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EMS Mnemonics (memory device)

Discussion in 'BLS Discussion' started by EMS123, Jan 9, 2012.

  1. EMS123

    EMS123 Forum Crew Member

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    SAMPLE
    Signs/ Symptoms
    Allergies
    Medications
    Pertinent Medical History
    Last intake
    Events leading up to …..

    SOAP
    Subjective
    Objective
    Assessment
    Plan

    DCAP-BTLS
    Deformities
    Contusions
    Abrasions
    Punctures
    Burns
    Tenderness
    Lacerations
    Swelling

    OPQRST
    Onset
    Provoke
    Quality
    Region/Radiate
    Severity
    Time

    AVPU
    Alert
    Voice (responds to)
    Pain (responds to)
    Unresponsive

    There are a lot more out there lets see how many we can get.. ^_^
     
  2. medic417

    medic417 The Truth Provider

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    How about search as multiple threads already on here.
     
  3. EMS123

    EMS123 Forum Crew Member

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    How about already did that prior to posting the thread and they were either closed, or mixed into some other discussion. Thank you for your helpful input though.
     
  4. JPINFV

    JPINFV Gadfly

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    Community Acquired Pneumonia treatment: CURB-65

    Confusion
    Uremia
    Resp > 30
    BP<90
    Age >65

    Higher score, higher mortality rate.
    0-1: outpatient tx
    2: Regular inpatient
    3+: ICU.

    Cranial nerves:

    Oh, Oh, Oh, To Touch And Feel Virgin Girls V. And H.

    Olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, vestibulococcular, glossophargeal, vagus, accessory, hypoglossal.
     
  5. DesertMedic66

    DesertMedic66 Forum Troll

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    To remember the type of nerve they are S=Sensory M=Motor B=Both

    SSMMBMBSBBMM

    Some Say Marry Money But My Brother Says Big Boobs Matter Most
     
  6. Aprz

    Aprz Forum Deputy Chief

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    I'll contribute some.

    OLD CARTS alternative to OPQRST for assessing pain (from Bates' Guide to Physical Examination and History Taking)
    Onset
    Location
    Duration
    Character
    Alleviating/Aggravating factors
    Radiation
    Time
    Severity

    There are a million different ones for assessing pain though. I may add them later.

    AEIOUTIPS simple list of differential for altered mental status.
    Alcohol/Arrythmia
    Epilepsy/Environment
    Insulin
    Overdose
    Underdose/Uremia
    Trauma
    Infection
    Psychosis/Poison
    Shock/Stroke/Seizure

    Lead placements: White to the right, smoke over fire (, clouds over grass).

    VOMIT
    Vital signs
    Oxygen
    Monitory
    IV
    Transport/Treatment

    FASTT recognizing a stroke.
    Facial droop
    Arms (pronator drift)
    Speech (aphasia)
    Time
    Transport

    ENAMES sizing up the scene.
    Environment (scene safety)
    Number of patients
    Additional resources
    Mechanism of injry
    Extrication needs
    Spinal percautions

    LCES arrangment and plan if something should compromise your safety.
    Lookout
    Communicate
    Escape route
    Safety zone

    RATT early signs of hypoxia
    Restless
    Anxious
    Tachycardia
    Tachypnea

    ABCDEFGHI respiratory assessment (read this off paramedicine.com awhile back)
    Accessory muscle use
    Breath sounds
    Complexion
    Dyspnea
    Extension (tripod position, which I think is really flexsion *shrug*)
    Finger (pulse extremity)
    Gas (capnography)
    Heart rate
    Inspiratory-expiratory ratio

    I have work, but unfortunately I must go to work.
     
    Last edited by a moderator: Jan 10, 2012
    MorganM and NY Metro Area EMT like this.
  7. Aprz

    Aprz Forum Deputy Chief

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    Forgot to mention BED for late signs of hypoxia.
    Bradycardia
    Excessive restlessness
    Dyspnea (lol).

    SLUDGE/M for organophosphate poisoning.
    Salivation
    Lacrimation
    Urination
    Diarrhea
    GI cramp
    Emesis
    Miosis/Muscle spasms

    DUMBELS altnernative to SLUDGE/M.
    Diarrhea/Diaphoresis
    Urination
    Miosis/muscle spasms
    Bradycardia
    Emesis
    Lacrimation
    Salivation

    ABCDEFGHI for vomiting.
    Acute renal failure
    Brain (ICP, stroke)
    Cardiac
    DKA/Diabetes
    Ears
    Foreign substances
    Glaucoma (sub acute closed angle?)
    Hyperemesis gravidum
    Infection/Inflammation

    VOMIT alternative to ABCDEFGHI for vomit.
    Vestibular
    Occlusion of GI
    Mind/DysMotility
    Infection/Inflammation
    Toxin

    For the KED, I've heard of two different mnemonics that are different ordering, but helps you remember a seasaw method to putting the straps on (similar to changing a (spare) tire of your car.

    My baby looks hot tonight.
    Middle bottom legs head top.

    My baby looks totally hot.
    Middle bottom legs top head.

    Since you guys mentioned some anatomy ones too...

    Students like their professors to teach complex hypothesis.
    Scaphoid Lunate Triquetrum Pisiform Trapezium Trapezoid Capitate Hamate

    For carpal bones, in the anatomical position, superior to inferior, lateral to medial.

    Talus common name can cause constant confusion.
    Talus Calcaneous navicular cuboid and the three cuneiform bones in the feet (medial, intermediate, lateral).

    For the tarsal bones of the feet, in the anatomical position, superior to inferior, posterior to anterior, medial to lateral.

    Never let monkeys eat bananas.
    Neutrophil leukocyte monocyte eosinophil basinophil

    Different types of white blood cells.

    Recently learned (a couple of months ago) for the chest

    VAN

    Vein
    Artery
    Nerve

    Which is the ordering in the intercostal space. That's from superior to inferior. Then inferior and in reverse order is the collateral branch.

    I think after so much acronyms, it just becomes easier straight up remembering things without the acronym, and the acronyms/mnemonics become a drag, lol. There are other useless ones I remember too like

    PODD
    Provoke
    Onset
    Duration
    Description

    For asking questions about AMS. :\ It's in Chabot College skill sheet.

    PASTMED alternative to PASTE, seems to be combined with SAMPLE, that was taught also at Chabot College.
    Provoke/Palliating
    Associated chest pain (should really be sign and symptoms in my opinion)
    Sputum
    Time/Tired/Talk
    Medications
    Exercise tolerance
    Diagnosis (history)

    When I was first in EMT school, and I decided to learn some medications, I realized that anything with -lol was hypertension medications (really beta-blockers like metoprolol and atenolol) so I thought to myself that if it's ends with a laugh out loud, it's hypertension medication. Of course, there are other ones lke -pril (ACE inhibitors). It was just something I thought up of in EMT school.

    There can be a lot of variations to these mnemonics and they become really redundant. Right now, I just remember lists instead and start listing them off and counting down how much more I got to go, or do whatever I feel like and hope that what I've learn will guide me. Sometimes I just remember the first letter of everything even if it doesn't make any meaningful work or mnemonic. It's surprising how well we can fill in the gap.
     
    Last edited by a moderator: Jan 10, 2012
    NY Metro Area EMT likes this.
  8. DesertMedic66

    DesertMedic66 Forum Troll

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    I love that for the KED there are soo many different orders of putting it on. For instance my class and what I teach is:
    Boy My Tired Legs Have Cramps.
    Bottom, Middle, Top, Legs, Head, Chin.
     
  9. Aprz

    Aprz Forum Deputy Chief

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    People don't even realize that ordering isn't important as long as it is a seasaw/change your car tire ordering so it's about equal from superior to inferior. People get real butt hurt when you tell them differently. Even for questions/assessing, they get mad if you don't ask OPQRST in order, or ask all the questions from OPQRST, lol. I like to screw with them in testing situations and use OLD CARTS.
     
    Last edited by a moderator: Jan 10, 2012
  10. DesertMedic66

    DesertMedic66 Forum Troll

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    I always love when we have patient with a stab wound for the class to treat. They always run through OPQRST and we add on an I at the end.
    O=well I kinda got stabbed. P=well it just hurts. Q=it's a stabbing pain. R=well it hurts where the knife is/was hahaha
     
    overthinker1515 likes this.
  11. Bob67

    Bob67 Forum Probie

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    Thanks. I will be making flash cards out of these.
     
  12. medichopeful

    medichopeful EMT, ED/ICU RN, CEN

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    I also like "Oh oh oh to touch and feel a girls very soft hands"

    Olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, auditory, glossopharyngeal, vagus, spinal, hypologlossal
     
  13. medichopeful

    medichopeful EMT, ED/ICU RN, CEN

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    Some Lovers Try Positions That They Can't Handle :rofl::p
     
  14. ffemt8978

    ffemt8978 Forum Vice-Principal Community Leader

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    Now that I've removed several off-topic posts from this thread, it may continue. If I have to remove any more, somebody is getting a forum vacation.
     
    Brian Herzberg likes this.
  15. Remeber343

    Remeber343 Forum Lieutenant

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    Here the one we were taught for KEDs:
    My Baby Looks Hot Tonight
    Middle Bottom Legs Head Top
     
    CaitlinBelinda likes this.
  16. emt6207

    emt6207 Forum Probie

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    Its somewhat inappropriate but the best one I had from one of our volunteer instructors that assisted with our class was for remembering the order of strapping a pt to a 4 strap backboard, NNNN.

    Nipples,
    Nuts,
    kNees,
    Noggin

    Surprisingly no one managed to forget that one or the order.
     
    MorganM, CaitlinBelinda and Bruno like this.
  17. LuvGlock

    LuvGlock Forum Crew Member

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    Beat me to it.

    Thank you, Elliot. :D
     
  18. medic417

    medic417 The Truth Provider

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    Thanks for the help. This might be one of the topics that needs to be added to a sticky as there are so many discussions with it.

    Oh well nice MOVE STUPID. A mnemonic for altered mental status
    M metabolic
    O oxygen
    V vascular
    E endocrine
    S seizures
    T trauma
    U uremia
    P psychiatric
    I infectious
    D drugs
     
    CaitlinBelinda likes this.
  19. EMS123

    EMS123 Forum Crew Member

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    CUPS
    Critical
    Unstable
    Potentially Unstable
    Stable
     
  20. medichopeful

    medichopeful EMT, ED/ICU RN, CEN

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    One of my favorites! :D
     

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