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Mnemonics
 

I'm going to do this section a little different. I'll put up sites like I did for the other headers, but I'm also going to throw in what I feel are either among the most important or the most humorous.

http://www.medicalmnemonics.com/cgi-bin/browse.cfm - MedicalMnemonics.com, lots of helpful mnemonics

http://img.com.tripod.com/mnemonics/calvinlee.htm - Calvin Lee's Mnemonics Page

http://daphne.palomar.edu/cfrancis/docs/mnemon.htm - Anatomical Mnemonics

http://www.thewebbuilder.com/mnumonic/index.htm - Another fun Mnemonic site

http://img.com.tripod.com/mnemonics.htm - Medical Mnemonics, Anatomy Mnemonics

 

TRAUMA: MVC 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)
---Brenda L. Snyder, RN, CEN, PHRN George Washington University Hospital, Washington, D.C.

Found at: http://www.medicalmnemonics.com/cgi-bin/return_browse.cfm?&discipline=Emergency%20Medicine&system=Other%2FMiscellaneous&browse=1


Cranial nerves (Motor, Sensory, or Both) Some Say Marry Money, But My Brother Says Big Breasts Matter More
Sensory, sensory motor, motor, both, motor, both, sensory, both, both, motor, motor in the order of cranial nerves starting from the optic (cranial nerve I).


Causes of Acute pancreatitis
GET SMASH'D
Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune(PAN), Scorpion bites, Hyperlipidemia, Drugs(azathioprine, diuretics)

post-operative fever
The five W's--post-operative fever
Wind--pneumonia, atelectasis
Water--urinary tract infection
Wound--wound infections
Wonderdrugs--especially anesthesia
Walking--walking can help reduce deep vein thromboses and pulmonary embolus

 

classification of hypersensitivity reactions (Gell & Goombs)
ACID
Type I Anaphylaxis
Type II Cytotoxic-mediated
Type III Immune-complex
Type IV Delayed hypersensitivity

 

Portal Blood Sources

LARGE - Large Intestine

PANCAKES - Pancreas

SPOIL - Spleen

SMALL - Small Intestine

STOMACHS - Stomach

GALORE - Gall Bladder

From: http://daphne.palomar.edu/cfrancis/docs/mnemon.htm

C3-PO Breaks his Bones

Star Wars fans can say, "Go C3PO" to recall the 7 types of bone fractures: Greenstick, Open, Complete, Closed, Comminuted, Partial, and Others.

 

Common Ills in Ex-Females include Popping Anteriors, Posting Perrenials, Dorsal fin Medicine, and Late Plans.

This of course refers to the branches of the aortic artery in the lower torso: Common Iliac, Internal iliac, External iliac, Femoral, Popliteal, Anterior tibia, Posterior tibia, Peroneal, Dorsalis, medial And lateral Plantars.

"Old Charlie Foster Hates Women Having Dull Clothes" for Oxygen, Carbon dioxide, Food, Heat, Waste, Hormones, Disease, and Clotting. A better method (making more use of the first few letters of each word) "Wasted Ox Cart Food Disease makes Clot in Heated Whore".

Above 4 Mnemonics from: http://www.thewebbuilder.com/mnumonic/index.htm

LEAN -The 4 drugs that can be put into an endotracheal tube (ET)are LEAN: Lidocaine, Epinephrine, Atropine,  Narcan.

 

Rhyming the phrenic nerve

Innervation of phrenic nerve to diaphragm: C3, 4 & 5 to keep you alive pudendal nerve (to sphincters) L2, 3 & 4 not to shit on the floor

 

GCS

Eye opening: 4 eyes (glasses)
Motor: 6 cylinder engine
Verbal: Jackson 5
Gives you a total of 15. (A brick has a GCS of 3)

For Causes of A-Fib/Flutter:
"Get it? ... A-fib.. occurs in the HEART ?? Ok.. well I'm post-call..."

H= cHf, other cardiomyopathies
E= Enlargement of the atria
A= Alcohol binge drinking
R= Rheumatic heart disease
T= hyperThyroid

Proven MI.. should be met by M.O.N.A.

submitted by Chris M = morphine
O = oxygen
N = nitrates
A = aspirin

Caveat: is suspected right ventricular MI suspected .. hold the Nitrates.
_________________
ACLS (1997).

 

Treatment of acute pulmonary edema

As Easy as 'LMNOP'

Remember the mnemonic LMNOP when treating a patient with acute pulmonary edema:

Lasix® (furosemide) intravenous (IV), one to two times the patient's usual dose, or 40 mg if the patient does not usually take the drug.

Morphine sulfate. Initial dose, 4 to 8 mg IV (subcutaneous administration is effective in milder cases); may repeat in 2 to 4 hours. Avoid respiratory depression. Morphine increases venous capacity, lowering left atrial pressure, and relieves anxiety, which reduces the efficiency of ventilation.

Nitroglycerin IV, 5 to 10 ug/min. Increase by 5 ug/min q 3 to 5 minutes. Reduces left ventricular preload. Caution: may cause hypotension.

Oxygen, 100% given to obtain an arterial PO2>60 mm Hg.

Position patient sitting up with legs dangling over the side of the bed. This facilitates respiration and reduces venous return.

5 T's of early cyanosis:

Sumbitted by Ben Humphreys

Tetralogy, Transposition, Truncus, Total anomalous, Tricuspid atresia

Sir: I'm nervous about reproducing with the rest. Uri must dig into the end.

The organ system names buried within the phrases are (in order): circulatory, immune, nervous, reproduction, respiratory, urinary, muscle, digestive, integumentary, and endocrine. Easy now?

 

A-P-G-A-R:

A - appearance (color)

P - pulse (heart rate)

G - grimmace (reflex, irritability)

A - activity (muscle tone)

R - respiratory effort

 

Seizure: quick history taking FACT:
Focus: generalized vs. local activity
Activity: tonic-clonic vs. absence
Color: red, blue, ashen--possible indicator of hypoxia
Time: length of seizure

Shock: signs and symptoms TV SPARC CUBE:
Thirst
Vomiting
Sweating
Pulse weak
Anxious
Respirations shallow/rapid
Cool
Cyanotic
Unconscious
BP low
Eyes blank

Asthma acute attack: 5 life threatening signs SHOCK:
Silent chest
Hypotension
One third of best/predicted PFR
Cyanosis
Konfusion

Snakebite scoring system · 6 T's:
Toothless
T-shirt
Tattooed
Trailer park
Testosterone
Tequila (EtOH)
· One point for each positive.
· 3 or more positive T's suggests venomous bite

Motor Vehicle Collision (MVC): Single vehicle MVC differential of causes · 7 S's:
Suds (EtOH)
Suicide
Sleep
Seizure
Sugar
Stroke (bleed)
Stupidity

RLQ pain: differential APPENDICITIS:
Appendicitis/ Abscess
PID/ Period
Pancreatitis
Ectopic/ Endometriosis
Neoplasia
Diverticulitis
Intussusception
Crohns Disease/ Cyst (ovarian)
IBD
Torsion (ovary)
Irritable Bowel Syndrome
Stones

Fall: potential causes I'VE FALLEN:
Illness
Vestibular
Environmental
Feet/ Footwear
Alcohol and drugs
Low blood pressure
Low O2 states
Ears/ Eyes
Neuropathy

Asthma: management of acute severe "O $H!T":
Oxygen (high dose: >60%)
Salbutamol (5mg via oxygen-driven nebuliser)
Hydrocortisone (or prednisolone)
Ipratropium bromide (if life threatening)
Theophylline (or preferably aminophylline-if life threatening)

Diabetic ketoacidosis management F@#KING:
Fluids (crytalloids)
Urinalysis (check for Ketones)
Creatinine (check it)/ Catheterize
K+ (potassium)
Insulin (5u/hour. Note: sliding scale no longer recommended in the UK)
Nasogastic tube (if patient comatose)
Glucose (once serum levels drop to 12)

Shock: types RN CHAMPS:
Respiratory
Neurogenic
Cardiogenic
Hemorrhagic
Anaphylactic
Metabolic
Psychogenic
Septic
· Alternatively: "MR. C.H. SNAP", or "NH CRAMPS".

Malignant hyperthermia treatment "Some Hot Dude Better Give Iced Fluids Fast!" (Hot dude = hypothermia):
Stop triggering agents
Hyperventilate/ Hundred percent oxygen
Dantrolene (2.5mg/kg)
Bicarbonate
Glucose and insulin
IV Fluids and cooling blanket
Fluid output monitoring/ Furosemide/ Fast heart [tachycardia]

If you found this site helpful, please email me at naikena@hotmail.com , I'd love to hear from you.