EMT Acronyms Flashcards
Stomach pain assessment questions
SAMPLE, OPQRST, Pregnant, pain with urination, blood in stool?
SAMPLE
- Signs and symptoms
- Allergies
- Medications
- Past medical history
- Last in’s and out’s / Pain with bathroom use
- Events leading up to chief complaint
Pain
OPQRST
- Onset
- Provocation (anything make it better or worse?)
- Quality (e.g. crampy, constant, sharp, dull, etc.)
- Region / radiation / referred
- Severity (0 – 10 scale)
- Time (duration/repetition)
Possible reasons for stomach pain
• Pneumonia or pulmonary embolus
• Liver (hepatitis)
• Peptic ulcer disease/gastritis
• Gallbladder
• MI
• Pancreatitis
• Kidney stone
• Abdominal aneurysm
• Appendicitis
• Bladder/prostate disorder
• Pelvic (PID, ectopic pregnancy, or ovarian cyst)
• Spleen enlargement
• Diverticulitis
• Bowel obstruction
• Gastroenteritis (infectious)
• Ovarian or testicular torsion
PASTE
Progression - How fast did this become a problem?
Associated Chest Pain
Sputum - Productive cough? Green phlegm?
Talking - Can they talk without stopping to breath?
Exercise tolerance - Are they fat? Would they be tired if they walked up the stairs?
PENMAN
P - Precautions
E - Environment
N - Number of victims
M - Mechanism of injury or a nature of illness
A - Additional resources
N - Need for c-spine
GACABCD
G - General Impression
A - Alert to verbal, pain or unresponsive.
C - Chief Complaint
A - Airway (patent, adjunct)
B - Breathing (rate, sp02, oxygen)
C - Circulation (blood sweep, skins, pulse, treats for shock)
D - Drive. Priority patient expedite transport. (Based on GCS)
Beck’s triad
JVD
Muffled Heart Sounds
Hypotension
Pericardial Tamponade
DCAPBTLS-IC
Deformities
Contusions
Abrasions
Penetrations
Burns
Tenderness
Lacerations
Swelling
Instability
Crepitis
Vertical Nystagmus
Eye fluttering when looking up
When is it important to ask with a shortness of breath patient?
Associated chest pain / PASTE
IVFIR
I - Inspect, Palpate, Auscultate
V - Vitals
F - Field Impression
I - Intervention
R - Reassess (every 15 min for stable, 5 min for unstable)
GCS
Glasgow Glaucoma Scale
Eyes, Verbal, Motor
Eyes
1 - Unresponsive
2 - Responsive to pain
3 - Responsive to voice
4 - Normal
Verbal
1 - Nothing
2 - Sounds
3 - Words
4 - Confused
5 - Normal (AOx3)
Motor
1 - No movement
2 - Decerebrate posturing
3 - Decordicate posturing
4 - Withdraws from pain
5 - Localized pain
6 - Normal movements
Poisoning
SLUDGE
S - Salivation
L - Lachrymation
U - Urination
D - Defecation
G - Gastro Intestinal
E - Emesis
APGAR
Appearance
Pulse
Grimace
Activity
Respirations