3-5 TRAUMA-ABDOMINAL PAIN

Perform Initial Trauma Care per protocol.

EMR - Emergency Medical Responder

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

EMT - Emergency Medical Technician  Perform/Confirm All Above Interventions

1. Initiate Rapid transport

AEMT – Advanced Emergency Medicine Tech   Perform/Confirm All Above Interventions

1. Establish 2 large bore IVs en route, if possible.
   1. Avoid sites distal to deformities or on injured extremities.
   2. 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.

Intermediate - Perform/Confirm All Above Interventions

1. Contact MEDICAL CONTROL for consideration of administration of pain medications. If approved, utilize pain management protocol for doses and monitoring.

Paramedic - Perform/Confirm All Above Interventions

1. Repeat Vital signs and if SBP < 90, repeat bolus of 500 mL NS, Contact MEDICAL CONTROL for further fluid orders.