Forensic Mnemonics

Forensic Mnemonics *** Antidotes *** To remember most of Antidotes, Remember the Arabic Quote :)

" ‫" ﻻ ﯾﻔل اﻟﺣدﯾد إﻻ اﻟﺣدﯾد‬ ***

“ For Blue, Give Blue “ For

Met-Hb (Bluish Brown), give Methylene Blue ***

“ For Gas, Give Gas “ For CO, give O2 100 % Oxygen & Hyperbaric O2 ***

“ For Alcohol, Give Alcohol “ For adulterated Alcohol (Methanol), give Pure Alcohol (Ethanol) + (Folic acid) ***

“ For Tri, Give Bi ”

For

Tricyclic Antidepressants, give Na Bicarbonate ***

“ For Venom, Give Antivenom :D” *** Benzodi

AZEpines

Flum

ACETaminophen (Paracetamol) FERrous (Iron)

AZEnil

N-

De

ACETyl cysteine

FERoxamine

*** Miscellaneous Collections *** DD of Pin point pupil

PIN

POiNT

Mor

PHINe

PONTiNE Hge

PUPIL

PhenoL &

Organophosphorus

***

Direct Myocardial Depressants D Myo

IRect

CARDial

IRon

CARBon Monoxide

CARBolic Acid BARBiturates Depressants

Tricyclic ANTI-

Depressants

*** Cut-Off Points in Toxicology *** In Organophosphorus poisoning, Give

A till B & C are C :) Give

Atropine till:

Bradycardia is corrected &

Chest is clear ***

In Morphine Withdrawal,

Give Give α2 Adrenergic

S till Ss OR Ss

Stimulant (Clonidine or Lofixidine) till:

Symptoms Subside Or

Side effects Start (Hypotention) *** In I

RON Toxicity,

Give Defe Vin-

ROxamINE till:

ROse color of URINE disappears ***

In Whole Bowel Irrigation, Irrigate till: - Stool is clear - Or Ideally when Radiography reveals No tablets or Contraband previously visualized *** In Eye Irrigation (In Exposure to corrosives or Volatile Hydrocarbons), Irrigate till:

You confirm that all toxic material has been removed by checking the tears with PH Paper. *** Quick tips about Snake Venom, To Remember the Main actions,

VIPERIDAE reminds us of VAMPIRE So, its main action is Haemolytic & Haemorrhagic. ***

ELAPIDAE reminds us of EVA EVA’s are Sensitive & Nervous So, it’s manly Cardiotoxic & Neurotoxic *** The 3 Don’ts at the scene of Snake Bite We’ll code the Cause with the act itself: *** Don’t Apply a

-

Torniquet,

Tissue ischemia may complicate the injury. ***

-

Don’t apply

INcision, DRAINAGE & Suction, as:

-

This method is

INeffective in removing significant amount of venom.

DAMAGE to Nerves & Vessels. Serves to introduce Mouth Flora into the Wound (Sepsis).

-

Carries the risk of

***

i E Pack, as it may result in a serious Frost BiTE

Don’t apply an c

*** Regarding the anti-

Venom

V = 5 in Latin So, Dose is 3 –

5 Ampoules,

(Children require more antivenin than adults) Reconstituted in Given over

500 ml Saline,

50 minutes ( or 1 hour :) ***

“One’s Mind, Once stretched by a new idea, never regains its original Dimensions.” Best Wishes

Oliver Wendell Holmes

dr R.M