B = BMI >35
A = age —> older than 50
N = neck size large (F >/= 16”, M >/= 17”)
G = gender —> male
Low 0-2, Mod 3-4, High 5-8
3+ = high risk of OSA - progress to Epworth Sleepiness Scale to assess chance of dozing in a variety of situations
SHOUT Airway Risk Tool
At risk airways post anterior neck surgery
S - swelling of neck/stridor
H - hoarseness or voice change
O - oesophageal discomfort, difficulty swallowing, drooling
U - unusual behaviour, agitation
T - tachypnoea or difficulty breathing
Pacemaker Nomenclature
O = off
A = atria
V = ventricle
D = dual/both/multi-site
T = triggered
I = inhibited
R = rate modulated
P = pacing
S = shock
Letter 1 - chamber paced = O/A/V/D
Letter 2 - chamber sensed = O/A/V/D
Letter 3 = mode of response to setting = T/I/O
Letter 4 = programmability/rate modulation = O/R
Letter 5 = anti-tachycardia functions = P/C/D
AAI(R) - atrial pacing and sensing, pace at pre-programmed rate if no electrical impulse sensed, otherwise inhibits pacing
VVI(R) - ventricular pacing and sensing, inhibits pacing if impulse sensed, otherwise will pace at pre-programmed rate
DDD(R) - both atria and ventricles are both sensed and paced - if either atrium or ventricular impulse not conveyed, pacemaker will take over. If SA and AV node both functioning, will just sense. “physiologic pacing”
WET FLAG
Paediatric Calculations
W = weight
* (age+4) x2
* 1-5 - (age x2) +8
* 6-12 (age x3) +7
E = electricity
* 4J/kg (rounded up to nearest)
T = tracheal tube size
* age <1 = size 3/3.5
* age 1 = size 4
* uncuffed internal diameter = (age/4)+4
* down 0.5 for cuffed
* length at teeth = (age/2)+12
* length at nostril = (age/2)+15
F = fluid
* 10ml/kg of balanced crystalloid
* consider 5ml/kg bolus in cardiac failure/trauma
L = lorazepam
* 0.1mg/kg in status epilepticus
A = adrenaline
* 10mcg/kg
* 0.1ml/kg of 1:10,000
G = glucose
* 2ml/kg of 10% dextrose
* 2.5ml/kg if newborn
4Hs and 4Ts
H - hypoxia
H - hypo/hyperthermia
H - hypovolaemia
H - hypo/hyperkalaemia, hypercalcaemia, hypermagnesaemia, hypoglycaemia
T - tension pneumothorax
T - tamponade - cardiac
T - toxins
T - thrombus - coronary or pulmonary
