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 Do not cite, quote, or publish.

Medical: 5 Gastroenterology: 6

  • 6.

    Psychological support

    • a.

      All actions reflect a calm, caring, competent attitude

    • b.

      Keep patient and significant others informed of your actions

  • III.

    Specific Injuries/ illness

    • A.

      Upper gastrointestinal bleeding

      • 1.

        Epidemiology

        • a.

          Incidence

        • b.

          Mortality/ morbidity

        • c.

          Risk factors

        • d.

          Prevention

        • e.

          Anatomy and physiology review

        • f.

          Pathophysiology

          • (1)

            Lesions

          • (2)

            Peptic ulceration

          • (3)

            Erosive gastritis

          • (4)

            Esophagogastric varices

      • 2.

        Assessment findings

        • a.

          History

          • (1)

            Acute/ chronic

          • (2)

            Vomiting/ hematemesis

          • (3)

            Stool/ melena

        • b.

          Physical

          • (1)

            Altered level of consciousness

          • (2)

            Skin

            • (a)

              Pale

            • (b)

              Cool

            • (c)

              Moist

          • (3)

            Inspect abdomen

            • (a)

              Scars

            • (b)

              Ecchymosis

            • (c)

              Contour

              • i)

                Bulges

              • ii)

                Symmetry

          • (4)

            Auscultate

            • (a)

              Bowel sounds

          • (5)

            Percuss

          • (6)

            Palpate

        • c.

          Assessment tools

          • (1)

            Hematocrit

      • 3.

        Management

        • a.

          Airway and ventilatory support

          • (1)

            High flow oxygen

        • b.

          Circulatory support

          • (1)

            Positioning

          • (2)

            Consider MAST

          • (3)

            Consider fluid bolus or resuscitation

          • (4)

            Consider fluid lavage

        • c.

          Psychological support

        • d.

          Transport consideration

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

6

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