Systems sieve
Acronym
Vitamin CDEF Vascular Infection Trauma/toxic Autoimmune Metabolic Iatrogenic Neoplastic
Congenital
Degenerative
Endocrine
Functional
Kawasaki
Clinical diagnosis
Crash and burn Conjunctivitis Rash Adenopathy Strawberry tongue Hands and feet Burn (fever over 5d)
Mental state exam
Aseptic Appearance Speech Emotion (mood/affect) Perception (hallucinations) Thought (disorder/content) Insight and judgement Cognition
Cardiac arrest
PAHTs
Pads
Airway
H+Ts
H+Ts
Cardiac arrest
Hypoxia
Hypocolaemia
Hyperkalaemia
Hypothermia
Thrombus
Tension
Tamponade
Toxin
ROSC
Management
BOXES Bloods Obs XR (+/-NGT) ECG Somewhere safe (ICU/cath lab)
Sepsis 6
Take 3, give 3
Take; Lactate, cultures, urine OP
Give; O2, Abx, IVF
Acute Asthma
Managment
OSHITME Oxygen Salbutamol + Ipratropium Hydrocortisone Theophylline: Aminophyline (5mg/kg load 20min) Magnesium (2g over 10min) Escalate
Trauma hand over
ATMIST Age Time MOI (mechanism) Injuries Signs (ABCDE) Treatment given
Rapid history
AMPLE Q Allergies Medications /Tx PMH Last ate/LMP Event
QoL
RSI checklist
SPEEDBOMB
Suction Personel; names, help Equipment ETCO2 Drugs Bed; position, tilt O2; etO2>90 Monitor Brief: ABCD
Medical ATMIST
Age Time Medical complaint Investigations Signs Treatment (allergies)
Causes of Delirium
PINCH ME
Pain Infection Nutrition (alcohol) Constipation Hydration Medication Environment and electrolytes
ATMIST
Medical Cardiac arrest
Age Time Medical cardiac arrest Ix: shockable/non Signs: likely cause, bystander CPR Tx: adrenaline/ amiodarone/ shocks
Teenager social Qs
HEADSSS Home Education Activities Drugs Sex Safety Suicide
Abdominal pain
Ddx
Pregnancy, pancreas AAA, appendix Kidney stone/ UTI Ischaemia x2 Bleed x2 Obstruction/hernia Torsion