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 Do not cite, quote, or publish.

Medical: 5 Gastroenterology: 6

        • (8)

          Vomiting/ hematemesis

      • b.

        Physical

        • (1)

          Altered level of consciousness

        • (2)

          Cardiovascular

          • (a)

            Hypotension

          • (b)

            Tachycardia

        • (3)

          Skin

          • (a)

            Pale

          • (b)

            Cool

          • (c)

            Moist

        • (4)

          Inspect abdomen

          • (a)

            Scars

          • (b)

            Ecchymosis

          • (c)

            Contour

            • i)

              Bulges

            • ii)

              Symmetry

        • (5)

          Auscultate

          • (a)

            Bowel sounds

        • (6)

          Percuss

        • (7)

          Palpate

      • c.

        Assessment tools

        • (1)

          Hematocrit

    • 3.

      Management

      • a.

        Airway and ventilatory support

        • (1)

          High flow oxygen

      • b.

        Circulatory support

        • (1)

          Positioning

        • (2)

          Consider fluid bolus or resuscitation

      • c.

        Pharmacological

        • (1)

          Antacid

        • (2)

          H2 Blockers

      • d.

        Psychological support

      • e.

        Transport consideration

  • I.

    Bowel obstruction

    • 1.

      Epidemiology

      • a.

        Incidence

      • b.

        Mortality/ morbidity

      • c.

        Risk factors

      • d.

        Anatomy and physiology review

      • e.

        Pathophysiology

        • (1)

          Mechanical

        • (2)

          Non-mechanical

        • (3)

          Lesions

        • (4)

          Obturation of the lumen

        • (5)

          Small/ large bowel

        • (6)

          Adhesions

        • (7)

          Hernias

    • 2.

      Assessment findings

      • a.

        History

        • (1)

          Acute/ chronic

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

13

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