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 Management - Assess ABC’s and manage as indicated.
2. Initiate transport to appropriate medical facility in position of comfort.
3. Secondary Management - History, physical exam, 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 .
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:
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)
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 Management - Assess ABC’s and manage as indicated.
2. Initiate transport to appropriate medical facility in position of comfort.
3. Secondary Management - History, physical exam, 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 .
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:
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)
4. Apply cardiac monitor if > 50 y/o and upper abdominal pain