Download The acronym “PATCH(4) MD`s”

Differential Diagnosis Table
The acronym “PATCH(4) MD’s” provides a guide to problem search
Problem
Assessment
Possible Interventions
Pulmonary Embolism
No pulse w/ CPR
JVD
Thrombolytics
Surgery
Acidosis (preexisting)
Diabetics/renal
ABG’s, bicarbonate
Sodium
Hyperventilation
Tension pneumothorax
No pulse w/ CPR
JVD
Tracheal deviation
Needle thoracotomy
Cardiac Tamponade
No pulse w/ CPR
JVD
Narrow pulse pressure prior to arrest
Pericardioentisis
Hyperkalemia (preexisting)
Renal patient
EKG
Serum K level
Sodium bicarbonate, calcium chloride,
Albuterol, nebulizer, insulin/glucose,
Dialysis, diuresis,
Hypokalemia
EKG, serum K level
Treat with great prudence after
careful assessment of the cause.
(K can kill)
Hypovolemia
Collapsed vasculature
Fluids
Hypoxia
Airway
Cyanosis, ABG’s
Oxygen
Ventilation
Myocardial infarct
History
EKG
Acute Coronary Syndrome algorithm
Drugs
Medications
Toxins, illicit drug use
Treat accordingly
Shivering
Low core temperature
Hypothermia Algorithm
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