ATMIST is used for casualty handover to an ambulance crew:
A (Alpha) - Age of the MisPer/casualty
T (Tango) - Time of the
incident/arrival
M (Mike) - Mechanism of injury
I (India) - Injuries
S (Sierra) - Vital
signs
T (Tango) - Treatment given
FLAPSWET is used for LRFR assessment:
F (Foxtrot) - Feel the chest (feel for rise and fall and/or abnormalities)
L (Lima) -
Look at the chest (look for rise and fall and/or abnormalities)
A (Alpha) - Auscultate (listen to the
chest)
P (Papa) - Percuss (listen for differences)
S (Sierra) - Sides and back (look and
feel)
W (Whiskey) - Wounds (are there any injuries?)
E (Echo) - Emphysema (look for breathing
abnormalities)
T (Tango) - Trachea (is this aligned or damaged from injury?)
LIONEL is used for contacting the emergency services:
L (Lima) - Location (what3words can be used)
I (India) - Incident (briefly summarise
it)
O (Oscar) - Other services required
N (November) - Number of casualties
E (Echo) - Extent
of injuries
L (Lima) - Location
SAMPLE is used in the medical assessment of a casualty:
S (Sierra) - Signs and symptoms
A (Alpha) - Any allergies
M (Mike) -
Medication
P (Papa) - Past medical history
L (Lima) - Last oral intake
E (Echo) - Event
leading to injury/illness
SHAPE is used for the management of dangers and the scene:
S (Sierra) - Safety and protection
H (Hotel) - Hazards
A (Alpha) - Assess the
situation
P (Papa) - Prioritise
E (Echo) - Environment
THE SPIDER is used for dealing with catastrophic bleed:
T (Tango) - Tourniquet
H (Hotel) - Haemostatic agents/dressings
E (Echo) -
Elevate
S (Sierra) - Splinting
P (Papa) - Packing
I (India) - Indirect pressure
D
(Delta) - Direct pressure
E (Echo) - Enhanced pressure
R (Romeo) - Rest
