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 Do not cite, quote, or publish.

Medical: 5 Gastroenterology: 6

        • (5)

          Nausea/ vomiting

      • b.

        Physical

        • (1)

          Cardiovascular

          • (a)

            Hypotension

          • (b)

            Tachycardia

        • (2)

          Lungs

          • (a)

            Pulmonary edema

        • (3)

          Skin

          • (a)

            Pale

          • (b)

            Cool

          • (c)

            Moist

        • (4)

          Edema

        • (5)

          Inspect abdomen

          • (a)

            Scars

          • (b)

            Ecchymosis

          • (c)

            Contour

            • i)

              Bulges

            • ii)

              Symmetry

        • (6)

          Auscultate

          • (a)

            Bowel sounds

        • (7)

          Percuss

        • (8)

          Palpate

    • 4.

      Management

      • a.

        Airway and ventilatory support

        • (1)

          High flow oxygen

      • b.

        Circulatory support

        • (1)

          Positioning

        • (2)

          Fluid bolus

      • c.

        Psychological support

      • d.

        Transport considerations

  • L.

    Esophageal varices

    • 1.

      Epidemiology

      • a.

        Incidence

      • b.

        Mortality/ morbidity

      • c.

        Risk factors

      • d.

        Prevention strategies

      • e.

        Anatomy and physiology review

      • f.

        Pathophysiology

        • (1)

          Portal hypertension

        • (2)

          Esophagitis with erosion

        • (3)

          Ingestion caustic substance

    • 2.

      Assessment findings

      • a.

        History

        • (1)

          Acute

        • (2)

          Painless

        • (3)

          Nausea

        • (4)

          Vomiting/ hematemesis

      • b.

        Physical

        • (1)

          Cardiovascular

          • (a)

            Hypotension

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

16

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