Forensic Mnemonics

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Antidotes

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To remember most of Antidotes, Remember the Arabic Quote :)

" ‫" ﻻ ﯾﻔل اﻟﺣدﯾد إﻻ اﻟﺣدﯾد‬

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“ For Blue, Give Blue “

For Met-Hb (Bluish Brown), give Methylene Blue
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“ For Gas, Give Gas “

For CO, give O2

100 % Oxygen & Hyperbaric O2

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“ For Alcohol, Give Alcohol “

For adulterated Alcohol (Methanol), give Pure Alcohol (Ethanol) + (Folic
acid)

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“ For Tri, Give Bi ”

 For Tricyclic Antidepressants, give Na Bicarbonate
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“ For Venom, Give Antivenom :D”

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Benzodi AZEpines Flum AZEnil

ACETaminophen (Paracetamol) N- ACETyl cysteine
FERrous (Iron) De FERoxamine
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Miscellaneous Collections

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DD of Pin point pupil

PIN Mor PHINe

POiNT PONTiNE Hge
PUPIL PhenoL
&

Organophosphorus

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 Direct Myocardial Depressants

D IRect IRon
Myo CARDial CARBon Monoxide
CARBolic Acid
BARBiturates
Depressants Tricyclic ANTI- Depressants
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Cut-Off Points in Toxicology

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In Organophosphorus poisoning,

Give A till B & C are C :)

Give Atropine till:
Bradycardia is corrected
& Chest is clear
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In Morphine Withdrawal,
 Give S till Ss OR Ss
Give α2 Adrenergic Stimulant (Clonidine or Lofixidine) till:
Symptoms Subside
Or

Side effects Start (Hypotention)

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In I RON Toxicity,
Give Defe ROxamINE till:
Vin- ROse color of URINE disappears
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In Whole Bowel Irrigation, Irrigate till:

- Stool is clear

- Or Ideally when Radiography reveals No tablets or Contraband

previously visualized

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In Eye Irrigation

(In Exposure to corrosives or Volatile Hydrocarbons),

Irrigate till:
You confirm that all toxic material has been removed by checking the
tears with PH Paper.

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Quick tips about Snake Venom,

To Remember the Main actions,

VIPERIDAE reminds us of VAMPIRE

So, its main action is Haemolytic & Haemorrhagic.

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ELAPIDAE reminds us of EVA

EVA’s are Sensitive & Nervous

So, it’s manly Cardiotoxic & Neurotoxic

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The 3 Don’ts at the scene of Snake Bite

We’ll code the Cause with the act itself:

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Don’t Apply a Torniquet,

- Tissue ischemia may complicate the injury.
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- Don’t apply INcision, DRAINAGE & Suction, as:

 - This method is INeffective in removing significant amount of
venom.

- DAMAGE to Nerves & Vessels.

Carries the risk of

- Serves to introduce Mouth Flora into the Wound (Sepsis).

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Don’t apply an c i E Pack, as it may result in a serious Frost BiTE

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Regarding the anti- Venom

V = 5 in Latin
So, Dose is 3 – 5 Ampoules,
(Children require more antivenin than adults)

Reconstituted in 500 ml Saline,

Given over 50 minutes ( or 1 hour :)
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“One’s Mind, Once stretched by a new idea, never regains its original Dimensions.”

Oliver Wendell Holmes

Best Wishes

dr R.M