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Jonathan P. Wyatt, Robin N. Illingworth, Colin A. Graham, Kerstin Hogg

Disclaimer

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

Abbreviations and symbols

  • °

    degrees

  • approximately

  • +ve

    positive

  • –ve

    negative

  • ±

    plus or minus

  • increase(d)

  • decrease(d)

  • ABC

    airway, breathing, circulation

  • ABG

    arterial blood gas

  • AC

    acromio-clavicular

  • ACE

    angiotensin-converting enzyme

  • ACTH

    adrenocorticotropic hormone

  • ACS

    acute coronary syndrome

  • AF

    atrial fibrillation

  • AIDS

    acquired immune deficiency syndrome

  • AIO

    Ambulance incident officer

  • AIS

    abbreviated injury scale

  • ALS

    advanced life support

  • ALT

    alanine aminotransferase

  • ALTE

    apparently life-threatening event

  • AP

    antero-posterior

  • APLS

    Advanced Paediatric Life Support

  • APTT

    activated partial thromboplastin time

  • ARDS

    adult respiratory distress syndrome

  • ARF

    acute renal failure

  • AST

    aspartate transaminase

  • ATLS

    advanced trauma life support

  • AV

    atrio-ventricular

  • bd

    twice daily

  • BKPOP

    below knee Plaster of Paris

  • BKWPOP

    below knee walking Plaster of Paris

  • BLS

    basic life support

  • BMG

    bedside strip measurement of venous/capillary blood glucose

  • BNF

    British National Formulary

  • BNFC

    British National Formulary for Children

  • BP

    blood pressure

  • BTS

    British Thoracic Society

  • BZP

    benzylpiperazine

  • CBRN

    chemical, biological, radiological, nuclear

  • CCU

    critical care unit

  • CK

    creatine kinase

  • cm

    centimetre(s)

  • CMV

    cytomegalovirus

  • CN

    chloroacetophenone

  • CNS

    central nervous system

  • CO

    carbon monoxide

  • CO2

    carbon dioxide

  • COHb

    carboxyhaemoglobin

  • COPD

    chronic obstructive pulmonary disease

  • CPAP

    continuous positive airways pressure

  • CPR

    cardiopulmonary resuscitation

  • CRF

    chronic renal failure

  • CRP

    C-reactive protein

  • CSF

    cerebrospinal fluid

  • CT

    computed tomography

  • CTPA

    computed tomography pulmonary angiography

  • CVP

    central venous pressure

  • CVS

    cardiovascular system

  • CXR

    chest X-ray

  • DIC

    disseminated intravascular coagulation

  • DIPJ

    distal interphalangeal joint

  • DKA

    diabetic ketoacidosis

  • dL

    decilitre

  • DPL

    diagnostic peritoneal lavage

  • DPT

    diphtheria, pertussis, and tetanus

  • DSH

    deliberate self-harm

  • DVT

    deep venous thrombosis

  • EBV

    Epstein–Barr virus

  • ECG

    electrocardiogram

  • ECT

    electroconvulsive therapy

  • ED

    emergency department

  • EEG

    electroencephalogram

  • EMLA

    eutectic mixture of local anaesthetics

  • ENT

    ear, nose and throat

  • EPAP

    expiratory positive airway pressure

  • ESR

    erythrocyte sedimentation rate

  • ET

    endotracheal

  • ETCO2

    end-tidal carbon dioxide

  • FAST

    focused assessment with sonography for trauma

  • FB

    foreign body

  • FBC

    full blood count

  • FFP

    fresh frozen plasma

  • FG

    French Gauge

  • FiO2

    inspired oxygen concentration

  • FOB

    faecal occult blood

  • G6-PD

    glucose 6-phosphate dehydrogenase

  • g

    gram(s)

  • G

    gauge

  • GA

    general anaesthetic

  • GCS

    Glasgow Coma Score

  • GFR

    glomerular filtration rate

  • GI

    gastrointestinal

  • GHB

    gammahydroxybutyrate

  • GMC

    General Medical Council

  • GP

    general practitioner

  • GTN

    glyceryl trinitrate

  • GU

    genitourinary

  • 5HT

    5-hydroxytryptamine

  • HATI

    human anti-tetanus immunoglobulin

  • Hb

    haemoglobin

  • HCG

    human chorionic gonadotrophin

  • HCM

    hypertrophic cardiomyopathy

  • Hct

    haematocrit

  • HDU

    high dependency unit

  • HHS

    hyperosmolar hyperglycaemic state

  • HIV

    human immunodeficiency virus

  • HONK

    hyperosmolar non-ketotic hyperglycaemia

  • hr

    hour/s

  • HTLV

    human T-cell lymphotropic virus

  • ICP

    intracranial pressure

  • ICU

    intensive care unit

  • IDDM

    insulin dependent diabetes mellitus

  • IHD

    ischaemic heart disease

  • IM

    intramuscular

  • INR

    international normalized ratio (of prothrombin time)

  • IO

    intra-osseous

  • IPAP

    inspiratory positive airway pressure

  • IPg

    interphalangeal

  • IPPV

    intermittent positive pressure ventilation

  • ISS

    injury severity score

  • ITP

    idiopathic thrombocytopenic purpura

  • IUCD

    intrauterine contraceptive device

  • IV

    intravenous

  • IVI

    intravenous infusion

  • IVRA

    intravenous regional anaesthesia

  • IVU

    intravenous urography

  • JVP

    jugular venous pressure

  • KE

    kinetic energy

  • kPa

    kiloPascal(s) pressure

  • KUB

    X-ray covering the area of kidneys, ureters and bladder

  • L

    litre(s)

  • LA

    local anaesthetic

  • LAD

    left axis deviation

  • LBBB

    left bundle branch block

  • LDH

    lactate dehydrogenase

  • LET

    lidocaine epinephrine tetracaine

  • LFTs

    liver function tests

  • LMA

    laryngeal mask airway

  • LMP

    last menstrual period

  • LMWH

    low molecular weight heparin

  • LP

    lumbar puncture

  • LSD

    lysergic acid diethylamide

  • LV

    left ventricular

  • LVF

    left ventricular failure

  • LVH

    left venticular hypertrophy

  • m

    metre(s)

  • MAOI

    monoamine oxidase inhibitor

  • MAST

    military anti-shock trousers

  • max

    maximum

  • MC

    metacarpal

  • MCA

    Mental Capacity Act

  • MCPJ

    metacarpophalangeal joint

  • MDU

    Medical Defence Union

  • MI

    myocardial infarction

  • min

    minute/s

  • MIO

    medical incident officer

  • mL

    millilitre(s)

  • mmHg

    millimetres of mercury pressure

  • mmol

    millimoles

  • MMR

    mumps, measles, and rubella

  • MRI

    magnetic resonance imaging

  • MRSA

    meticillin resistant Staphylococcus aureus

  • MS

    multiple sclerosis

  • MSU

    mid-stream specimen of urine

  • MT

    metatarsal

  • MTPJ

    metatarsophalangeal joint

  • MUA

    manipulation under anaesthetic

  • NAC

    N-acetyl cysteine

  • NAI

    non-accidental injury

  • ND

    notifiable disease

  • NG

    nasogastric

  • NHS

    National Health Service

  • NIV

    non-invasive ventilation

  • NO

    nitrous oxide

  • NSAID

    non-steroidal anti-inflammatory drug

  • NSTEMI

    non-ST segment elevation myocardial infarction

  • NWBPOP

    non-weight-bearing Plaster of Paris

  • O2

    oxygen

  • OA

    osteoarthritis

  • OCP

    oral contraceptive pill

  • od

    once daily

  • OPG

    orthopantomogram

  • ORIF

    open reduction and internal fixation

  • ORT

    oral replacement therapy

  • PA

    postero-anterior

  • PACS

    picture archiving and communication system

  • PAN

    polyarteritis nodosa

  • PCI

    percutaneous coronary intervention

  • pCO2

    arterial partial pressure of carbon dioxide

  • PCR

    polymerase chain reaction

  • PE

    pulmonary embolus

  • PEA

    pulseless electrical activity

  • PEEP

    positive end-expiratory pressure

  • PEFR

    peak expiratory flow rate

  • PGL

    persistent generalized lymphadenopathy

  • PICU

    paediatric intensive care unit

  • PID

    pelvic inflammatory disease

  • PIPJ

    proximal interphalangeal joint

  • PO

    per os (orally/by mouth)

  • pO2

    arterial partial pressure of oxygen

  • POP

    plaster of Paris

  • PPE

    personal protective equipment

  • PPI

    proton pump inhibitor

  • PR

    per rectum

  • PRF

    patient report form

  • PRN

    pro re nata (as required)

  • PSP

    primary spontaneous pneumothorax

  • PV

    per vaginam

  • qds

    four times a day

  • RA

    rheumatoid arthritis

  • RAD

    right axis deviation

  • RBBB

    right bundle branch block

  • RBC

    red blood cells

  • Rh

    Rhesus

  • ROSC

    restoration of spontaneous circulation

  • RR

    respiratory rate

  • RSI

    rapid sequence induction/intubation

  • RSV

    respiratory syncytial virus

  • rtPA

    recombinant tissue plasminogen activator

  • RTS

    revised trauma score

  • RV

    right ventricular

  • SA

    sino-atrial

  • SARS

    severe acute respiratory syndrome

  • SC

    subcutaneous

  • SCIWORA

    spinal cord injury without radiographic abnormality

  • sec

    second(s)

  • SIDS

    sudden infant death syndrome

  • SIGN

    Scottish Intercollegiate Guidelines Network

  • SIRS

    systemic inflammatory response syndrome

  • SL

    sublingual

  • SLE

    systemic lupus erythematosus

  • SpO2

    arterial oxygen saturation

  • SSP

    secondary spontaneous pneumothorax

  • SSRI

    selective serotonin re-uptake inhibitor

  • STD

    sexually transmitted disease

  • STEMI

    ST segment elevation myocardial infarction

  • SVT

    supraventricular tachycardia

  • T °

    temperature

  • T3

    tri-iodothyronine

  • T4

    thyroxine

  • TAC

    tetracaine, adrenaline and cocaine

  • TB

    tuberculosis

  • tds

    three times a day

  • TFTs

    thyroid function tests

  • TIA

    transient ischaemic attack

  • TIMI

    thrombolysis in myocardial infarction

  • tPA

    tissue plasminogen actvator

  • TSH

    thyroid stimulating hormone

  • u/U

    unit(s)

  • U&E

    urea and electrolytes

  • URTI

    upper respiratory tract infection

  • USS

    ultrasound scan

  • UTI

    urinary tract infection

  • V

    volts

  • VA

    visual acuity

  • VF

    ventricular fibrillation

  • VHF

    viral hemorrhagic fever

  • V/Q

    ventilation/perfusion (scan)

  • VT

    ventricular tachycardia

  • WB

    weight-bear(ing)

  • WBC

    white blood cells

  • WCC

    white cell count

  • WHO

    World Health Organization

  • WPW

    Wolff Parkinson White (syndrome)