RT Journal Article SR Electronic T1 4A after access: a new mnemonic to aid timely administration of IV/IO treatment in trauma patients JF BMJ Military Health JO BMJ Mil Health FD British Medical Journal Publishing Group SP 193 OP 195 DO 10.1136/military-2023-002463 VO 170 IS 3 A1 Campbell, Kieran A1 Scanlon, E A1 Bhanot, K A1 Harper, F A1 Naumann, D N YR 2024 UL http://militaryhealth.bmj.com/content/170/3/193.abstract 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.