What does DCAP-BTLS stand for?

Memorization of acronyms does not necessarily translate to understanding; here's a breakdown of what DCAP-BTLS means

Anytime you're studying for a test, it's automatically easier to memorize information if you can use or create an acronym.

In EMS, there's an endless amount of terminology and phrases. When you're on scene, it's not helpful if you just say, "Don't forget DCAP-BTLS."What does DCAP-BTLS stand for?

  • Deformities
  • Contusions
  • Abrasions
  • Punctures/penetrations
  • Burns
  • Tenderness
  • Lacerations
  • Swelling
DCAP-BTLS is used to assess trauma patients.
DCAP-BTLS is used to assess trauma patients. (Photo/Ray Kemp)

How is DCAP-BTLS used during the physical exam?

Memorization may get you a passing grade on a test, but you must also understand and implement the learned knowledge in your day-to-day calls as an EMS provider. Here is what each letter means in the context of performing a head-to-toe or focused history physical exam during the patient assessment. 

  • Deformities: Is there an abnormality in the shape of a body part or organ compared to the normal shape?
  • Contusions: Do you notice bruising? In extreme cases, this can cause blood to seep, hemorrhage or extravasate into surrounding tissues.
  • Abrasions: How severe is the abrasion? Your treatment will vary depending on the severity, but be sure to always clean and remove any debris.
  • Punctures/penetrations: Penetrating trauma suggests an object didn't pass through, while perforating trauma is associated with an entrance and exit wound.
  • Burns: Treatment depends on the severity of the burn.
  • Tenderness: This shouldn't be confused with pain. Tenderness is triggered by discomfort when an affected area is touched.
  • Lacerations: Treatment depends on the type, cause and depth of the wound. Minor wounds heal on their own, while puncture wounds are more prone to infection.
  • Swelling: This is an abnormal enlargement of a body part or area. Swelling may occur in response to infection, injury or disease.

OK, now say it with me. DCAP-BTLS: deformities, contusions, abrasions, punctures/penetrations, burns, tenderness, lacerations and swelling.

Do you like using medical abbreviations to recall information during on-scene patient care and assessment? Let us know what you prefer in the comments below.

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This article, originally published February 23, 2017, has been updated

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