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ABCDEFGHIJKLMNOPQ assessment: the best medical mnemonic of all time

When seeing any acutely unwell patient the most important steps are your ABCDE assessment. However, beyond ABCDE lies the ABCDEFGHIJKLMNOPQ assessment, used by only the finest clinicians…

The best medical mnemonic ever

IssueAction
AAirwayCheck patency, adjuncts, give oxygen
BBreathingCheck for air entry and pneumothorax
CCirculationInsert IV lines, take bloods and gas, give fluids
DDisabilityCheck GCS and glucose
EExposureCheck temperature and do full exam
FFluidsHave you given a fluid challenge. Consider catheter
GGasHave you checked an ABG or VBG? When do you need to repeat this?
HHaematologyHave you sent all the bloods you need?
IImagingHave you ordered a CXR and looked at the most recent imaging? Is there anything else you need: USS or CT?
JJobs (nursing)Have you allocated jobs appropriately to nurses (e.g. ECG or urine dip)
KEKG (ECG)Have you looked at the ECG (and compared it to previous)?
LLocationIs the patient in the right place? Do they need to be moved to HDU or ICU?
MMonitoringHow often would you like monitoring? Do they need neuro-obs?
NNext of kinHas anyone informed the NoK? If not do you need to?
OOh, shitStop and think. Are you OK? Do you need help?
PPlanHave you documented your plan and informed the nursing staff?
QQuestionsFinally, does the patient have any questions about what's happened?

With this beauty in your pocket you can’t go wrong!

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Related page: ABCDE assessment or click here for a full list of medical mnemonics

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