12

ABBREVIATIONS AMI = Acute Myocardial Infarction

Ax = Axillary (near Armpit)

A.T.N.R. = Amb. Tx Not Required

BM = Bowel Movement

Ca = Cancer

CORD = Chronic Obstructive Respiratory

Disease was COPD and COAD

Ds & Vs = Vomiting & Diarrhoea

DVT = Deep Vein Thrombosis

ETA = Estimated Time Of Arrival

ETOH = Alcohol

FAST = Face Arms Speech Time

FHx = Family History

GTN = Glyceryl Trinitrate Nitrolingual Spray

HR = Heart Rate

IPPV =Intermittent Positive Pressure Ventilations JVD = Jugular Venous Distention

LOC = Level Of Consciousness

mmol = Millimole, glucose m/mnt

MOI = Mechanism Of Injury

N20/02 = Entonox

NaCl = Sodium Chloride (0.9%)

NSR = Normal Sinus Rhythm

O/a = On Arrival

O/e = On Examination

Palp = Palpation /p

PERL = Pupils Equal, React to Light

PmHx = Past Medical History

PND = Paroxysmal Nocturnal Dyspnea

PO = Per Orally, by mouth

PRN = As Required

Pt = Patient

PVC = Premature Ventricular Contraction

RLQ = Right Lower Quadrant

PR = Per Rectum (PR Bleed)

RR = Respiratory Rate

SOB = Short Of Breath

SOBOE = Shortness of Breath On

Exertion

SpO2 = Saturation of Peripheral Oxygen

SVT = Supraventricular Tacycardia

Sx = Signs & Symptoms

TIA = Transient Ischaemic Attack

TKVO = To Keep Vein Open

UO = Urine Output

VF = Ventricular Fibrillation

VT = Ventricular Tachycardia

w/ = With, also •/c

w/o = Without

/24 hrs, /7 days, /52 weeks, /12 mths ? = Query or Possible

↑ Increased

↓ Decreased

→ Led to

P1 - G2 =1 birth - 2 pregnancies

♂ Male

≠ Not equal

≈ Approximately

< Less than

> Greater than

# Fracture

Ø Nil, Nothing, Zero Therefore

PNEUMONICS Patient Handover

M.I.S.T.

M = MOI - Describe it.

I = Injuries - Describe the

obvious injuries.

S = Sx - Describe Vital signs

and any abnormal

signs and symptoms.

T = Rx - Describe your

treatment, what you

have done to the

patient.

Causes of Unconsciousness

A = alcohol, acidosis/alkalosis

E = endocrine, electrolytes,

epilepsy, environment. I = insulin (hyperglycaemia or

hypoglycaemia) O = overdose, oxygen (hypoxia)

U = uraemia (and other metabolic

abnormalities for example

hyponatraemia or hypothermia) T = trauma, tumour, temperature

I = infection, intracranial pressure

P = poisoning, psychosis

S = seizure, syncope, stroke, sepsis,

shock Limb Baselines

C = Colour - Capillary Refill

W = Warmth

S = Sensation

M = Movement

P = Pulse - Distal (beyond #)

Pain Assessment

P = Provoke

Q = Quality (type)

R = Region

S = Severity ( /10)

T = Time

Medical Assessment

S = Sign & Symptoms

A = Allergies

M = Medications

P = Past Medial History

L = Last Meal

E = Events Prior

PRF should contain:

C = Chief Complaint

H = History, both Past & Present

A = Assessment (O/e)

T = Treatment

T = Transport enroute changes

and the effects of drugs.

Baselines

L.O.C. = /15

Pupils = Size, Equality, Reaction,

R.R. = Rate, Rhythm, Depth,

H.R. = Rate, Regularity, Strength

Skin = Temperature, Colour,

Moisture, Turgor (tenting).

Version 2.4 - November 2017

1

Abdomen Amputation

Abdominal Anaemic

Abortion Anaesthetics

Abrasions Analgesia

Abscess Anaphylactic

Absorbed Anaphylaxis

Absorption Aneurysm

Accessory Angulation

Accumulation Antibiotics

Accurate Antihistamine

Acetone Anxiety - ious

Ache Aortic

Achilles tendon Apnoea

Acquired Appendicitis

Adequate Arrthymia

Admission Arterial

Adrenaline Arthritis

Advised Artificial

Aggressive Asbestosis

Agitated - ion Asphyxiated

Agricultural Aspirated

Alcohol Alco-

holic

Aspirin

Allergic reaction Assaulted

Alzheimer’s Assessment

Ambulant /walks Asthma

Ammonia Asthmatic

Amnesia Ataxia

Abdom/en -inal

Abortion

Abrasions

Abnormal/ ity

Abortion

Abruptio placentae

Abscess

Absence

Absorbed

Absorption

Accessory

Accident/ ally

According

Accumulation

Accurate

Acetone

Ache

Achilles tendon

Acquired

Acute

Adamant

Adequate/ ly

Adjacent

Administration

Admission

Adrenaline

Advised

Affect - what its does

Aggregation

Aggressive

Aggravated

Agitat/ed -ion

Agreed

Agricultural

Alcohol/ ic

Allerg/y -ic

Alleviate

Alzheimer’s

Ambulatory walks

Ammonia

Amnesia

Amput/ation -ee

Anaemic

Anaesthetics

Analgesia

Anaphylactic

Anaphylaxis

Aneurysm

Angina

Angiogram

Angioplasty

Angulation

Anorexia

Anterior

Antibiotics

Antihistamine

Anxiet/y -ious

Aortic

Apnoea

Appendicitis

Appetite

Apprehensive

Appropriately

Approximately

Argued

Arrhythmia

Artery - Arterial

Arthritis

Artificial

Asbestosis

Asphyxiated

Aspirated

Aspirin

Assaulted

Assessment

Assist/ance -ed

Asthma/ tic

Ataxia - staggers

Atherosclerosis

Atrophy - withering

Attempts

Audible

Augmentin

Auscultated

Avulsion

Awkwardly

Axillary - armpit area

Bandage

Basal skull - base

Beneficiary

Bilateral

Biopsy

Bowels

Buttocks

Brachial

Bradycardia

Breath/ e

Bronchiodilator

Bronchitis

Campylobacter

P.R.F. Companion

2

Poison Centre - 0800 764 766

Adults: 8 - 12.6 Stone = 50 - 80 kilograms.

Paracetamol (Syrup 250mg/5ml) 1 ml = 50 mg 1 gm (20 ml of 250 mg/5 ml) 50 - 80 kg 1.5 gm (30 ml of 250 mg/ 5ml) >80 kg

LMA = #4 for 50kg, #5 for >70kg

Estimating Paediatric Weights & Measures 1 - 10 years = 2 x (age + 4) = kilograms e.g. 3 yrs = 2 x (3 + 4) = 14 kgs 11 - 14 years = age x 3 HR = 150 - (age in yrs x 5) Systolic BP = (age in yrs x 2) + 90

NaCl. 0.9% = 20 ml per kg Glucose = 2 ml per kg Shock/Joules = 5j per kg

see Clinical Practice Guidelines for Paed Drug dosages.

References

The On-line Medical Dictionary

www.online-medical-dictionary.org/

WordWeb’s

Downloadable Dictionary;

www.wordweb.co.uk

British spelling has been adopted.

The P.R.F. Companion can be

downloaded from: www.photographictributes.com

Version 2.4 - November 2017

Compiled by

Bryan Fletcher

Waipukurau, Hawke’s Bay.

45sandlps@gmail.com

Printing Instructions: Choose Fit to Printer Margins.

Print page 1, 3, and 5 only - i.e. odd pages only. Flip & shuffle so that page 1 is on top of 3 and 5 is on the bottom, and ... Print page 2, 4, and 6 only - i.e. even pages only. Printers with Duplex, choose long-side stapling Left. Fold them long-ways and staple along the spine. This will make a narrow 12 sided A4 booklet, portrait style.

11

10

Directional Terms & Locations

3

Cannula

Capillary

Cardiolog/y -ist

Cardiprin

Carpopedal - (hands)

Cartia tabs

Cataract

Catheter

Cellulitis

Cerebellar

Cerebral

Certif/y -icate

Cervical

Character

Chiropractor

Chloride

Cholecystitis

Cholesterol

Chronic

Circulation

Clavicle

Coagulation

Coccyx - tail bone

Collapsed

Colles’

Collision

Colonoscopy

Colostomy

Comfortably

Commode

Communicates

Compartment

Compensating

Complaining

Complexion

Compliant

Complicated

Compressions

Compromised

Concussion

Confused

Congestive

Conscious

Constipation

Constricted

Consulted

Continued

Contraceptive

Contusion - Bruising

Conversation

Convulsion

Cough

Crepitus

Croup

Cyanos/ed -is

Cyclist

Cyst

Deceased

Deceleration

Decreased

Defibrillat/e -ion

Deficit

Deficienc/y -ies

Deformit/y -ies

Degenerat/ive -ion

Dehydrated

Deliberate

Delirious

Demeanor

Dementia

Denied

Depression

Detected

Deteriorat/ed -ion

Determined

Deviated

Diabetic

Diagnosed

Dialysis

Diaphoretic sweating

Diaphragm/atic

Diarrhoea

Difficulty

Dilated

Discharge

Discolouration

Discrepancy

Disease

Disoriented

Dissecting

Disfigurement

Dislocated

Dissipated - dispersed

Distal

Disten/ded -tion

Distorted

Diuretic

Diverticulitis

Drowsy

Dysfunction

Dysphasia - can’t talk

Dyspnoea

Dystrophy - Muscular

Eclampsia

4

Ectopic

Eczema

Effect - what it did

Effort

Elbow

Electrocardiogram

Electrolytes

Embedded

Embolism

Emotional

Emphysema

Encephalitis

Endometriosis

Endotracheal

Enroute

Ensure

Entonox - N20/02

Environment

Epidural

Epigastric

Epiglottitis

Epilep/sy -tic

Epistaxis - nose bleed

Equilibrium - balance

Equivalent

Estimated

Eventually

Evidently

Exacerbat/ed -ion

Exsanguination

Exertion - effort

Exhausted

Experienced

Expirat/ion -ory

Exposure

Exsanguinated

Expectorate - spit

Extended

Extinct

Extremit/y -ies

Extricat/ed -ion

Faeces

Familiar

Fatigued

Febrile - feverish

Femoral Femur

Fetal

Fibula

Fidgety - restless

Flail

Flatulent

Flexion

Flixotide

Fluctuates ↑ ↓

Fontanelle

Foreign

Frequently

Frontal

Frothy

Frusemide

Gallbladder

Gastroenteritis

General/ly -ised

Gestation

Glaucoma

Gradually

Gravida - # of pregnancies

Guarantee

Guarding

Gynaecolog/y -ical

Haematemesis vomiting

Haematoma

Haematuria - in urine

Haemoglobin

Haemophilia

Haemoptysis - coughing

Haemorrhage

Haemorrhoids

Haemothorax

Hallucinations

Headache

Hemiplegia

Hepatitis

Hernia

Hesitant

Hiatus Hernia

Hospice

Hyperglycaemic

Hyperkalemia - ↑ K

Hypertension

Hypertrophy - enlarged

Hyperventilation

Hypochondriac

Hypothermia

Hypoxic

Hysterectomy

Hysterical

Immediately

Imminent

Immobilis/ed -ation

Impacting

Inadequate

Incapacitated

Incoherent

9

Paediatric

8

Dermatomes - The area of the skin supplied by a single, specific spinal nerve root. Loss of

sensation may indicate damage at that level.

Mean Arterial Pressure = Pulse Pressure + 1/3 Diastolic

Cerebral Perfusion Pressure = MAP - ICP

5

Menopause

Menstrual Methamphetamine

Methoxyflurane

Metoclopramide

Migraine

Minutes

Miscarriage

Mobilises

Monitor

Monoxide - exhausts

Morphine

Mucus - secretion

Mucous - membrane

Muscle - Muscular

Musculoskeletal

Mylanta

Myositis

Naloxone (Narcan)

Nausea Nauseous

Necessary

Necrosis - dead tissue

Neighbour

Nephrectomy

Neurogenic

Neurolog/ical -ist

Nitro lingual

Noisy

Nostril

Obsessive

Obstetric

Obstruct/ed -ion

Obvious

Occasion/ ally

Occip/ital -ut

Occlusion

Occupational

Occurrence

Oedema

Oesophagus

Oncolog/y -ist

Orthopnoea

Osteoporosis

Ovaries

Paediatric

Palliative Care

Pallid or Pallor

Palpitations

Pancrea/s -titis

Paradoxical

Paralysis

Parietal

Incontinen/t -ce

Indicating

Induced

Industrial

Infantile

Infect/ion -ed -ious

Inferior

Inhaled

Inhibited

Initial/ly

Injuries

Inspirat/ion -ory

Instructions

Insufficient

Intensifies

Interactive

Intercostal

Intermittent

Intestinal

Iodine

Iron

Irrational

Irrigated

Irritat/able -ed

Ischaemia

Jaundice

Juvenile

Ketoacidosis

Kidneys

Kussmaul’s resps

Laceration

Larynx

Lateral

Lesion

Lethargic - inactive

Leukaemia

Ligament

Lividity

Localized

Malaise - unwell

Malicious

Mandible - jaw

Maneuvering

Marijuana

Maxalon

Maxilla

Mechanism

Meconium

Medial

Melena - blood in stools

Membranes

Meningitis

6

Partial

Passive

Patella - knee cap

Peculiar

Pedal - relates to foot

Pelvis

Penetrating

Penicillin

Perfusion

Perineum

Peripheral

Peristalsis

Peritone/al -um

Persistent

Petechia - red spot rash

Petit Mal

Pharyngeal

Phlegm

Photophobia

Physiotherapy

Placenta - Previa

Plateau/ed

Pleur/isy -itic

Pneumonia

Pneumothorax

Poisoning

Polydipsia (↑ thirst)

Polymyalgia

Polyphagia (↑ eat)

Polyuria (↑ urine)

Positive

Posterior

Postictal

Postpartum

Precautionary

Precordial

Prednisone

Pregnancy

Priapism ♂

Priorities

Procedure

Productive

Progress/ively -ing

Prohibited

Prone - face down

Prostate - gland

Prostrate - prone

Prosthesis - prosthetic

Proximal

Pseudo - false or fake

Psoriasis - Skin disease

Psychiatric

Pulmonary

Pulseless

Puncture

Pupils

Pyrexia - fever

Quadrant

Quadruple

Quasi - partly similar

Queasy

Radiating

Radiology

Radiotherapy

Radius

Reaction

Reassur/e -ance

Recognise

Rectum

Recurring

Referral

Refused

Regularly

Regurgitating

Relieved

Reluctant

Renal Colic - Dialysis

Rendezvous

Repetitive

Rescue

Respite - reprieve / relief

Respiratory

Resuscitation

Retching / Heaving

Retention

Retrieval

Rheuma/tic -toid

Rhythm

Rigid

Rigors - shivering when hot

Rigor mortis

Rotation

Routine

Runny

Ruptured

Sacrum

Salbutamol

Saline - NaCl .9%

Saliva

Scalp

Scapula - shoulder blade

Scarlet

Schizophrenia

Sciatica

7

Scrotum

Seepage - ooze

Seizures

Seldom

Sensation

Sentences

Septic/aemia

Severe

Significant

Sinus/ itis

Sodium

Spasm/ odic

Specialist

Speechless

Spontaneous

Sporadic - irratic

Sputum

Stabilising

Status Asthmaticus

Stiffening

Stomach

Strangulated

Subarachnoid

Subcutaneous

Sublingual

Subluxation partial displacement

Subsequent

Substantial

Suction

Suicide

Sulphur

Supine - lying face up

Superficial

Superior

Supracondylar #↑ elbow

Suprapubic

Surgical

Survival

Sustaining

Suture

Symptoms

Syncope - faint

Syndrome

System

Tachycardia - H.R. >100

Tachypnoea - resps >20

Tamponade

Tendon/ itis

Tension

Testes - Testi/cle -cular

Tetanus

Therapy

Thoracic

Throat

Thrombosis

Thyroid

Tibia

Tinnitus - ringing in ears

Tissue

Tolerated

Tongue

Tonsil/ lectomy -litis

Toxaemia

Trachea

Tracheotomy

Transient - comes & goes

Trauma

Trimester

Trismus

Tuberculosis

Tumour

Turgor - skin tenting

Ulcer/aterd

Ulna

Umbilical

Unconscious

Uncooperative

Unique

Unobtainable

Unresponsive

Urge

Urinary

Urticaria - itchy bumps

Urolog/y -ist

Vague

Varicose vein

Vasodilative

Ventilation

Vertebrae

Vertigo

Vitamin

Volatile

Vomit/us -ing

Warfarin

Weight bear

Weird

Welts

Wheeze

Whooping Cough

Withering Wolfe Parkinson white

Writhing - in pain

Xiphoid

Zygomatic - cheek