Emergency Medicine Mnemonics Aaron Tjomsland

Think of a WWF player getting hit by a Coke bottle in the hip. WWef
- Weight bearing issues
- WBC >12
- ESR >40
- Fever >38.5

Score of 1 = 3%, 2=40%, 90+ for 3 and 4

ALSO, REMEMBER TO GET A CRP!

B blockers

ACE

Diuretics (K sparing)

ARB

NSAID

Trimethoprim

Remember the IG poop toilet paper exchange prank…kids got pain way out of proportion screaming & running to the sink.

Imagine wiping peanut butter on the kids neck….

Messy NEC CID

Messy( risk factors atherosclerotic disease = mess)

NEC
-nuts
-extremity
-“C” food… seafood

Comp
Ischemic limb
Dislocation



1. Mesenteric Ischemia:
- Vascular occlusive emergency
- Varied presentation, including severe pain and associated vomiting or hematochezia
- Pain may not worsen with abdominal palpation
- Only 25% will have hemoccult-positive stool

2. Necrotizing Fasciitis:
- Type I: NUTS: Polymicrobial, trunk and perineal area, associated with immunocompromised states (DM, etc)
- Type II: Extremity: Streptococcus pyogenes +/- Staphylococcus aureus, occurs in healthy, young, immunocompromised hosts, located on extremities
- Type III: “C” food… seafood: Vibrio vulnificus, least common, associated with exposure to warm seawater and severe liver disease
- Signs and symptoms include erythema, pain beyond erythema, swelling, crepitus or necrosis, induration, bullae, fever, and hypotension

3. Compartment Syndrome:
- Clinical condition caused by fractures, soft-tissue injuries, burns, or circumferential dressings
- Commonly affects young people, especially with high-energy injuries
- Main symptom is severe pain out of proportion to the injury
- Other symptoms include pallor, paresthesia, paresis, and pulselessness (late findings)
Get someone to check compartment pressures!

4. Ischemic Limb:
- Document neurovascular status, color, and temperature
- Associated with compromised blood flow to the limb
- Assessment includes examination of pulses, skin color, and temperature

*Concerned but has thready pulse: Doppler, ABI & CT angiogram limb

5. Acute Joint Dislocations:
- Common in wrist, hip, and ankle joints
- Assess for dislocation along with fractures on X-rays

Wakefulness
Warmth
Wee
Wactate

If BP low these show adequate circulation

My absolute favorite podcast of all time!

Classification of brain injury via GCS:
8 = severe brain injury
9-12 = moderate
13-15 = minor

LADS:

Laxitives
Adrenaline
Diuretics
Steroids