View source for 3-5 TRAUMA-ABDOMINAL PAIN

Perform Initial Trauma Care per protocol.

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|'''EMR - Emergency Medical Responder'''
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# Perform a focused assessment of the abdomen, including:
## Visualization of any obvious injury
### Do Not Remove any impaled objects, stabilize in place
## If the patient has an evisceration:
### Do not attempt to replace abdominal contents in the abdomen
### Cover exposed tissue with moist saline dressing
## Gently palpate the abdomen, noting any tenderness, guarding, rigidity, and distention.

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|'''EMT - Emergency Medical Technician'''  ''Perform/Confirm All Above Interventions''
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# Initiate Rapid transport

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|'''AEMT – Advanced Emergency Medicine Tech'''   ''Perform/Confirm All Above Interventions''
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# Establish 2 large bore IVs en route, if possible.
## Avoid sites distal to deformities or on injured extremities. 
## Administer a fluid bolus of 20 mL/kg up to 500 mL if the patient has a systolic BP less than 90 mm Hg. '''Contact MEDICAL CONTROL''' for further fluid orders.

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|'''Intermediate -''' ''Perform/Confirm All Above Interventions''
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# '''Contact MEDICAL CONTROL''' for consideration of administration of pain medications. If approved, utilize pain management protocol for doses and monitoring.

{| class="wikitable"
|'''Paramedic -''' ''Perform/Confirm All Above Interventions''
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# Repeat Vital signs and if SBP < 90, repeat bolus of 500 mL NS, '''Contact MEDICAL CONTROL''' for further fluid orders.