PT  - JOURNAL ARTICLE
AU  - Campbell, Kieran
AU  - Scanlon, E
AU  - Bhanot, K
AU  - Harper, F
AU  - Naumann, D N
TI  - 4A after access: a new mnemonic to aid timely administration of IV/IO treatment in trauma patients
AID  - 10.1136/military-2023-002463
DP  - 2024 Jun 01
TA  - BMJ Military Health
PG  - 193--195
VI  - 170
IP  - 3
4099  - http://militaryhealth.bmj.com/content/170/3/193.short
4100  - http://militaryhealth.bmj.com/content/170/3/193.full
SO  - BMJ Mil Health2024 Jun 01; 170
AB  - Administration of medication is a well-established part of prehospital trauma care. Guidance varies on the types of recommended medications and when they should be administered. Mnemonics have become commonplace in prehospital medicine to facilitate recall and retention. However, there is no comprehensive aid for the administration of medication in trauma patients. We propose a new mnemonic for the delivery of relevant intravenous or intraosseous medications in trauma patients. A ‘4A after Access’ approach should enhance memory recall for the efficient provision of patient care. These 4As are: antifibrinolysis, analgesia, antiemesis and antibiotics. This mnemonic is designed to be used as an optional aide memoire in conjunction with existing treatment algorithms in the military prehospital setting.