Assessment And Handover First Aid Acronyms
A practical Australian guide to SAMPLE, OPQRST, PQRST, AVPU, GCS, LOC, ISBAR, SBAR, MIST, IMIST-AMBO, COWS, DRSABCD, DRABC and ABCDE.
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SAMPLE gathers the story, OPQRST and PQRST organise pain and symptom questions, AVPU, GCS and LOC describe responsiveness, and ISBAR, SBAR, MIST and IMIST-AMBO make handover clearer.
Responsiveness And Consciousness
Use these when describing whether the person is alert, confused, responding only to voice, hard to rouse or unresponsive.
AVPU
AVPU First Aid: Alert, Voice, Pain, Unresponsive
AVPU is a quick way to describe a person’s level of responsiveness.
GGCS
GCS Meaning: Glasgow Coma Scale in First Aid Handover
GCS means Glasgow Coma Scale, a clinical score used to describe consciousness after illness or injury.
LLOC
LOC Meaning: Loss or Level of Consciousness
LOC usually means loss of consciousness or level of consciousness, depending on the context.
CCOWS
COWS First Aid: A Simple Response Check
COWS is a first aid response check that helps you work out whether a person can hear, open their eyes and respond.
Questions That Build The Story
These help gather symptoms, medicines, allergies, timing, pain description and what happened without delaying urgent care.
SAMPLE
SAMPLE First Aid History: The Questions Worth Asking
SAMPLE helps first aiders gather useful information while help is coming.
PPQRST
PQRST Pain Assessment: A First Aid Question Framework
PQRST helps make pain questions specific enough to be useful.
OOPQRST
OPQRST Meaning: Pain Assessment Questions in First Aid and Handover
OPQRST is a pain and symptom assessment acronym: Onset, Provocation, Quality, Region, Severity and Time.
Structured Handover
These acronyms turn scattered facts into a clearer handover for 000, ambulance officers, nurses, workplace first aiders or supervisors.
ISBAR
ISBAR Meaning: A Safer Handover Framework
ISBAR means Identify, Situation, Background, Assessment and Recommendation: a structured way to hand over important information.
SSBAR
SBAR Meaning: Situation, Background, Assessment and Recommendation
SBAR is a communication acronym for Situation, Background, Assessment and Recommendation.
MMIST
MIST Handover: Mechanism, Injuries, Signs and Treatment
MIST is a compact trauma handover format: Mechanism, Injuries, Signs and Treatment.
IIMIST-AMBO
IMIST-AMBO Meaning: Australian Ambulance Handover Acronym
IMIST-AMBO is an Australian ambulance-to-hospital handover acronym for clear, structured patient information.
Primary Survey Language
These help readers separate public first aid action sequences from clinical assessment language and older first aid wording.
DRSABCD
DRSABCD Meaning: The Australian First Aid Action Plan
The big emergency sequence: Danger, Response, Send for help, Airway, Breathing, CPR and Defibrillation.
DDRABC
DRABC Meaning: The Older First Aid Primary Survey Acronym
DRABC means Danger, Response, Airway, Breathing and Circulation, an older first aid sequence now usually expanded to DRSABCD in Australia.
AABCDE
ABCDE Meaning: Airway, Breathing, Circulation, Disability and Exposure
ABCDE is a structured assessment acronym used in emergency care to organise immediate problems by Airway, Breathing, Circulation, Disability and Exposure.
A Simple First Aid Handover Pattern
- Start with the urgent problem: say what happened, where you are, what changed and whether 000 has been called.
- Describe response and breathing: AVPU, LOC or plain English is useful, but airway and breathing remain the priority.
- Add the useful history: SAMPLE and OPQRST can capture symptoms, allergies, medicines, past history, last food or drink and timing.
- Finish with actions taken: tell the next responder about CPR, AED use, bleeding control, asthma or anaphylaxis actions, glucose treatment, positioning, monitoring and changes over time.
Common Handover Mistakes
Do not delay 000 while collecting a perfect history. Do not invent details to fill a letter. Do not hide uncertainty. A short, accurate handover is better than a long, polished one that buries the urgent problem.
Acronym Finder
Choose the right acronym by situation: collapse, pain, illness, injury, response level, workplace incident or handover.
WWorkplace
Use handover acronyms with workplace first aid, WHS language, incident records and supervisor communication.
HHeart & Stroke
Connect OPQRST, SAMPLE and AVPU with chest pain, stroke signs, collapse and cardiac arrest language.
- Australian Commission clinical handover
- Australian Commission ISBAR
- Queensland Ambulance clinical handover
- Queensland Ambulance pain assessment
- Victorian health handover protocol
- RCH trauma handover
- healthdirect Australia
- Better Health Channel
- ANZCOR Basic Life Support
- St John Victoria emergency first aid
This guide is educational and does not replace accredited first aid training, workplace procedures, professional medical advice, emergency operators or directions from ambulance officers.
