RNCHAMPS

RNCHAMPS (pronounced "R, N, champs") is a mnemonic acronym used to recall the types of shock. The mnemonic is alternately known as CRAMPS NH ("Cramps, New Hampshire") or NH-CRAMPS ("New Hampshire cramps").^[1] Its utility in distinguishing types of shock has been discussed in medical literature and reference material concerning emergency medicine,^[1] emergency medical services,^[2] fire rescue,^[3] and specialized courses such as the Comprehensive Advanced Life Support Program.^[4]

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[2]

[3]

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	Component of acronym	Examples: Traumatic Causes	Examples: Medical Causes
R	Respiratory	Flail chest; tension pneumothorax; pleural effusion^[2]	Hypoxemia due to COPD, asthma, pulmonary edema^[2]
N	Neurogenic	Traumatic brain injury; cervical or high thoracic spinal cord injury
C	Cardiogenic	Cardiac tamponade; tension pneumothorax; pulmonary embolism^[5]	Left ventricular myocardial infarction; cardiomyopathy; bradydysrhythmias^[5]^[6]
H	Hypovolemic	Hemorrhage; burns (due to third spacing)^[6]	Dehydration; diarrheal diseases; aortic aneurysm^[6]
A	Anaphylactic		Anaphylaxis^[7]
M	Metabolic	Hypoventilation due to traumatic brain injury or tension pneumothorax^[8]	Diabetic ketoacidosis; hypoventilation due to COPD, asthma, or severe pneumonia^[8]
P	Psychogenic		Sudden emotional stimulus, i.e. terror, elation, or surprise^[6]
S	Septic	Osteomyelitis; infections secondary to burns^[9]	Meningitis; bacteremia; pyelonephritis; upper respiratory infection^[9]

v t e Medical mnemonics (list)
ABC AEIOU-TIPS APGAR ASHICE CASMEET FAST Hs and Ts IS PATH WARM? MARCHE OPQRST RICE RNCHAMPS RPM-30-2-Can Do SAD PERSONS SAMPLE SBAR SOAP SOCRATES
Lists	Anatomy Cardiology First response Pathology Various

RNCHAMPS

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