2015 Trumbull Memorial Hospital Demo

Abdominal Pain Abdominal Pain

Universal Patient Assessment

A thorough history and physical exam can help to uncover the cause of abdominal pain.

Oxygen Titrate SpO2 to 94%

Position of Comfort

Ask about intake/output history, hydration, nausea, vomiting.

Females of child bearing age (15 to 49), ask about last normal menstrual period and possibility of pregnancy.

Cardiac Monitor 12-Lead ECG If EMT or STEMI, transmit

Fentanyl is better than Ketamine for visceral pain.

Adult IV/IO

Check BGL

Low BP

Normal BP

Systolic BP >100 mmHg Patient appears hemodynamically stable.

Systolic BP <100 mmHg Patient appears hemodynamically unstable.

Follow Nausea/Vomiting Protocol

Fluid Boluses as necessary to maintain perfusion Monitor for pulmonary edema

Follow Pain Management Protocol

Follow Nausea/Vomiting Protocol

Follow Pain Management Protocol

23

EMR

EMT

AEMT

Paramedic

Extended