Favorite EM Mnemonic

Discussion in 'Emergency Medicine' started by corpsmanUP, Apr 22, 2007.

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  1. corpsmanUP

    corpsmanUP Senior Member 7+ Year Member

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    In all seriousness, what is your favorite and most useful EM mnemonic? What is your favortie mnemonic link? I am finding them to be more useful than I ever imagined.

    I'll start

    Carpal Bones

    Sally Lowered Tommy's Pants, He C*me Three Times
     
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  3. Tiger26

    Tiger26 Senior Member 10+ Year Member

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    Slightly different order, but: "Some Lovers Try Positions That They Can't Handle"

    Pretty funny when the 4th year anatomy elective students were helping us out in lab and none of them could remember the bones themselves, but all knew the mnemonic.
     
  4. Blue Dog

    Blue Dog Fides et ratio. SDN Advisor 10+ Year Member

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    Premature ejaculation? Sounds Like Tommy Could Try Titrating His Paxil. ;)
     
  5. USAF MD '05

    USAF MD '05 Just another dumb ER doc. 7+ Year Member

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    across the pond
    1.SPAK- status post ass-kicking

    2.PPP- piss-poor protoplasm

    Steve
     
  6. ADASTW- Arrived dead and stayed that way
     
  7. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner SDN Moderator 10+ Year Member

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    DFO



    Done Fell Out.
     
  8. EM2BE

    EM2BE Elf 7+ Year Member

    SOB...well now phased out of the hospital back home. Pt or pt's family heard the abbreviation when the paramedics were reporting in and thought they were calling them sons of...well you know. Now the paramedics are supposed to use SOA (short of air) so that they don't offend the pts that know the truth.
     
  9. AmoryBlaine

    AmoryBlaine the last tycoon 7+ Year Member

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    That's sort of like using "black" in field triage. A fireman told me a story one time about ariving at a multiple-victim scene that happened to involve African-Americans. Apparently, finding an obviously dead AA man and skipping over him while saying "this one is black" is not a good way to please a crowd.
     
  10. canjosh

    canjosh 7+ Year Member

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    DFOA=Done Fell Out AGAIN

    DRT/ART=Dead Right There/Approaching Room Temperature

    AFWAP=Another Female With Abdominal Pain

    VAD=Vitamin A(ativan) Deficiency
     
  11. Blue Dog

    Blue Dog Fides et ratio. SDN Advisor 10+ Year Member

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    Why bother changing the acronym? "Dyspneic" has the same number of syllables as either, and is a lot easier to use conversationally.
     
  12. Dr.Evil1

    Dr.Evil1 Senior Member 7+ Year Member

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    I asked for mnemotics on sedation a while back and got some of my personal favorites:

    Obvious: B-52 or 5 and 2 = 5mg of haldol and 2mg of ativan

    Not so obvious: HAM sandwich = haldol, ativan and morphine
     
  13. GeneralVeers

    GeneralVeers Globus Hystericus 10+ Year Member

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    TMD - Total Me Duele

    OTD - Out The Door (my favourite)
     
  14. po' boy

    po' boy Senior Member 10+ Year Member

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    HONDA - Hispanic Obese Non-insulin dependent Diabetic with Asthma

    not one I use but which i have heard and thought was interesting. call it a Don Imus-ism.
     
  15. Jeff698

    Jeff698 Chief Resident 10+ Year Member

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    Or the Texas version: Dead Raght Thar.

    Take care,
    Jeff
     
  16. southerndoc

    southerndoc life is good Moderator Emeritus Lifetime Donor 10+ Year Member

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    GOMER - Get Outta My ER
    STD - Spinning the Drain (also CTD, Circling the Drain)
    GYD - Grave Yard Dead
     
  17. spyderdoc

    spyderdoc Moderator Emeritus Lifetime Donor 10+ Year Member

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    How about "Triple I" chest pain. (Aiiii Aiiii Aiiii). Typically an early 20's-30's Hispanic female....
     
  18. GeneralVeers

    GeneralVeers Globus Hystericus 10+ Year Member

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    We refer to that as "Aye Tach" or AT. In many cases it's terminal.
     
  19. stoic

    stoic "Time you enjoy wasting, was not wasted" Lifetime Donor 10+ Year Member

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    this one isn't EM specific, but I'm studying and just ran across it in first aid:

    Drugs causing gynecomastia: Spironoloctone, Digitalis, Cimetidine, Alcohol use, Ketoconazole

    -Some Drugs Create Awesome Knockers
     
  20. DrQuinn

    DrQuinn My name is Neo Moderator Emeritus 10+ Year Member

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    Got this one from Ken Butler at Univ of MD (regional airway expert):

    before intubating, try to SOAP ME:

    Suction
    Oxygen
    Airway Equipment
    Pharmaceuticals

    Monitoring/Equipment

    Q
     
  21. igcgnerd

    igcgnerd Hawkeye 10+ Year Member

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    fff: fat, fertile, and forty
     
  22. Jeff698

    Jeff698 Chief Resident 10+ Year Member

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    Similar to the dreaded tachylodya with an occasional ohhepmejesus.

    oh lordy oh lordy oh lordy oh hep me jesus oh lordy oh lordy oh lordy

    Take care,
    Jeff
     
  23. dr7123sa

    dr7123sa

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    Mentally rearded cerebral palsy :)
     
  24. NKMU

    NKMU Senior Member 10+ Year Member

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    DFOIC- major subtype of DFO


    Done fell out in church.

    Ex: 83yo LOL DFOIC.
     
  25. corpsmanUP

    corpsmanUP Senior Member 7+ Year Member

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    Well I suppose I should have clarified that the mnemonics be useful for everyday ED life. But I did enjoy reading these!
     
  26. SoCuteMD

    SoCuteMD 10+ Year Member

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    No more rounding!
    There are actually 4 f's - fat female fertile and forty
     
  27. dchristismi

    dchristismi Gin and Tonic 10+ Year Member

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    A path professor of mine would actually make it the 7 f's - adding "flatulant floating feces" to the 4 f's already mentioned.
     
  28. Homunculus

    Homunculus SDN Caveman Administrator SDN Moderator 10+ Year Member

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    i read somewhere on this board before about "status hispanicus". i thought it was pretty funny.

    --your friendly neighborhood ED consulting caveman
     
  29. GeneralVeers

    GeneralVeers Globus Hystericus 10+ Year Member

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    Also known as "Hispanic Panic" by a former Cuban resident I worked with.
     
  30. Nuke Rx

    Nuke Rx

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    Somewhat OT, but...the essential amino acids (ones our body can't synthesize)

    Very Lazy Is The Man Leaving Pecker Tracks!

    Valine
    Leucine
    Isoleucine
    Threonine
    Methionine
    Lysine
    Phenylalanine
    Tyrosine
     
  31. Or "Cuban conniptions" to quote a Cuban pulmonologist I used to work with.....
     
  32. I've also alternatively heard a fifth "f"- fried, in reference to the fact that in some patients greasy foods trigger gallbladder attacks.

    I was also taught six "f's" that can cause distention of the abdomen: fluid, flatulence, fat, feces, fibroid (tumor), fetus
     
  33. sleepymed

    sleepymed The white Hard24Get 7+ Year Member

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    I know the five Fs of gall bladder disease, just one addition:

    Female, fat, fertile, forty, fair
     
  34. Hawkeye Kid

    Hawkeye Kid Senior Member 10+ Year Member

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    a couple for sycope...

    CHESS from the san fran rules for risk stratifying/admitting sycope pts
    CHF
    Hb < 30
    EKG abn
    SBP < 90
    SOB

    also, CRAPS for "bad" causes of syncope

    Cardiac structural defects (AS, HOCM)
    Rupture (aorta, viscus, ectopic)
    Arrythmia
    PE
    SAH
     
  35. MS05'

    MS05' Senior Member 7+ Year Member

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    DTPL - Discharge To Parking Lot

    Offservice with the trauma team:
    OTFL - Off The F'n List
    LOFD - Looks Okay From Door
     
  36. anonymousEM

    anonymousEM Senior Member 10+ Year Member

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    How about the 6T risk factors for snakebites...

    Toothless, Testosterone, Tank Top, pickup Truck, Tatooed, inToxicated

    if you can't remember all of that, a low tooth to tatoo ratio is a pretty good predictor too....
     
  37. El Cheba

    El Cheba New Member 5+ Year Member

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    BARF-Brainless Application of Radiological Finding

    VOMIT-Victim Of Medical Imaging Technology
     
  38. GeneralVeers

    GeneralVeers Globus Hystericus 10+ Year Member

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    I like that BARF one. I've had so many paranoid attendings freak out when a radiologist reads a scan as normal but adds: "Cannot rule out xxx life-threatening condition xxx, clinical correlation is recommended".
     
  39. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner SDN Moderator 10+ Year Member

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    I really wish I could dictate in my report "patient has _______ physical finding, cannot rule out _______, radiological correlation is recommended."
     
  40. Chronic Student

    Chronic Student So Fresh, So Clean 5+ Year Member

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    I read through the thread twice and I can't see where anyone has mentioned:

    SOCMMOB

    As in, I was "Standing On the Corner Minding My Own Business" when these two dudes jumped me and put a lone star beer bottle up my rear end.

    -Mike
     
  41. leviathan

    leviathan Drinking from the hydrant Moderator Emeritus 10+ Year Member

    I wonder what the sensitivity this has for myocardial ischemia. I smell a study! (OK, not really.)
     
  42. Orthonut

    Orthonut Garryowen 5+ Year Member

    Do you TTJ these patients? (Transfer To Jesus)

    See, why couldn't we have had this one? That would have made things a lot simpler, but OH NO, we had to be politically correct and use "VAL PLIT HIM" (what the heck does THAT stand for? nothing, I'll tell you, NOTHING)
     
  43. stoic

    stoic "Time you enjoy wasting, was not wasted" Lifetime Donor 10+ Year Member

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    !. I had my first "triple i/ hispanic panic" pt not but a couple weeks ago. screaming because of "chest pain," but couldn't find anything wrong. it sticks out 'cause the ED was pretty quiet and this pt showed up and screamed for 20 minutes or so.


    anyway, this one's not a pneumonic. it's more of a poem. but it's on my test in a couple hours, so here it is.

    Signs/Sx of Anti-Ach Toxicity:

    dry as a bone,
    red as a beet,
    blind as a bat,
    hot as a hare,
    mad as a hatter,
    bowel and bladder lose their tone,
    and the heart goes on alone.
     
  44. Perrin

    Perrin sittin in the morning sun 10+ Year Member

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    Point and shoot.

    Point - parasympathetic = erection
    Shoot - sympathetic = ejaculation

    Not very knowledge heavy, but funny how it worked out that way. :D
     
  45. Dakota

    Dakota Senior Member 10+ Year Member

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    Does this really come up in the emergency setting very often? Ok, I concede there are those "I ate 18 viagra and have had an erection lasting 12 hours" patients.
     
  46. disheveled_dave

    disheveled_dave disheveled_dave 7+ Year Member

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    FOS - "Full of sh*t"

    This one gets used a lot, especially with the malingerers in the psych unit :rolleyes:
     
  47. Jeff698

    Jeff698 Chief Resident 10+ Year Member

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    Not to mention all the elderly patients for whom this is a real complaint.

    Take care,
    Jeff
     
  48. NinerNiner999

    NinerNiner999 Senior Member 10+ Year Member

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    Where it's at.
    Venous Penis (good way to remember where the femoral vein is next to the artery)

    SITA (Shot in the ass)
    PITA (pain in the ass)

    (SITA=PITA)
     
  49. tkim

    tkim 10 cc's cordrazine 10+ Year Member

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    I use "Dick VAN" (****) - for those who know who he is.
     
  50. Therapist4Chnge

    Therapist4Chnge Neuropsych Ninja Faculty Moderator Emeritus 10+ Year Member

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    I came across this thread in a random google search, and I felt like it deserved a bump....though I could have used this post above earlier! Btw....I added Risperdal.

    -t
     

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