ABDOMINAL PAIN
ALL LEVELS
DESIGNATION OF CONDITION
Includes a chief complaint of moderate to severe abdominal pain from either medical or traumatic causes
EMPHASIS ON PATIENT CARE
Airway management, adequate perfusion, and transport
1. Primary and Secondary surveys and vital signs.
4. Consider possible causes:
Any female of childbearing age who presents with abdominal pain, and signs & symptoms of shock, is considered to have suffered a ruptured ectopic pregnancy .
BASIC/AEMT / PARAMEDIC
1. In-route, initiate IV/IO access; if necessary, titrate isotonic solution to end organ perfusion; may use one or two large bore IV/IOs (determined by patient condition) of an isotonic fluid
2. Analgesics per PAIN MANAGEMENT GUIDELINES if stable vital signs
3. If nausea and/or vomiting is present administer: (EMT-Basics may administer ZOFRAN ODT)
a. ONDANSETRON (Zofran) 4mg IV/IO or PO (ODT) Max. 8 mg.
b. Peds > 6mo Ondansetron (Zofran) 0.15 mg/kg IV/IO or 2mg PO (ODT)
i. >2yo Zofran 4mg PO (ODT-Oral dissolving tablet)
c. PROMETHAZINE (Phenergan) Adult 12.5-25 mg IV/IO to be diluted in 100 ml of NS administered as a piggyback on a patent IV, or 25-50 mgs Deep IM
4. Apply cardiac monitor if > 50 y/o and upper abdominal pain.
ALL LEVELS
DESIGNATION OF CONDITION
Includes a chief complaint of moderate to severe abdominal pain from either medical or traumatic causes
EMPHASIS ON PATIENT CARE
Airway management, adequate perfusion, and transport
1. Primary and Secondary surveys and vital signs.
4. Consider possible causes:
Any female of childbearing age who presents with abdominal pain, and signs & symptoms of shock, is considered to have suffered a ruptured ectopic pregnancy .
BASIC/AEMT / PARAMEDIC
1. In-route, initiate IV/IO access; if necessary, titrate isotonic solution to end organ perfusion; may use one or two large bore IV/IOs (determined by patient condition) of an isotonic fluid
2. Analgesics per PAIN MANAGEMENT GUIDELINES if stable vital signs
3. If nausea and/or vomiting is present administer: (EMT-Basics may administer ZOFRAN ODT)
a. ONDANSETRON (Zofran) 4mg IV/IO or PO (ODT) Max. 8 mg.
b. Peds > 6mo Ondansetron (Zofran) 0.15 mg/kg IV/IO or 2mg PO (ODT)
i. >2yo Zofran 4mg PO (ODT-Oral dissolving tablet)
c. PROMETHAZINE (Phenergan) Adult 12.5-25 mg IV/IO to be diluted in 100 ml of NS administered as a piggyback on a patent IV, or 25-50 mgs Deep IM
4. Apply cardiac monitor if > 50 y/o and upper abdominal pain.