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SAMPLE History
SAMPLE history is a mnemonic acronym to remember key questions for a person's medical assessment. The SAMPLE history is sometimes used in conjunction with vital signs and OPQRST. The questions are most commonly used in the field of emergency medicine by first responders during the secondary assessment. It is used for alert people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. Meaning The parts of the mnemonic are: *S – Signs/Symptoms (Symptoms are important but they are subjective.) *A – Allergies *M – Medications *P – Past Pertinent medical history *L – Last Oral Intake (Sometimes also Last Menstrual Cycle.) *E – Events Leading Up To Present Illness / Injury See also * OPQRST * DCAP-BTLS *ABC (medicine) ABC and ...
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Mnemonic
A mnemonic ( ) device, or memory device, is any learning technique that aids information retention or retrieval (remembering) in the human memory for better understanding. Mnemonics make use of elaborative encoding, retrieval cues, and imagery as specific tools to encode information in a way that allows for efficient storage and retrieval. Mnemonics aid original information in becoming associated with something more accessible or meaningful—which, in turn, provides better retention of the information. Commonly encountered mnemonics are often used for lists and in auditory form, such as short poems, acronyms, initialisms, or memorable phrases, but mnemonics can also be used for other types of information and in visual or kinesthetic forms. Their use is based on the observation that the human mind more easily remembers spatial, personal, surprising, physical, sexual, humorous, or otherwise "relatable" information, rather than more abstract or impersonal forms of informa ...
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Acronym
An acronym is a word or name formed from the initial components of a longer name or phrase. Acronyms are usually formed from the initial letters of words, as in ''NATO'' (''North Atlantic Treaty Organization''), but sometimes use syllables, as in ''Benelux'' (short for ''Belgium, the Netherlands, and Luxembourg''). They can also be a mixture, as in ''radar'' (''Radio Detection And Ranging''). Acronyms can be pronounced as words, like ''NASA'' and ''UNESCO''; as individual letters, like ''FBI'', ''TNT'', and ''ATM''; or as both letters and words, like '' JPEG'' (pronounced ') and ''IUPAC''. Some are not universally pronounced one way or the other and it depends on the speaker's preference or the context in which it is being used, such as '' SQL'' (either "sequel" or "ess-cue-el"). The broader sense of ''acronym''—the meaning of which includes terms pronounced as letters—is sometimes criticized, but it is the term's original meaning and is in common use. Dictionary and st ...
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Health Assessment
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history. It is done to detect diseases early in people that may look and feel well. Evidence does not support routine health assessments in otherwise healthy people. Health assessment is the evaluation of the health status of an individual along the health continuum. The purpose of the assessment is to establish where on the health continuum the individual is because this guides how to approach and treat the individual. The health care approaches range from preventive, to treatment, to palliative care in relation to the individual's status on the health continuum. It is not the treatment or treatment plan. The plan related to findings is a care plan which is preceded by the specialty such as medic ...
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Vital Signs
Vital signs (also known as vitals) are a group of the four to six most crucial medical signs that indicate the status of the body's vital (life-sustaining) functions. These measurements are taken to help assess the general physical health of a person, give clues to possible diseases, and show progress toward recovery. The normal ranges for a person's vital signs vary with age, weight, gender, and overall health. There are four primary vital signs: body temperature, blood pressure, pulse (heart rate), and breathing rate (respiratory rate), often notated as BT, BP, HR, and RR. However, depending on the clinical setting, the vital signs may include other measurements called the "fifth vital sign" or "sixth vital sign". Vital signs are recorded using the LOINC internationally accepted standard coding system. Early warning scores have been proposed that combine the individual values of vital signs into a single score. This was done in recognition that deteriorating vital signs ofte ...
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OPQRST
__NOTOC__OPQRST is a mnemonic initialism used by medical professionals to accurately discern reasons for a patient's symptoms and history in the event of an acute illness. It is specifically adapted to elicit symptoms of a possible heart attack. Each letter stands for an important line of questioning for the patient assessment. This is usually taken along with vital signs and the SAMPLE history and would usually be recorded by the person delivering the aid, such as in the "Subjective" portion of a SOAP note, for later reference. "PQRST" (onset "O") is sometimes used in conjunction. The term "OPQRST-AAA" adds "aggravating/alleviating factors", "associated symptoms", and "attributions/adaptations". Use The parts of the mnemonic are: ;Onset of the event :What the patient was doing when it started (active, inactive, stressed, etc.), whether the patient believes that activity prompted the pain, and whether the onset was sudden, gradual or part of an ongoing chronic problem. ;Pro ...
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DCAP-BTLS
DCAP-BTLS is a mnemonic acronym to remember specific soft tissue injuries to look for during a person's assessment after a traumatic injury. This is a key component during a rapid trauma assessment. Meaning The parts of the mnemonic are: DCAP-BTLS * Deformities * Contusions * Abrasion * Penetrations/pneumothorax * Burn * Tenderness * Lacerations A wound is a rapid onset of injury that involves lacerated or punctured skin (an ''open'' wound), or a contusion (a ''closed'' wound) from blunt force trauma or compression. In pathology, a ''wound'' is an acute injury that damages the epider ... * Swelling See also * SAMPLE history * OPQRST References Medical mnemonics Emergency medical services First aid Mnemonic acronyms {{injury-stub ...
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ABC (medicine)
ABC and its variations are initialism mnemonics for essential steps used by both medical professionals and lay persons (such as first aiders) when dealing with a patient. In its original form it stands for ''Airway'', ''Breathing,'' and '' Circulation''. The protocol was originally developed as a memory aid for rescuers performing cardiopulmonary resuscitation, and the most widely known use of the initialism is in the care of the unconscious or unresponsive patient, although it is also used as a reminder of the priorities for assessment and treatment of patients in many acute medical and trauma situations, from first-aid to hospital medical treatment. Airway, breathing, and circulation are all vital for life, and each is required, in that order, for the next to be effective. Since its development, the mnemonic has been extended and modified to fit the different areas in which it is used, with different versions changing the meaning of letters (such as from the original 'Circulation ...
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Past Medical History
In a medicine, medical encounter, a past medical history (abbreviated PMH), is the total sum of a patient's health status prior to history of present illness, the presenting problem. Questions to include Different sources include different questions to be asked while conducting a PMH, but in general, they include the following: * General state of health: e.g. excellent, good, fair, poor. Note any significant change from previous state. * Past illnesses: e.g. cancer, heart disease, hypertension, diabetes. * Hospitalizations: including all medical, surgical, and psychiatric hospitalizations. Note the date, reason, duration for the hospitalization. * Injuries, or accidents: note the type and date of injury. * Surgeries: note the type of procedure, date, hospital, surgeon, and any complications. * Current medications: note name, dosage, frequency of any medication, including any over-the-counter medications and herbal remedies. Note whether patient is taking the medications accordin ...
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Emergency Medical Services
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS. In most places, the EMS can be summoned by members of the public (as well as medical facilities, other emergency services, businesses and authorities) via an emergency telephone number which puts them in contact with a control facility, which will then dispatch a suitable resource for the situation. Ambulances are the primary vehicles for delivering EMS, though some also use squad cars, motorcycles, aircraft, or boats. EMS agencies may also operate a non-emergency patient transport service, and some have rescue squads to provide technical rescue services. As a first resort ...
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First Aid
First aid is the first and immediate assistance given to any person with either a minor or serious illness or injury, with care provided to preserve life, prevent the condition from worsening, or to promote recovery. It includes initial intervention in a serious condition prior to professional medical help being available, such as performing cardiopulmonary resuscitation (CPR) while waiting for an ambulance, as well as the complete treatment of minor conditions, such as applying a plaster to a cut. First aid is generally performed by someone with basic medical training. Mental health first aid is an extension of the concept of first aid to cover mental health, while psychological first aid is used as early treatment of people who are at risk for developing PTSD. Conflict First Aid, focused on preservation and recovery of an individual's social or relationship well-being, is being piloted in Canada. There are many situations that may require first aid, and many countries hav ...
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Medical Mnemonics
This is a list of mnemonics used in medicine and medical science, categorized and alphabetized. A mnemonic is any technique that assists the human memory with information retention or retrieval by making abstract or impersonal information more accessible and meaningful, and therefore easier to remember; many of them are acronyms or initialisms which reduce a lengthy set of terms to a single, easy-to-remember word or phrase. Mnemonics with wikipages # ABC — airway, breathing, and circulation # AEIOU-TIPS — causes of altered mental status # APGAR — a backronym for appearance, pulse, grimace, activity, respiration (used to assess newborn babies) # ASHICE — age, sex, history, injuries/illness, condition, ETA/extra information # FAST — face, arms, speech, time (stroke symptoms) # Hs and Ts — causes of cardiac arrest # IS PATH WARM? — suicide risk factors # OPQRST — onset, provocation, quality, region, severity, time (symptom checklist often used by first responder ...
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