What mnemonic is used to summarize the more common signs and symptoms of nerve agent exposure?

• A. SLUDGEM
• B. DUMBBELSS
• C. ABCDE
• D. FAST

Answer: (A)

This question tests your ability to recall the quick checklist for the cholinergic signs seen with nerve agent exposure. The mnemonic SLUDGEM stands for Salivation, Lacrimation, Urination, Defecation, GI upset, Emesis, and Miosis. It emphasizes the muscarinic effects that are most commonly observed and easy to notice in the field, helping you recognize a cholinergic toxidrome quickly and trigger appropriate treatment such as atropine and oximes. While another mnemonic exists that adds signs like respiratory secretions and sweating, the core, most common cluster of symptoms is captured by SLUDGEM, making it the preferred concise reference in many hazmat and EMS contexts.