Mnemonics Flashcards
O - OPQRST
Onset: Did this come on suddenly or gradually?
P - OPQRST
Provoke or Palliate: Does anything make it “worse” or “better?”
Q - OPQRST
Quality: Can you describe the pain? (Sharp, dull, throbbing, tearing)
R - OPQRST
Region, Radiation, or Recurrence: Where does it hurt? Does the pain radiate? Has this happened before?
S - OPQRST
On scale of 1-10, how would you rate this pain?
T - OPQRST
Time: How long has this been going on?
A - AVPU
Alert (tracking w/ eyes)
V - AVPU
Responsive to Verbal Stimuli
P - AVPU
Responsive to Painful Stimuli
U - AVPU
Unresponsive
S - SAMPLE
Signs and Symptoms
Evaluate signs/symptoms (Use “OPQRST”)
A - SAMPLE
Allergies
Allergic to any medications, foods, anything?
M - SAMPLE
Medications
Any prescribed meds? Taking as prescribed?
P - SAMPLE
Pertinent past history?
Any past medical problems? Heart disease, high blood pressure, Asthma, Emphysema, Diabetes, etc.
L - SAMPLE
Last oral intake
Last thing you ate or drank?
E - SAMPLE
Events leading to injury or illness
B - BELLSRPGO
Blood Pressure
E - BELLSRPGO
Eyes (PEARL)
L1 - BELLSRPGO
Lung Sounds
L2 - BELLSRPGO
Level of consciousness (Glascow or A&Ox3)
S - BELLSRPGO
Skin Signs (Color, temp, moisture)
R - BELLSRPGO
Respirations
P - BELLSRPGO
Pulse
G - BELLSRPGO
Glascow Coma Scale
O - BELLSRPGO
Oximeter
PERLA
Pupils
Equal
Round React to
Light
Accomodation
P - PENMAN
Personal, Partner, Patient Safety
Traffic, unstable surfaces, fuel leaks, electrical lines, potential for violence, fire or smoke, hazmat, crime scene.
If scene is unsafe, make it safe. If not possible, do not enter!
Request LEO or other assistance.
E - PENMAN
Environmental Hazards
Heat, rain, snow, smoke, crowds, terrain, hazmat
N - PENMAN
Number of Patients
M - PENMAN
Mechanism of Injury (MOI) or Nature of Illness (NOI)
Medical patients NOI
Trauma patients MOI
A - PENMAN
Additional Resources
Medical Resources: Additional units, ALS, Psychiatric Emergency Response Team (PET/PERT)
Non-Medical Resources: Fire suppression, hazmat, rescue, law enforcement
N - PENMAN
Need for extrication/Spinal Immobilization
C - COPS
Capillary Refill
< 2 sec normal
> 2 sec poor perfusion
O - COPS
Obvious Bleeding
Always control bleeding.
Direct pressure - elevation
Tourniquet if unable to control
P - COPS
Pulse
Radial if conscious
Carotid if unconscious
S - Skin Signs
Color, Temp, Moisture
A - ABCDEFI
Airway
Patent or Obstructed?
Open airway (suction PRN), Heal-Tilt-Chin-Lift, Modified Jaw Thrust.
Insert airway PRN
Transport C-3 if unable to open airway.
B - ABCDEFI
Breathing
Rate - Fast, Slow, Normal, Absent
Rhythm - Regular, Irregular
Quality - Air movement, chest expansion
Depth - Tidal Volume
Rapid Chest Auscultation - (for SOB) @ 5th-6th intercostal space, mid axillary line.
Start O2 when necessary
C - ABCDEFI
Circulation
COPS
D - ABCDEFI
Deformity / Disability
Ask for disability
Neuro deficits, abnormal body position.
E - ABCDEFI
Expose
Expose, visualize, and palpate complaints.
F - ABCDEFI
Formulate
Formulate a field impression (what you know so far)
I - ABCDEFI
Identify
Identify priority and transport decision.
Rapid Medical or Rapid Trauma
OR
Comprehensive Medical Assessment
D - DCAPBLSTIC
Deformities
C - DCAPBLSTIC
Contusions
A - DCAPBLSTIC
Abrasions
P - DCAPBLSTIC
Punctures / Penetrations
B - DCAPBLSTIC
Burns
L - DCAPBLSTIC
Lacerations
S - DCAPBLSTIC
Swelling
T - DCAPBLSTIC
Tenderness
I - DCAPBLSTIC
Instability
C - DCAPBLSTIC
Crepitus
A - AEIOUTIPS
Alcohol, Allergic reaction, anoxia
E - AEIOUTIPS
Epilepsy, electrolyte imbalance
I - AEIOUTIPS
Insulin (hypo-hyperglycemia)
O - AEIOUTIPS
Overdose
U - AEIOUTIPS
Under-dose, uremia
T - AEIOUTIPS
Trauma
I - AEIOUTIPS
Infection
P - AEIOUTIPS
Psychiatric, post-ictal, poisoning, palpitation
S - AEIOUTIPS
Stroke, seizure