APPROVED ABBREVIATIONS ADMINISTRATIVE 1.0 A AAA AAO ABC abd ABG abn AB AC A/C ACLS AED p A-Flutter A-Fib AHA ALS AIDS AICD AMI AMS amt. angio ant/ANT Ao A&O A&O x1 A&O x2 A&O x3 A&0 x4 A/P approx appy APGAR APS ASAP PRN ASA @ AVPU avg AVJ AVM AVR Ax abdominal aortic aneurysm awake, alert, oriented airway, breathing, circulation abdomen arterial blood gasses abnormal abortion antecubital assist/control advanced cardiac life support automatic external defibrillator after Atrial Flutter Atrial fibrillation American Heart Association Advanced Life Support Acquired Immune Deficiency Syndrome Automatic Implantable Cardioverter Defibrillator Acute Myocardial Infarction altered mental status amount angiography anterior aortic alert and oriented alert and oriented to person alert and oriented to person and place alert and oriented to person, place, time alert and oriented to person, place, time, event anterior posterior approximately appendectomy Appearance, Pulse rate, Grimace, Activity, Respiratory effort Adult Protective Services as soon as possible as needed Aspirin at Alert, Verbal, Pain, Unresponsive average atrioventricular junction arteriovenous malformation aortic valve replacement axillary B a BAT BBB BCP bilat BKA bld before blunt abdominal trauma bundle branch block birth control pills bilateral below knee amputation blood BICARB BLS BM BPM BSA BVM BRB BUE Sodium bicarbonate basic life support bowel movement beats per minute body surface area Bag valve mask bright red blood bilateral upper extremity C C CABG CAD CAO Ca++ CA CO CO² C-spine Cap cath CBC centigrade coronary artery bypass graft coronary artery disease Conscious alert oriented Calcium Cancer carbon monoxide carbon dioxide cervical spine capillary catheter complete blood count CCC CCU CEB CHD chemo CHF ∆ CHI cl Cm cmpd CNS cont COPD c/o CP CPS CPR CR CRF Cric C/S CSF CSM CTA CV CVA Cx CXR continuous cardiac compressions Coronary Care Unit/Cardiac Care Unit clear, equal bilaterally congenital heart disease chemotherapy Congestive Heart Failure change closed head injury clear centimeter compound central nervous system continued Chronic Obstructive Pulmonary Disease complains of chest pain Child Protective Services Cardiopulmonary Resuscitation capillary refill chronic renal failure cricoid cesarean section cerebrospinal fluid circulation, sensation, motion clear to auscultation cardiovascular cerebrovascular accident cervix chest x-ray D D W Dextrose 10% in water DW Dextrose 5% in water DB DBP D&C ↓ defib Dept Detox dep D&I diff dist DJD DKA DM DNR DO DOA DOB DOE dom DOS DP DPS Dr. gtts gtts/min drsg DTO DTR DTs DVT Dx difficulty breathing diastolic blood pressure dilation and curettage decrease defibrillation department detoxification dependent dry and intact difficulty distal degenerative joint disease Diabetic Ketoacidosis diabetes mellitus Do Not Resuscitate Doctor of Osteopathy dead on arrival date of birth dyspnea on exertion domestic dead on scene dorsalis pedis Department of Public Safety Doctor drops drops per minute dressing danger to others deep tendon reflex Delirium Tremens deep venous thrombosis diagnosis EBL ECHO ECG or EKG ED EDC Educ EEG EF EGA e.g. EJ EMSCOM EMS EMT EMT-B EMT-I EMT-P E estimated blood loss echocardiogram electrocardiogram emergency department expected date of confinement education electroencephalogram ejection fraction estimated gestational age for example external jugular Emergency Medical Services Communications EMERGENCY MEDICAL SYSTEM Emergency Medical Technician Emergency Medical Technician-Basic Emergency Medical Technician- Intermediate Emergency Medical Technician-Paramedic 10 5 ENT EOM ER E&R ERRLA Estab ET ETA ETCO2 ETOH ETT exp expl lap Extrm Equal ear, nose, throat extraocular movements emergency room equal and reactive equal, round, react to light, accommodation established endotacheal estimated time of arrival end tidal carbon dioxide ethanol alcohol endotracheal tube expiratory exploratory laparotomy extremity = F ♀ FA FB FD feb fem FHx FHR FHT Fahrenheit female forearm foreign body fire department febrile femoral family history fetal heart rate fetal hear tones 1 FN freq FSBG F/U FUO Fx Fwy first degree or primary Flight Nurse frequency finger stick blood glucose follow-up fever unknown origin fracture freeway GB GTube GI GU GCS GFR Gluc G1, G2, etc. GCS GFR GFR Gluc gm G1, G2, etc. GSW GYN gallbladder gastrostomy gastrointestinal genitourinary glascow coma scale grunting, flaring and retracting glucose Gravida 1, Gravida 2, etc glascow coma scale grunting, flaring and retracting grunting, flaring and retracting glucose gram Gravida 1, Gravida 2, etc. gun shot wound gynecology F o G H H/A HB HO headache heart block water HBP HCO³ Hct HCTZ Hep B, C HEENT Hg Hgb HIPAA HIV+ Hx/o HOB HPI H&P HPV hr HS HT HTN Hx hyst high blood pressure bicarbonate hematocrit hydrochlorothiazide hepatitis head, eyes, ears, nose, throat mercury hemoglobin Health Insurance Portability and Accountability Act human immunodeficiency virus history of head of bed history of present illness history and physical human papilloma virus heart rate Bedtime heart transplant hypertension history hysterectomy 2 I ↑ IA IABP ICD ICH ICP ICU IC I&D IDDM IDM Idio IJ IM Immob incont inf. Inj I/O Inpt Insp. Int increase intraarterial intraaortic balloon pump implantable cardioverter-defibrillator intracranial hemorrhage intracranial pressure Intensive Care Unit Incident Commander incision and drainage insulin dependent diabetes mellitus Infant of diabetic mother idiopathic internal jugular intramuscular immobilized incontinent Inferior injection intraosseous inpatient Inspiratory internal irreg. IUD irreg. IUD IV IVF IVC IVP irregular intrauterine device irregular intrauterine device Intravenous intravenous fluids inferior vena cava Intravenous Push J JTach JTube JVD joule junctional tachycardia Jejunal Tube jugular venous distention J K K+ KCL KED kg KO KUB KVO potassium potassium chloride Kendrick Extrication Device kilogram keep open kidneys, ureters, bladder keep vein open L L L LA lab lac LAD lami lat LBP LBB LBM LBW L&D LE LFA lg LLE LLL LLQ LML LMP LOB LOC LP lmp LR LS LSB LUQ LUE left liter left arm laboratory laceration left anterior descending laminectomy lateral low back pain left bundle branch block last bowel movement low birth weight labor and delivery lower extremity left forearm large left lower extremity left lower lobe left lower quadrant left middle lobe last menstrual period loss of balance loss of consciousness lumbar puncture liters per minute Lactated Ringer’s lung sounds long spinal board left upper arm left upper extremity LUL LUQ LV lytes LZ left upper lobe left upper quadrant left ventrical electrolytes landing zone ♂ m MAE max MCC mcg MCI MD MDI MDR mec med(s) mEq Mg mg(s) MI min ml(s) MN mod MOF MOI MOT MPH MR MRI MS Morphine mtg mult MVC MVR male meter moves all extremities maximal/maximum motorcycle crash microgram multiple casualty incident medical doctor metered dose inhaler multiple drug resistance meconium medicine(s) millequivalent magnesium milligram(s) myocardial infarction minutes milliliter midnight moderate multiple organ failure mechanism of injury mode of transport miles per hour mitral regurgitation magnetic resonance imaging mental status spell out meeting multiple motor vehicle crash mitral valve replacement O ∆ N/A Na NAD NC NEC neg NG NGT NH NIDDM NKA NKDA ` no/none no changes not applicable sodium no acute distress nasal cannula necrotizing enterocolitis negative nasogastric nasogastric tube nursing home non-insulin dependent diabetes mellitus no known allergies no known drug allergies M N NKMA NKFA nl # NOS NP NPA NPO NRB NS NSR NSTEMI NSVD NTG N/V N/V/D NWB no known medical allergies no known food allergies normal number not otherwise specified nurse practitioner nasopharyngeal airway nothing by mouth non-rebreather mask normal saline normal sinus rhythm Non ST elevation myocardial infarction normal spontaneous vaginal delivery nitroglycerine nausea and vomiting nausea, vomiting and diarrhea non weight bearing O² O² Sat O/A OB OBS OGT oint OOB OPT OPA opp OR ORIF OT OTC oz oxygen oxygen saturation on arrival obstetrical observation orogastric tube ointment out of bed outpatient oropharynx opposite Operating Room open reduction internal fixation occupational therapy Over the Counter ounce O P 1◦ K+ + primary or first degree potassium Positive lb P1, P2 p PA PAC palp PAT path PCN PCCF PCP PD pound para 1, para 2 after physician assistant premature atrial contraction palpation paroxysmal atrial tachycardia Pathology penicillin Pediatric Critical Care Facility Primary Care Physician Police Department PE PEA ped Peds PEEP periph PERL PERRL PID PIH PIV PJC plt pm PMH PMI POx PND pneumo p.o. POC psi Post PP PR Rx PRBC prep PRN/prn PROM PS PSVT pt PT PTA PTL pulm PVA PVC PVR Pulmonary Embolus or Edema pulseless electrical activity pedestrian pediatric positive end-expiratory pressure peripheral pupils equal, react to light pupils equal, round, reactive to light pelvic inflammatory disease pregnancy induced hypertension peripheral intravenous Premature Junctional Complex platelet afternoon past medical history point of maximum impulse pulse oximetry paroxysmal nocturnal dyspnea pneumothorax by mouth position of comfort pounds per square inch posterior postpartum per rectum prescription packed red blood cells prepare as needed premature rupture of membranes pulmonary stenosdis Paroxysmal Supraventricular Tachycarida patient physical therapy prior to arrival pre-term labor pulmonary pedestrian versus auto premature ventricular contraction peripheral vascular resistance Q q QA QI qs every quality assurance quality improvement quantity sufficient R RA RBC RDS reg right room air red blood cells respiratory distress syndrome regular R rehab rendez resp RFA RLE RLL RLQ rm RN R/O ROM RR RRR RSI RT RUA RUE RUL RUQ RV Rx rehabilitation rendezvous respiration right forearm right lower extremity right lower lobe right lower quadrant room Registered Nurse rule out range of motion respiratory rate regular rate and rhythm rapid sequence induction respiratory therapy right upper arm right upper extremity right upper lobe right upper quadrant right ventricle/right ventricular prescription 2◦ s SA SAb SAH sat SB SBA SBO SCI SDH SGA SIHI SIVP SL SLE sml SNAT SNF SOB Na+ NaCHO³ NaCL SO subQ SR SROM SUIDS secondary or second degree without sinus arrhythmia spontaneous abortion subarachnoid hemorrhage saturation sinus bradycardia stand-by assist small bowel obstruction spinal cord injury subdural hematoma small for gestational age suicidal ideation/homicidal ideation slow intravenous push sublingual systemic lupus erythematous small Suspected Non Accidental Trauma skilled nursing facility short of breath/shortness of breath Sodium Sodium Bicarbonate Sodium Chloride standing order subcutaneous sinus rhythm spontaneous rupture of membranes sudden unexplained infant death syndrome 3◦ T&A tab third degree or tertiary tonsillectomy and adenoidectomy tablet S T TAb tach TAH TB TBD TBI Tbsp TD TE temp TF THA TIA tib TKA TKO TLC TM TO tol TPN TxFr T&R Trach tsp TURP TV Tx tymp therapeutic abortion Tachycardia total abdominal hysterectomy tuberculosis to be determined traumatic brain injury tablespoon transdermal tracheosophageal temperature tube feeding total hip arthroplasty transient ischemic attack tibial total knee arthroplasy to keep open triple lumen catheter tympanic memebrane telephone order tolerated total parenteral nutrition transfer/transferred treated and released tracheostomy teaspoon transurethral resection of prostate tidal volume treatment tympanic U/A UAC UE UGI unk umb UO URI upon arrival umbilical artery catheter upper extremity upper gastrointestinal unknown umbilical urine output urinary tract infection vag V-Fib vit vol VS VSD VSS vaginal ventricular fibrillation vitamin volume vital signs ventricular septal defect vital signs stable H²O c s W/C W/D W/O wt water with without wheelchair warm and dry wide open weight U V W X/Y/Z @ Δ ↓ ↑ √ ◦ 1◦ 2◦ 3◦ X at change decrease increase check hour or degree first degree/primary secondary/second degree tertiary/third times Negative/nothing/no = ♂ ♀ & equals male female and Foot Notes: 2009- EMResponder; EMTechnician; Advanced EMT Paramedic Effective 1-92 REVISED 620/01; 6/2005; 4/2008