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Here is a quick mnemonic “EVALUATION AND MANAGEMENT to remember about Hemoptysis Management

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NExT Medical Step 1&2, MBBS, NEET PG, INI-CET, FMGE,MCAT & NCLEX exams

Hemoptysis Management : How To Remember Easily ?

  • E – Evaluate the amount or severity of bleeding as the first step.
  • V – Verify the patient’s description of the spu-tum for helpful clues.
  • A – Assess the risk of life-threatening hemoptysis based on volume.
  • L – Look for signs of asphyxiation and airway obstruction.
  • U – Understand that cups can serve as helpful referents for volume.
  • A – Ask about relevant factors such as smoking, weight loss, and inhalational exposures.
  • T – Take a thorough medical history, including chronic pulmonary disease.
  • I – Inspect vital signs for signs of hemodynamic instability.
  • O – Observe nasal, oral, and lung cavities for the site of bleeding.
  • N – Note any physical findings like clubbing or wheezing.
  • A – Administer initial diagnostic studies, including a complete blood count.
  • N – Note the importance of chest imaging in every patient.
  • D – Determine the need for further testing based on risk factors.
  • M – Maintain goals of protecting the nonbleeding lung, locating the bleeding site, and controlling the bleeding.
  • A – Address the need for asphyxiation prevention during massive hemoptysis.
  • N – Never overlook the importance of patient positioning.
  • A – Avoid unnecessary endotracheal intubation if possible.
  • G – Gravitate towards bronchoscopy, radiography, and angiography for localization.
  • E – Employ bronchoscopic measures as temporizing interventions.
  • M – Manage bleeding through therapeutic interventions based on the involved airway.
  • E – Evaluate bronchial artery embolization as the procedure of choice.
  • N – Note the potential complications and short-term success rate of embolization.
  • T – Treat underlying diseases to prevent bleeding recurrence.

Mnemonic : EVALUATION AND MANAGEMENT

Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department
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