Administration of medication is a well-established part of prehospital trauma care. Guidance varies on the types of recommended medications and when they should be administered. Mnemonics have become commonplace in prehospital medicine to facilitate recall and retention. However, there is no comprehensive aid for the administration of medication in trauma patients. We propose a new mnemonic for the delivery of relevant intravenous or intraosseous medications in trauma patients. A ‘4A after Access’ approach should enhance memory recall for the efficient provision of patient care. These 4As are: antifibrinolysis, analgesia, antiemesis and antibiotics. This mnemonic is designed to be used as an optional aide memoire in conjunction with existing treatment algorithms in the military prehospital setting.
23/02/2024
Gestion des exsanguinations à Sarajevo
18/02/2024
Les 4 As: le A de RYAN
4A after access: a new mnemonic to aid timely administration of IV/IO treatment in trauma patients
Hématome du cou suffocant
Hématome suffocant du cou: Que faire ?
1. Ouvrir le cou pour décomprimer la trachée
2. Intuber pour maintenir les voies aériennes ouvertes
3. Packing de la plaie +/- une sonde à ballonnet pour réduire le saignement et pasnsement compressif
Ici un exemple vidéo dans un contexte postopératoire de throïdectomie: