12 ABBREVIATIONS AMI = Acute Myocardial I nfarction Ax = Axillary (near Armpit) A.T.N.R. = Amb. Tx Not Required BM = Bowel Movement Ca = Cancer CORD = Chronic Obstructive Respiratory Disease was COPD and COAD Ds & Vs = Vomiting & Diarrhoea DVT = Deep Vein Thrombosis ETA = Estimated Time Of Arrival ETOH = Alcohol FAST = Face Arms Speech Time FHx = Family History GTN = Glyceryl Trinitrate Nitrolingual Spray HR = Heart Rate IPPV =Intermittent Positive Pressure Ventilations JVD = Jugular Venous Distention LOC = Level Of Consciousness mmol = Millimole, glucose m/mnt MOI = Mechanism Of Injury N20/02 = Entonox NaCl = Sodium Chloride (0.9%) NSR = Normal Sinus Rhythm O/a = On Arrival O/e = On Examination Palp = Palpation /p PERL = Pupils Equal, React to Light PmHx = Past Medical History PND = Paroxysmal Nocturnal Dyspnea PO = Per Orally, by mouth PRN = As Required Pt = Patient PVC = Premature Ventricular Contraction RLQ = Right Lower Quadrant PR = Per Rectum (PR Bleed) RR = Respiratory Rate SOB = Short Of Breath SOBOE = Shortness of Breath On Exertion SpO2 = Saturation of Peripheral Oxygen SVT = Supraventricular Tacycardia Sx = Signs & Symptoms TIA = Transient I schaemic Attack TKVO = To Keep Vein Open UO = Urine Output VF = Ventricular Fibrillation VT = Ventricular Tachycardia w/ = With, also • /c w/o = Without /24 hrs, /7 days, /52 weeks, /12 mths ? = Query or Possible ↑ I ncreased ↓ Decreased → Led to P1 - G2 =1 birth - 2 pregnancies ♂ Male ≠ Not equal ≈ Approximately < Less than > Greater than # Fracture Ø Nil, Nothing, Zero Therefore PNEUMONICS Patient Handover M.I.S.T. M = MOI - Describe it. I = Injuries - Describe the obvious injuries. S = Sx - Describe Vital signs and any abnormal signs and symptoms. T = Rx - Describe your treatment, what you have done to the patient. Causes of Unconsciousness A = alcohol, acidosis/alkalosis E = endocrine, electrolytes, epilepsy, environment. I = insulin (hyperglycaemia or hypoglycaemia) O = overdose, oxygen (hypoxia) U = uraemia (and other metabolic abnormalities for example hyponatraemia or hypothermia) T = trauma, tumour, temperature I = infection, intracranial pressure P = poisoning, psychosis S = seizure, syncope, stroke, sepsis, shock Limb Baselines C = Colour - Capillary Refill W = Warmth S = Sensation M = Movement P = Pulse - Distal (beyond #) Pain Assessment P = Provoke Q = Quality (type) R = Region S = Severity ( /10) T = Time Medical Assessment S = Sign & Symptoms A = Allergies M = Medications P = Past Medial History L = Last Meal E = Events Prior PRF should contain: C = Chief Complaint H = History, both Past & Present A = Assessment (O/e) T = Treatment T = Transport enroute changes and the effects of drugs. Baselines L.O.C. = /15 Pupils = Size, Equality, Reaction, R.R. = Rate, Rhythm, Depth, H.R. = Rate, Regularity, Strength Skin = Temperature, Colour, Moisture, Turgor (tenting). Version 2.4 - November 2017 1 Abdomen Amputation Abdominal Anaemic Abortion Anaesthetics Abrasions Analgesia Abscess Anaphylactic Absorbed Anaphylaxis Absorption Aneurysm Accessory Angulation Accumulation Antibiotics Accurate Antihistamine Acetone Anxiety - ious Ache Aortic Achilles tendon Apnoea Acquired Appendicitis Adequate Arrthymia Admission Arterial Adrenaline Arthritis Advised Artificial Aggressive Asbestosis Agitated - ion Asphyxiated Agricultural Aspirated Alcohol Alco- holic Aspirin Allergic reaction Assaulted Alzheimer’s Assessment Ambulant /walks Asthma Ammonia Asthmatic Amnesia Ataxia Abdom/en -inal Abortion Abrasions Abnormal/ ity Abortion Abruptio placentae Abscess Absence Absorbed Absorption Accessory Accident/ ally According Accumulation Accurate Acetone Ache Achilles tendon Acquired Acute Adamant Adequate/ ly Adjacent Administration Admission Adrenaline Advised Affect - what its does Aggregation Aggressive Aggravated Agitat/ed -ion Agreed Agricultural Alcohol/ ic Allerg/y -ic Alleviate Alzheimer’s Ambulatory walks Ammonia Amnesia Amput/ation -ee Anaemic Anaesthetics Analgesia Anaphylactic Anaphylaxis Aneurysm Angina Angiogram Angioplasty Angulation Anorexia Anterior Antibiotics Antihistamine Anxiet/y -ious Aortic Apnoea Appendicitis Appetite Apprehensive Appropriately Approximately Argued Arrhythmia Artery - Arterial Arthritis Artificial Asbestosis Asphyxiated Aspirated Aspirin Assaulted Assessment Assist/ance -ed Asthma/ tic Ataxia - staggers Atherosclerosis Atrophy - withering Attempts Audible Augmentin Auscultated Avulsion Awkwardly Axillary - armpit area Bandage Basal skull - base Beneficiary Bilateral Biopsy Bowels Buttocks Brachial Bradycardia Breath/ e Bronchiodilator Bronchitis Campylobacter P.R.F. Companion
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ABBREVIATIONS PNEUMONICS P.R.F. Companionphotographictributes.com/Ambulance Downloads/PRF Companion.pdf · 8 Dermatomes - The area of the skin supplied by a single, specific spinal
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/24 hrs, /7 days, /52 weeks, /12 mths ? = Query or Possible
↑ Increased
↓ Decreased
→ Led to
P1 - G2 =1 birth - 2 pregnancies
♂ Male
≠ Not equal
≈ Approximately
< Less than
> Greater than
# Fracture
Ø Nil, Nothing, Zero Therefore
PNEUMONICS Patient Handover
M.I.S.T.
M = MOI - Describe it.
I = Injuries - Describe the
obvious injuries.
S = Sx - Describe Vital signs
and any abnormal
signs and symptoms.
T = Rx - Describe your
treatment, what you
have done to the
patient.
Causes of Unconsciousness
A = alcohol, acidosis/alkalosis
E = endocrine, electrolytes,
epilepsy, environment. I = insulin (hyperglycaemia or
hypoglycaemia) O = overdose, oxygen (hypoxia)
U = uraemia (and other metabolic
abnormalities for example
hyponatraemia or hypothermia) T = trauma, tumour, temperature
I = infection, intracranial pressure
P = poisoning, psychosis
S = seizure, syncope, stroke, sepsis,
shock Limb Baselines
C = Colour - Capillary Refill
W = Warmth
S = Sensation
M = Movement
P = Pulse - Distal (beyond #)
Pain Assessment
P = Provoke
Q = Quality (type)
R = Region
S = Severity ( /10)
T = Time
Medical Assessment
S = Sign & Symptoms
A = Allergies
M = Medications
P = Past Medial History
L = Last Meal
E = Events Prior
PRF should contain:
C = Chief Complaint
H = History, both Past & Present
A = Assessment (O/e)
T = Treatment
T = Transport enroute changes
and the effects of drugs.
Baselines
L.O.C. = /15
Pupils = Size, Equality, Reaction,
R.R. = Rate, Rhythm, Depth,
H.R. = Rate, Regularity, Strength
Skin = Temperature, Colour,
Moisture, Turgor (tenting).
Version 2.4 - November 2017
1
Abdomen Amputation
Abdominal Anaemic
Abortion Anaesthetics
Abrasions Analgesia
Abscess Anaphylactic
Absorbed Anaphylaxis
Absorption Aneurysm
Accessory Angulation
Accumulation Antibiotics
Accurate Antihistamine
Acetone Anxiety - ious
Ache Aortic
Achilles tendon Apnoea
Acquired Appendicitis
Adequate Arrthymia
Admission Arterial
Adrenaline Arthritis
Advised Artificial
Aggressive Asbestosis
Agitated - ion Asphyxiated
Agricultural Aspirated
Alcohol Alco-
holic
Aspirin
Allergic reaction Assaulted
Alzheimer’s Assessment
Ambulant /walks Asthma
Ammonia Asthmatic
Amnesia Ataxia
Abdom/en -inal
Abortion
Abrasions
Abnormal/ ity
Abortion
Abruptio placentae
Abscess
Absence
Absorbed
Absorption
Accessory
Accident/ ally
According
Accumulation
Accurate
Acetone
Ache
Achilles tendon
Acquired
Acute
Adamant
Adequate/ ly
Adjacent
Administration
Admission
Adrenaline
Advised
Affect - what its does
Aggregation
Aggressive
Aggravated
Agitat/ed -ion
Agreed
Agricultural
Alcohol/ ic
Allerg/y -ic
Alleviate
Alzheimer’s
Ambulatory walks
Ammonia
Amnesia
Amput/ation -ee
Anaemic
Anaesthetics
Analgesia
Anaphylactic
Anaphylaxis
Aneurysm
Angina
Angiogram
Angioplasty
Angulation
Anorexia
Anterior
Antibiotics
Antihistamine
Anxiet/y -ious
Aortic
Apnoea
Appendicitis
Appetite
Apprehensive
Appropriately
Approximately
Argued
Arrhythmia
Artery - Arterial
Arthritis
Artificial
Asbestosis
Asphyxiated
Aspirated
Aspirin
Assaulted
Assessment
Assist/ance -ed
Asthma/ tic
Ataxia - staggers
Atherosclerosis
Atrophy - withering
Attempts
Audible
Augmentin
Auscultated
Avulsion
Awkwardly
Axillary - armpit area
Bandage
Basal skull - base
Beneficiary
Bilateral
Biopsy
Bowels
Buttocks
Brachial
Bradycardia
Breath/ e
Bronchiodilator
Bronchitis
Campylobacter
P.R.F. Companion
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Poison Centre - 0800 764 766
Adults: 8 - 12.6 Stone = 50 - 80 kilograms.
Paracetamol (Syrup 250mg/5ml) 1 ml = 50 mg 1 gm (20 ml of 250 mg/5 ml) 50 - 80 kg 1.5 gm (30 ml of 250 mg/ 5ml) >80 kg
LMA = #4 for 50kg, #5 for >70kg
Estimating Paediatric Weights & Measures 1 - 10 years = 2 x (age + 4) = kilograms e.g. 3 yrs = 2 x (3 + 4) = 14 kgs 11 - 14 years = age x 3 HR = 150 - (age in yrs x 5) Systolic BP = (age in yrs x 2) + 90
NaCl. 0.9% = 20 ml per kg Glucose = 2 ml per kg Shock/Joules = 5j per kg
see Clinical Practice Guidelines for Paed Drug dosages.
Printing Instructions: Choose Fit to Printer Margins.
Print page 1, 3, and 5 only - i.e. odd pages only. Flip & shuffle so that page 1 is on top of 3 and 5 is on the bottom, and ... Print page 2, 4, and 6 only - i.e. even pages only. Printers with Duplex, choose long-side stapling Left. Fold them long-ways and staple along the spine. This will make a narrow 12 sided A4 booklet, portrait style.
11
10
Directional Terms & Locations
3
Cannula
Capillary
Cardiolog/y -ist
Cardiprin
Carpopedal - (hands)
Cartia tabs
Cataract
Catheter
Cellulitis
Cerebellar
Cerebral
Certif/y -icate
Cervical
Character
Chiropractor
Chloride
Cholecystitis
Cholesterol
Chronic
Circulation
Clavicle
Coagulation
Coccyx - tail bone
Collapsed
Colles’
Collision
Colonoscopy
Colostomy
Comfortably
Commode
Communicates
Compartment
Compensating
Complaining
Complexion
Compliant
Complicated
Compressions
Compromised
Concussion
Confused
Congestive
Conscious
Constipation
Constricted
Consulted
Continued
Contraceptive
Contusion - Bruising
Conversation
Convulsion
Cough
Crepitus
Croup
Cyanos/ed -is
Cyclist
Cyst
Deceased
Deceleration
Decreased
Defibrillat/e -ion
Deficit
Deficienc/y -ies
Deformit/y -ies
Degenerat/ive -ion
Dehydrated
Deliberate
Delirious
Demeanor
Dementia
Denied
Depression
Detected
Deteriorat/ed -ion
Determined
Deviated
Diabetic
Diagnosed
Dialysis
Diaphoretic sweating
Diaphragm/atic
Diarrhoea
Difficulty
Dilated
Discharge
Discolouration
Discrepancy
Disease
Disoriented
Dissecting
Disfigurement
Dislocated
Dissipated - dispersed
Distal
Disten/ded -tion
Distorted
Diuretic
Diverticulitis
Drowsy
Dysfunction
Dysphasia - can’t talk
Dyspnoea
Dystrophy - Muscular
Eclampsia
4
Ectopic
Eczema
Effect - what it did
Effort
Elbow
Electrocardiogram
Electrolytes
Embedded
Embolism
Emotional
Emphysema
Encephalitis
Endometriosis
Endotracheal
Enroute
Ensure
Entonox - N20/02
Environment
Epidural
Epigastric
Epiglottitis
Epilep/sy -tic
Epistaxis - nose bleed
Equilibrium - balance
Equivalent
Estimated
Eventually
Evidently
Exacerbat/ed -ion
Exsanguination
Exertion - effort
Exhausted
Experienced
Expirat/ion -ory
Exposure
Exsanguinated
Expectorate - spit
Extended
Extinct
Extremit/y -ies
Extricat/ed -ion
Faeces
Familiar
Fatigued
Febrile - feverish
Femoral Femur
Fetal
Fibula
Fidgety - restless
Flail
Flatulent
Flexion
Flixotide
Fluctuates ↑ ↓
Fontanelle
Foreign
Frequently
Frontal
Frothy
Frusemide
Gallbladder
Gastroenteritis
General/ly -ised
Gestation
Glaucoma
Gradually
Gravida - # of pregnancies
Guarantee
Guarding
Gynaecolog/y -ical
Haematemesis vomiting
Haematoma
Haematuria - in urine
Haemoglobin
Haemophilia
Haemoptysis - coughing
Haemorrhage
Haemorrhoids
Haemothorax
Hallucinations
Headache
Hemiplegia
Hepatitis
Hernia
Hesitant
Hiatus Hernia
Hospice
Hyperglycaemic
Hyperkalemia - ↑ K
Hypertension
Hypertrophy - enlarged
Hyperventilation
Hypochondriac
Hypothermia
Hypoxic
Hysterectomy
Hysterical
Immediately
Imminent
Immobilis/ed -ation
Impacting
Inadequate
Incapacitated
Incoherent
9
Paediatric
8
Dermatomes - The area of the skin supplied by a single, specific spinal nerve root. Loss of
sensation may indicate damage at that level.
Mean Arterial Pressure = Pulse Pressure + 1/3 Diastolic