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SIM LAB CHEAT SHEET
Whiteboard Crib Notes Assessment Explanation Sick/Not Sick Your general impression of the patient as you enter the room ABC s & PG-MOVIE Life Threats: A irway B reathing C irculation Bedside Tests: P = Urine Pregnancy Test G = Glucose Fingerstick EM Safety Net: M onitor +/- O xygen V ital Signs +/- I V +/- E KG AVPU / D isability Assess for mental status/level of consciousness: A lert Alert to V erbal Stimuli Alert to P ainful Stimuli U nresponsive Physical Exam / E xposure Conscious and alert patients à do a focused PE Semi-conscious/unresponsive/patients unable to follow commands à completely expose the patient and do a head-to-toe exam SAMPLE / OPQRST History of Present Illness (HPI) & Medical History: S igns & S ymptoms A llergies M edications P ast Medical Hx L ast Oral Intake E vents Leading Up To
7 Dimensions of a Symptom: O nset P rovocation/ P alliation Q uality R adiation S everity (0-10 scale) T ime (Constant vs. Intermittent) Differential Diagnosis (Ddx) List of possible diagnoses; most life- threatening first! Labs/Imaging Order appropriate lab/imaging studies in order to narrow down Ddx Treatment Initiate appropriate interventions to stabilize patient; also based on working diagnosis Disposition Patient will either be discharged, admitted to a specific hospital service (transfer care) or expire in the ED Temperature Conversion Point of Care Tests Glucose Fingerstick 12 - Lead EKG Ultrasound (various studies) Portable X-Ray Common Lab Orders CBC Basic Metabolic Panel (BMP) Comprehensive Metabolic Panel (CMP) Lactate Arterial Blood Gas (ABG) / Venous (VBG) Other Electrolytes: Ca, Mg, PO PT/PTT Troponin Common Imaging Orders Chest X-Ray (CXR) Abdominal X-Ray Head CT (w/ or w/out contrast) Abdominal / Pelvic CT (w/ or w/out contrast) MRI
