Emergency orders D Diagnosis

Cardiac monitor/BP monitor/Pulse oximetry Labs

↓↓
Physical exam (Focused vs Complete)
↓↓
IVA/ NSS/Oxygen
Life saving (Hint in physical exam) (needle
thoracocentesis/ pericardiocentesis/ intubation +
MV/ DS + Thiamine + Naloxone/ Haloperidol/
Lorazepam)
Acetaminophen/ Morphine/ Phenergan
Routine: CBC/BMP/LFT/UA/FOBT F: B HCG
Best Initial diagnostic test
Other labs to exclude other differential diagnoses
Best confirmatory test
Imaging (According to case)
Chest: ECG/CXR – Abd: /Erect XR/US/ CT
T Treatment
Best initial (after initial visit)
Most accurate (after confirmatory test)

C Consult/Counsel
→→→ A Advise (Diet, Exercise, relevant bad habits)
M Monitoring (TTT response + Side effect)

L Location
←← ↓↓
Admission 2 mins (DC) Surgery NICE PT SO

A Activity: bed rest → Ambulate N NPO/NGT

D Diet: NPO → Regular diet I Informed consent
M Medicine: DC (OCP in DVT, Warfarin: ICH) C Cefazolin
C Compression stockings E ECG
I Intake/output P PT/PTT
O Omeprazole T T&C
N NGT (if needed) S Staging (cancer)
O Operation name

2 Mins screen RATED SEX Toxicology (DLC) Trauma

R Recreational drugs ABG/Glucose/Ketone Cervical
A Alcohol Alcohol/UA/Lactate immobilization/ CT
T Tobacco Urine toxicology XR spine/pelvis
E Exercise ECG/CXR Head CT
D Diet CXR/ECG/US abd
S Seat belt/ Safety/ suicide contract +/- as confirmation Troponin/D dimer
E Educate/Advise (as glucometer in DM, Acetaminophen/ Amylase/AST/ALT
Compliance. Side effect) Amphetamine/ TCA/
X sex Aspirin/ Opioid level

Hypoxia
CO/ met Hb

NPO/NGT/Lavage
Activated charcoal
Foleys catheter/UOP