View source for 2-13 ABDOMINAL-BACK PAIN (SUSPECTED AAA)

Hypotension can be defined as systolic blood pressure less than 90mmHg in adults. Shock is indicated by symptoms of inadequate perfusion: pale, cool, and clammy skin, change in mental status, ischemic chest pain, etc.

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|'''EMR - Emergency Medical Responder'''
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# Evaluate ABC’s
# Apply oxygen or support ventilations.  Monitor airway and breathing closely.
# Place the patient in Trendelenburg position as tolerated by airway control and respiratory effort.
# '''Call for ALS intercept'''

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|EMT - Emergency Medical Technician  ''Perform/Confirm All Above Interventions''
|} 

# Initiate early transport with ongoing assessment
# Assess blood glucose for any altered mental status.  Treat appropriately
# '''Call for ALS intercept and notify Medical Control'''

{| class="wikitable"
|'''AEMT – Advanced Emergency Medicine Tech  ''' ''Perform/Confirm All Above Interventions''
|} 

# Cardiac monitoring, consider 12-lead ECG to identify rhythm if trained to do so.
# Establish IV access and contact '''Medical Control''' for fluid orders
# Initiate early transport
# '''Call for ALS intercept'''

{| class="wikitable"
|'''Intermediate -''' ''Perform/Confirm All Above Interventions''
|} 

# Initiate transport
# Establish IV access en route to hospital.
# If systolic BP < 90mm Hg or, patient’s skin is cool, diaphoretic and clammy, with clear lungs, administer a fluid bolus of 500 mL.
# Contact '''Medical Control''' for further fluid orders

                           
{| class="wikitable"
|'''Paramedic -''' ''Perform/Confirm All Above Interventions''
|}