EMS Basic Acrynom

Scene Size-Up: ENAMES

What to look for and describe when first arriving on scene

Scene Size-Up: ENAMES (E1)

Environment

Scene Size-Up: ENAMES (N)

Number of patients

Scene Size-Up: ENAMES (A)

Additional resources

Scene Size-Up: ENAMES (M)

Mechanism of injury (MOI)/Nature of Illness (NOI)

Scene Size-Up: ENAMES (E2)

Extrication needed/method

Scene Size-Up: ENAMES (S)

Stabilize C-spine?

Patient History: SAMPLE

Basics set of information to gather from ALL patients

Patient History: SAMPLE (S)

Signs and Symtoms

Patient History: SAMPLE (A)

Allergies

Patient History: SAMPLE (M)

Medication

Patient History: SAMPLE (P)

Past pertinent history

Patient History: SAMPLE (L)

Last oral Intake

Patient History: SAMPLE (E)

Event leading to injury

Patient Level of Consciousness: AVPU

How aware is the patient?/Alert and orientation

Patient Level of Consciousness: AVPU (A)

Alert

Patient Level of Consciousness: AVPU (V)

Verbal

Patient Level of Consciousness: AVPU (P)

Pain

Patient Level of Consciousness: AVPU (U)

Unresponsive

PERRL

Eye assessment

PERRL (P)

Pupil

PERRL (E)

Equal

PERRL (R1)

Round and

PERRL (R2)

Reactive to

PERRL (L)

Light

Assessment: HOPS

Parts to an assessment

Assessment: HOPS (H)

History

Assessment: HOPS (O)

Observation

Assessment: HOPS (P)

Palpation

Assessment: HOPS (S)

Special tests

Causes for altered level of consciousness/unresponsiveness: AEIOUTIPS

Causes for altered level of consciousness/unresponsiveness to check for

Causes for altered level of consciousness/unresponsiveness: AEIOUTIPS (A)

Alcohol; Acidosis

Causes for altered level of consciousness/unresponsiveness: AEIOUTIPS (E)

Epilepsy

Causes for altered level of consciousness/unresponsiveness: AEIOUTIPS (I)

Infection; Ingestion

Causes for altered level of consciousness/unresponsiveness: AEIOUTIPS (O)

Overdose

Causes for altered level of consciousness/unresponsiveness: AEIOUTIPS (U)

Underdose; Uremia

Causes for altered level of consciousness/unresponsiveness: AEIOUTIPS (T)

Trauma

Causes for altered level of consciousness/unresponsiveness: AEIOUTIPS (I)

Insulin

Causes for altered level of consciousness/unresponsiveness: AEIOUTIPS (P)

Psychosis; Previous Medical History

Causes for altered level of consciousness/unresponsiveness: AEIOUTIPS (S)

Stroke

Primary Assessment: MARCH

First things to check on a patient - same as ABCs

Primary Assessment: MARCH (M)

Massive bleeding

Primary Assessment: MARCH (A)

Airway

Primary Assessment: MARCH (R)

Respirations

Primary Assessment: MARCH (C)

Circulation

Primary Assessment: MARCH (H)

Hypothermia/Head injury

Respiratory Destress: PASTMED

For patients having abnormal or trouble breathing

Respiratory Destress: PASTMED (P)

Provocation

Respiratory Destress: PASTMED (A)

Associated chest pain

Respiratory Destress: PASTMED (S)

Sputum

Respiratory Destress: PASTMED (T)

Time of onset

Respiratory Destress: PASTMED (M)

Medication

Respiratory Destress: PASTMED (E)

Exercise tolerance

Respiratory Destress: PASTMED (D)

Diagnosis

Patient Secondary Assessment: DCAPBTLS

Full body assessment

Patient Secondary Assessment: DCAPBTLS (D)

Deformities

Patient Secondary Assessment: DCAPBTLS (C)

Contusions; Crepitus

Patient Secondary Assessment: DCAPBTLS (A)

Abrasions

Patient Secondary Assessment: DCAPBTLS (P)

Punctures; Penetrations

Patient Secondary Assessment: DCAPBTLS (B)

Burns

Patient Secondary Assessment: DCAPBTLS (T)

Tendernesss

Patient Secondary Assessment: DCAPBTLS (L)

Lacerations

Patient Secondary Assessment: DCAPBTLS (S)

Swelling

Chest Pain/Pain: OPQRST

For any type of pain

Chest Pain/Pain: OPQRST (O)

Onset

Chest Pain/Pain: OPQRST (P)

Provocation

Chest Pain/Pain: OPQRST (Q)

Quality

Chest Pain/Pain: OPQRST (R)

Radiation

Chest Pain/Pain: OPQRST (S)

Severity

Chest Pain/Pain: OPQRST (T)

Time