Urban Dictionary of the ED

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HopefulERDOC

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The official Acronym and Euphemism thread. Post any acronyms and/or euphemisms, official or unofficial.
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There's another thread on this somewhere on here. I think its "medical terminology as spoken by the layperson", or something similar. Hilarious.
 
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RustedFox said:
There's another thread on this somewhere on here. I think its "medical terminology as spoken by the layperson", or something similar. Hilarious.
Click to expand...

Thanks, but that was more about what your patients say and use. I was trying to create a glossary to what ED physicians, nurses, emts, etc. say.
For example
POV would mean Privately Owned Vehicle
Homeboy Ambulance would mean the same thing ^^^

P.S its pretty cool to have DocB RustedFox and Birdstrike respond to one of my threads. Its nice to have major players on the forum respond to a junior members posts. Thanks.
 
Are you looking for more funny stuff, or serious acronyms?

Diesel therapy - telling EMTs/medics to book it to the hospital
5 and 2 (or 10 and 4, 10 and 2) - 5mg of haldol and 2mg of ativan for crazies
Percocetopenia - dx for drug seekers
Vitamin D - dilaudid
M and T - monitor and transport
PanScan - ct of head, neck, chest, AP for trauma
Migraine sufferer - drug addict
Dental pain - drug addict
Fibromyalgia - drug addict
Back pain - drug addict
Legitimate - prefix to the above 4 to indicate not a drug addict (not so much for fibro)
Weekend warrior - fat 40 somethings who mess up their knee/ankle playing football, etc
BHer, or PESer, or whatever your institution calls the psych service - crazy person (bee-aych-errr)
4 pack to go, or 6 pack to go - package of percocet or vicodin for the road
Pill in the pocket - pts who use fleccainide to try to convert themselves at home
Juice - electrical cardioversion
Milk of amnesia - propofol
Zithromax - a placebo given to people with viral URIs
HCF - hispanic cutie with fever (hispanics are sometimes stereotyped as not giving motrin/apap at home)
ICS - indian coronary syndrome - indians have tiny coronaries, prone to MI
bird - helicopter
Tune up - giving dehydrated old ladies some IVF
 
At my shop, we have the ability to "save" orders to "sets" in our order entry system, for ease of ordering our commonly ordered "batches" of tests/drugs. Typing in "RF-CHEST PAIN" automatically orders EKG, CXR, Trop, CBC, Chem-8, ASA 325mg, etc.

I have one labeled "Grandma-Gram", for those little old ladies that give no history besides "I can't put my finger on it, but I'm just not right."

CBC
BMP
B-type NP
EKG
TnI
UA
CXR
CT brain.
 
I use the identical same orders. Call it a SNF (Skilled Nursing Facility)-o-gram.

Last 2 patients I did this on this week were both having acute strokes, one ischemic and one hemorrhagic.... I really did do physical exams and the neuro exams were not specific. Patients don't read the textbooks.


RustedFox said:
At my shop, we have the ability to "save" orders to "sets" in our order entry system, for ease of ordering our commonly ordered "batches" of tests/drugs. Typing in "RF-CHEST PAIN" automatically orders EKG, CXR, Trop, CBC, Chem-8, ASA 325mg, etc.

I have one labeled "Grandma-Gram", for those little old ladies that give no history besides "I can't put my finger on it, but I'm just not right."

CBC
BMP
B-type NP
EKG
TnI
UA
CXR
CT brain.
Click to expand...
 
witzelsucht said:
Migraine sufferer - drug addict
Dental pain - drug addict
Fibromyalgia - drug addict
Back pain - drug addict
Legitimate - prefix to the above 4 to indicate not a drug addict (not so much for fibro)
Click to expand...

+1
Sad, but still, +1


witzelsucht said:
Zithromax - a placebo given to people with viral URIs
Click to expand...

+1
Even more sad, because this one's our fault.
 
witzelsucht said:
Are you looking for more funny stuff, or serious acronyms?

Diesel therapy - telling EMTs/medics to book it to the hospital
5 and 2 (or 10 and 4, 10 and 2) - 5mg of haldol and 2mg of ativan for crazies
Percocetopenia - dx for drug seekers
Vitamin D - dilaudid
M and T - monitor and transport
PanScan - ct of head, neck, chest, AP for trauma
Migraine sufferer - drug addict
Dental pain - drug addict
Fibromyalgia - drug addict
Back pain - drug addict
Legitimate - prefix to the above 4 to indicate not a drug addict (not so much for fibro)
Weekend warrior - fat 40 somethings who mess up their knee/ankle playing football, etc
BHer, or PESer, or whatever your institution calls the psych service - crazy person (bee-aych-errr)
4 pack to go, or 6 pack to go - package of percocet or vicodin for the road
Pill in the pocket - pts who use fleccainide to try to convert themselves at home
Juice - electrical cardioversion
Milk of amnesia - propofol
Zithromax - a placebo given to people with viral URIs
HCF - hispanic cutie with fever (hispanics are sometimes stereotyped as not giving motrin/apap at home)
ICS - indian coronary syndrome - indians have tiny coronaries, prone to MI
bird - helicopter
Tune up - giving dehydrated old ladies some IVF
Click to expand...

-We used to call it a B-52 (2 ativan and 5 haldol w/ 25 diphenhydramine).

-So true.

Others:

TLC - thorazine, lorazepam, compazine
Paint - betadine
Vitamins - A- Ativan, D- Dilaudid, H- Haldol, K- Ketamine, V- Valium, Z- Zoloft
Acute Lead Poisoning - gun shot
Concrete Poisoning - fall
Chocolate Hostage - constipation
Code Brown - fecal incontinence
Code Yellow - urinary incontinence
Creepers - geriatrics using walkers and wheelchairs
Fruit Salad - stroke patient unable to take care of themself
Urban Outdoorsman - homeless
Lobster - sunburned patient
ATD - Acute Tylenol Deficiency (minor fever or head cold)
VOMIT - Victim Of Modern Imaging Technology (invasive procedures for false positives)
FABIANS - Felt Awful But I'm Allright Now Syndrome
CHAOS - Chronic Hurts All Over Syndrome
JACOBS - Just A Couple Of Beers Syndrome
MTF - Metabolize to Freedom (let the person sober up, and then they can leave)
HONDA - Hypertensive, Obese, Non-compliant, Diabetic African-American
JAFFA - Just Another Fat, F***ing Administrator
HI 5 - HIV+
 
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I think I found this list while lurking the EM forum a few months back: http://www.messybeast.com/dragonqueen/medical-acronyms.htm

Samples from said list:
Brothelizer test - microbiology test (on swab or sample) requested by the Genito-Urinary Clinic or STD clinic to check for sexually transmitted diseases. A positive test result means the patient has "failed the brothelizer test".

COSMONAUT - Cat Owner, Smells, Made Of Nuts And Used Tampons ("mad cat lady" with poor hygiene and body odour)
 
From the tox side of things:

NUTS = No Underlying Tox Syndrome (all those wackos who think they're being poisoned, or think their fibromyrearendia *isn't* psychological, it *must* be some rare chemical I read about on the interwebs and my doctor thinks I'm crazy, so I won't take the zoloft)... always worth a chuckle. d=)

PeaNUTS = Pediatric NUTS. Same deal, but occasionally Munchausen-by-proxy for secondary gain. d=(

Sent from my DROID BIONIC using Tapatalk
 
I live/work in Florida, and we have a large Latin American population.

One of my favorites:

"Status Hispanicus" = Either of the following:

1.) Histrionic female having full-on Telemundo-style anxiety attack, complete with *back-of-hand-over-forehead* and all that drama.

or

2.) Pain that is being expressed as follows: Aye ! .... Aye ! ... Aye !.. AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE (status is achieved when the "aye"s become self-sustaining).

On a related note: I see a lot of (option 1, above) come in via EMS, and they're almost inevitably obese (BMI of around 35 or so) and wearing clothes that are entirely too tight for them, and they're running around in the Florida sun/humidity. Makes limited sense. If I were a fat guy, I would make sure that I dressed in loose-fitting clothes. Period.
 
Also, tip of the hat to daiphon for having "one should never underestimate the predictability of stupidity" in his signature.

For those who don't recognize the quote, its a line from the Guy Ritchie film "Snatch", which is a crime caper comedy about bungling London underground diamond thieves, illegal boxing rings, etc. Toughman actor Vinnie Jones (also known as "Juggernaut" from the X-men films, "Sphinx" from "Gone in 60 Seconds" and various other toughguy roles) recites the line after a prized diamond falls predictably right back into his hands.

That film should be required viewing for members of this forum.
 
supratentorial - refers to symptoms that are not real but are being created in the defective tissue above the patient's tentoral membranes.

incarceritis - symptoms that develop to avoid going to jail.

BBB2B - base ball bat to body

BBB2H - base ball bat to head

tacylordia - a malady experienced by excited LOLs resulting in the victim screaming "Lordy, lordy, lordy..." over and over. Often followed by a fully conscious syncopal episode.
 
Can't talk about Snatch without mentioning Pikeys (gypsies) which Brad Pitt is in the film.

The soundtrack is also awesome.
 
RustedFox said:
Also, tip of the hat to daiphon for having "one should never underestimate the predictability of stupidity" in his signature.

For those who don't recognize the quote, its a line from the Guy Ritchie film "Snatch", which is a crime caper comedy about bungling London underground diamond thieves, illegal boxing rings, etc. Toughman actor Vinnie Jones (also known as "Juggernaut" from the X-men films, "Sphinx" from "Gone in 60 Seconds" and various other toughguy roles) recites the line after a prized diamond falls predictably right back into his hands.

That film should be required viewing for members of this forum.
Click to expand...

+1

Sent from my DROID BIONIC using Tapatalk
 
RustedFox said:
I live/work in Florida, and we have a large Latin American population.

One of my favorites:

"Status Hispanicus" = Either of the following:

1.) Histrionic female having full-on Telemundo-style anxiety attack, complete with *back-of-hand-over-forehead* and all that drama.

or

2.) Pain that is being expressed as follows: Aye ! .... Aye ! ... Aye !.. AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE (status is achieved when the "aye"s become self-sustaining).
Click to expand...

Up in Chicago, we agree on #1; but refer to #2 as "Aye Tach" & "Aye Fib" (once they're sustained). d=)

Cheers!
-d

Sent from my DROID BIONIC using Tapatalk
 
"Dirty 30". a urine screen for gc/chlamydia. requires 30 cc of urine without prep and first void(thus dirty).

indication for amoxicillin? presence of a child or more specifically absence of bacterial infection.

Skank factor. the reason you tx some folks with MRSA with doxy instead of septra...you know, for the probable chlamydia.
 
One thing I've noticed is that this thread and the other one makes me realize how many liars I've worked with who claimed they "invented" some of these terms, or had some of these things happen "personally"
 
EtOH

We all take this one for granted but it's really powerful and we use it a lot every day. If they're conscious they'll get agitated if someone says they're drunk or intoxicated. But everyone from EMS to the admitting doctor can use EtOH almost with impunity.
 
Penistaxis (think epistaxis).
(as opposed to hematuria).
Penistaxis is what you get when you are on coumadin with an inr of 3 and tear your urethera during intercourse....guy almost bled out through his penis....almost had to get trauma to take this guy because the lazy ass hmo urologist said he didn't come in for "hematuria".....
 
docB said:
EtOH

We all take this one for granted but it's really powerful and we use it a lot every day. If they're conscious they'll get agitated if someone says they're drunk or intoxicated. But everyone from EMS to the admitting doctor can use EtOH almost with impunity.
Click to expand...

That stands for Extremely Trashed Or Hammered, right?

I'm surprised nobody mentioned SOCMOB yet.
 
HADN = Hangin Around Doin Nuthin. As in I was Hangin Around Doin Nuthin and this cop/brother/dude/BigMamma shot/stabbed/hit me for no darn good reason.

2nd Cousin to SOCMOB.
 
docB said:
EtOH

We all take this one for granted but it's really powerful and we use it a lot every day. If they're conscious they'll get agitated if someone says they're drunk or intoxicated. But everyone from EMS to the admitting doctor can use EtOH almost with impunity.
Click to expand...

I used this the other day with a non-medicine friend and got a blank stare - as often as we use it, it's easy to forget its not really understood outside medicine.
 
Okay, just for the record SOCMOB means standing on corner minding own business. Just asking though. What exactly does a b 52 do
 
B-52 stands for (25mg of Benadryl aka Diphenhydramine + 5 mg of Haldol aka Haloperidol + 2 mg of Ativan aka Lorazepam).

It is a magic elixer that is used to turn violent drunk trashy patients into sleeping beauties.
 
As an aside on this tangent I usually give a "B 25." I hate sedating drunks because then they take even longer to metabolize. If I can get them off to sleep with out adding to their MTF time it's better. To that end I start with lower doses. I give Ativan 2, Benadryl 25 and Haldol 2.5. I think Ativan is that cleanest of those meds so full dose on that, half on the other two. If I have to redose it I give the same 2,25 and 2.5 again. I have pretty good luck with it. Fortunately for me my nurses are very comfortable with violent drunks and are ok dosing and waiting and redosing if necessary.
 
bad virus said:
B-52 stands for (25mg of Benadryl aka Diphenhydramine + 5 mg of Haldol aka Haloperidol + 2 mg of Ativan aka Lorazepam).

It is a magic elixer that is used to turn violent drunk trashy patients into sleeping beauties.
Click to expand...

Sorry to hijack my own thread 😀 but do you guys have those premixed or do you have mix them every time. I am sure you guys use those a lot.
 
HopefulERDOC said:
Sorry to hijack my own thread 😀 but do you guys have those premixed or do you have mix them every time. I am sure you guys use those a lot.
Click to expand...

Lol, why are you so apologetic, relax and have some fun.

To be honest, the times when I've seen it administered, the nurses gave them separately in three different shots.

I am not sure if the chemicals have some solubility issues, as in can they be mixed or not. We need to do either one of two things, the merk manual or ask someone else like a nurse.

On another note, to be truthful, I don't remember my attendings ordering it that much and I only ordered it once in my three months of ED rotations.
 
HopefulERDOC said:
Sorry to hijack my own thread 😀 but do you guys have those premixed or do you have mix them every time. I am sure you guys use those a lot.
Click to expand...

2 syringes usually. 2 of the meds can't be mixed from what they've told me.
 
HopefulERDOC said:
Sorry to hijack my own thread 😀 but do you guys have those premixed or do you have mix them every time. I am sure you guys use those a lot.
Click to expand...

bad virus said:
Lol, why are you so apologetic, relax and have some fun.

To be honest, the times when I've seen it administered, the nurses gave them separately in three different shots.

I am not sure if the chemicals have some solubility issues, as in can they be mixed or not. We need to do either one of two things, the merk manual or ask someone else like a nurse.

On another note, to be truthful, I don't remember my attendings ordering it that much and I only ordered it once in my three months of ED rotations.
Click to expand...

EM2BE said:
2 syringes usually. 2 of the meds can't be mixed from what they've told me.
Click to expand...

Never seen it premixed. I never used it in residency. We had droperidol then. As a single agent droperidol is great.
 
RustedFox said:
I live/work in Florida, and we have a large Latin American population.

One of my favorites:

"Status Hispanicus" = Either of the following:

1.) Histrionic female having full-on Telemundo-style anxiety attack, complete with *back-of-hand-over-forehead* and all that drama.

or

2.) Pain that is being expressed as follows: Aye ! .... Aye ! ... Aye !.. AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE-AYE (status is achieved when the "aye"s become self-sustaining).
Click to expand...

In my neck of the woods, both would be classified as 'total body dolor'
 
RustedFox said:
That film should be required viewing for members of this forum.
Click to expand...

Bullettooth Tony is worth almost as many quotes as the movie "Tombstone."
Bringing out the Dead is another one everyone should watch. Mildly intoxicated anyway.

To add

SPAK: Status Post Ass Kicking
Tachylordia with junctional Jesus: LordyLordyLordyLordyLordyLordyLordyLordyLordyLordyJESUSLordyLordyLordyLordyLordyLordy
Hyphenated Fever: Cute normal looking hispanic child with 30 layers of clothing on in July with temp 99.3
DFO: Done fell out
Vomicking: Vomit that comes through the nose
 
Wood Shampoo = baseball bat vs. cranium
Troll = any patient that is painful to deal with (degree of burnout can be easily assessed by seeing who the term gets applied to, only senior residents or attendings should use it in reference to the under 2 yo set)
Goosed = placing the ETT in the esophagus
 
TFTB = too fat to breathe, change B to W and it's to walk

positive suitcase sign = patient already has his/her dispo in mind
 
From my time in a Peds ED

FTP-first time parent ( the ones who come in for every sniffle)

TSTP-too stupid to parent ( the ones where all you can say is "really?")

Pomona-pneumonia ( as in, "he got the Pomona")

Sugarbetes- DM



Also, I can't help myself when I ask what brought a pt in today and the story begins with " what had happened was" or includes the word " allegedly"
 
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