Attention all Triage nurses...
To: All EMS Personnel
From: Chief of Operations
Subject: Proper Narrative Descriptions
It has come to our attention from several emergency
rooms that many EMS narratives have taken a decidedly
creative direction lately. Effective immediately, all
members are to refrain from using slang and
abbreviations to describe patients, such as the following.
1) Cardiac patients should not be referred to as
suffering from MUH (messed up heart), PBS (pretty
bad shape), PCL (pre-code looking) or HIBGIA (had it
before, got it again).
2) Stroke patients are NOT "Charlie Carrots." Nor are
rescuers to use CCFCCP(Coo Coo for Cocoa Puffs) to
describe their mental state.
3) Trauma patients are not CATS (cut all to *****), FDGB
(fall down, go boom),TBC (total body crunch) or
"hamburger helper." Similarly, descriptions of a car
crash do not have to include phrases like "negative
vehicle to vehicle interface" or "terminal deceleration
4) HAZMAT teams are highly trained professionals, not
5) Persons with altered mental states as a result of
drug use are not considered "pharmaceutically gifted."
6) Gunshot wounds to the head are not "trans-occipital
7) The homeless are not "urban outdoorsmen", nor is
endotracheal intubation referred to as a "PVC Challenge".
8) And finally, do not refer to recently deceased persons
as being "paws up," ART (assuming room temperature),
CC (Cancel Christmas), CTD (circling the drain), DRT
(dead right there) or NLPR (no long playing records).
I know you will all join me in respecting the cultural
diversity of our patients to include their medical
orientations in creating proper narratives and log entries.