A

Airway

Anaphylaxis

3A Anaphylaxis Angioedema Aspiration

Abdominal inflammation

A. S.H.O.C.K.E.D. for causes of shock/ elevated lactate

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7 As of management of mesenteric ischemia

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A.I.O.P. for “surgical” abdominal pain

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5 As for pharmacological management of dysrhythmia

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B

Breathing

B.P.S. for evaluating perfusion/ diagnosing shock

C

Circulation

C BIG DRop in hyperkalemia

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D

Disability

Drugs

E

Exposure

Endocrine

F

G

G.E.M. for very quick neuroexam in crashing patient

G.R.E.A.T. for occult major bleeding

GREAT sites to bleed

H

Hypovolemia/ Hemorrhage

6H’s of cardiac arrest: Hypoxia, Hypovolemia/Hemorrhage, Hyperkalemia/Hypokalemia, Hypothermia, Hydrogenemia (Acidosis), Hypoglycemia

I

Ischemia

Infection

J

JTC bias: Jumping-to-Clonclusions bias

https://en.wikipedia.org/wiki/Jumping_to_conclusions

K

K.U.L.T. for anion-gap metabolic acidosis

Ketoacidosis

L

Lactic acidosis

M

Metabolic

4 Ms of dysrhythmia

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N

O

Obstruction

O.P.I.A.T.E. for severe abdominal/ flank pain

*Perforation: Peritoneal carcinomatosis is a risk factor for perforation. 4Q-itis= inflammation in 4 abdominal quadrants as appendicitis (RLQ, epigastric, umbillical), diverticulitis (LLQ, hypogastric), cholecystitis(RUQ, Rt hypochondriac) is a risk factor for perforation with peritonitis. In pts with cirrhosis consider SBP.
*RPH: consider spontaneous retroperitoneal bleed RPH in all pts on anticoagulation incl DOAKs
*Thoracic: consider ACS esp. in epigastric abdominal pain

Ö

P

Perforation

5 Ps before diagnosing AECOPD

Q

R

S

Sepsis (=severe infection)

Structural

6 S of pain in aortic dissection

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S.C.A.N. before you scan a patient with reduced LOC/AMS

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So ein S.C.H.I.E.T. for common badness

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S.H.I.T. for shit happens

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16 S in AMS

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T

Thrombosis: ACS, PE

Toxins/ toxic alcohols

4Ts of (sudden) hypoxia +/- hypotension: (1) Tachy- & Bradycardia, (2) Thrombosis: ACS, PE (3) Tamponade (4) (Tension) pneumothorax

T’s of cardiac arrest: Thrombosis (ACS,PE), Tamponade, Tension pneumothorax, Toxins

5 Ts taking history (from patients, relatives, EMS)

U

Übe all emergencies!

V

W

X

Y

Z