ADULT MED PROTOCOLS Flashcards
In the pre-hospital environment, the management of a patient with abdominal pain is determined by the presence of any associated signs and symptoms such as
hypotension, nausea/ vomiting, bleeding from mouth or rectum
age range for patient with upper abdominal (above umbilicus) pain to get a 12-lead
male 35+ or female 45+
females of child bearing age with lower abdominal (below umbilicus) pain should be treated as possible what?
ectopic pregnancy
most helpful piece of information when trying to determine the cause of abdominal point?
location of pain
starts in the posterior flank and radiates around to the lower abdomen on the side of the pain and never crosses the midline.
renal colic (kidney stones)
starts in the right upper quadrant but may move around the upper abdomen into the mid back.
gallbladder pain
starts in the mid-upper abdomen or around the umbilicus and later moves to the right lower quadrant.
classic appendicitis
right lower quadrant pain can be associated with
kidney stones, ectopic pregnancy, classic appendicitis
usually associated with left upper quadrant pain, has history of this as well as alcohol abuse, or gallbladder stones.
pancreatitis
left lower quadrant pain can be associated with
diverticulitis, ectopic pregnancy, kidney stones
OPQRST
ONSET
PROVOCATION
QUALITY
REGION/ RADIATION
SEVERITY
TIME
Treatment for patient Vomiting Blood or Bleeding Large Amounts Per Rectum
Start a saline lock. Only administer normal saline if patient also has hypotension or tachycardia
steps for reporting to elders link program or other community services
Complete the Elder-Helpline Referral Form
Deliver or fax the completed form to the EMS Division.
Document in narrative
Elder Links Information:
Florida Department of Elder Affairs, Alliance for Aging Inc. (Elder Links)
305-670-HELP (4357) or 1-800-96ELDER (1-800-963-5337)
steps for Reporting ABUSE, NEGLECT, or EXPLOITATION of Children or Vulnerable Adults
-notify PD
-Notify the EMS Division Supervisor prior to the end of your shift.
-Call Florida abuse line
-obtain all info
-Complete the Florida Abuse Hotline Fax Transmittal Form, and if contact was made with the FL Abuse Hotline, document the counselor’s name and identification number above the Incident Number on the form.
-Deliver or Fax the completed form to the EMS Division for follow up with the local office of the Florida Department of Children and Family Services
-document in narrative
can you fax forms to the Florida Abuse Hotline?
no, there is no guaranteed process to confirm that the forms have been received
T or F: Response by a police agency to the incident scene or transportation of the neglected or exploited person to a hospital, does not release the Unit from the responsibility of reporting the incident to the Florida Abuse Hotline
TRUE
