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FINAL VERSION For review only. Do not cite, quote, or publish.

Medical: 5 Gastroenterology: 6

      • d.

        Disability

      • e.

        Chief complaint

    • 3.

      Focused history

      • a.

        Onset

      • b.

        Provoking factors

      • c.

        Quality

      • d.

        Region/ radiation

      • e.

        Severity

      • f.

        Time

      • g.

        Previous history of same event

      • h.

        Nausea/ vomiting

      • i.

        Change in bowel habits/ stool

        • (1)

          Constipation

        • (2)

          Diarrhea

      • j.

        Weight loss

      • k.

        Last meal

      • l.

        Chest pain

    • 4.

      Focused physical examination

      • a.

        Appearance

      • b.

        Posture

      • c.

        Level of consciousness

      • d.

        Apparent state of health

      • e.

        Skin color

      • f.

        Vital signs

      • g.

        Inspect abdomen

      • h.

        Auscultate abdomen

      • i.

        Percuss abdomen

      • j.

        Palpate abdomen

      • k.

        Female abdominal exam

      • l.

        Male abdominal exam

    • 5.

      Assessment tools

      • a.

        Hematocrit

  • C.

    Management/ treatment plan

    • 1.

      Airway and ventilatory support

      • a.

        Maintain an open airway

      • b.

        High flow oxygen

    • 2.

      Circulatory support

      • a.

        Electrocardiogram

      • b.

        Monitor blood pressure

    • 3.

      Pharmacological interventions

      • a.

        Consider initiating intravenous line

      • b.

        Avoid intervention which mask signs and symptoms

    • 4.

      Non-pharmacological interventions

      • a.

        Nothing by mouth

      • b.

        Monitor LOC

      • c.

        Monitor vital signs

      • d.

        Position of comfort

    • 5.

      Transport consideration

      • a.

        Persistent pain for greater than six hours requires transport

      • b.

        Gentle but rapid transport

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

5

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