Adult Abdominal Trauma

Question 1

A proper abdominal assessment

Answer 1

invloves exposing the entire abdomen from nipple line to groin and using inspection, auscultation, percussion, and palpation

Question 2

What should you do before and after immobilization?

Answer 2

PMS of extremities

Question 3

What are the EMT parts of this protocol?

Answer 3

C-spine, general impression, ABC, LOC, assess respiratory effort, GCD, pulse ox, identify MOI, stabilize impaled objects

Question 4

How should you handle severe hemorrhage from open penetrating injury?

Answer 4

control bleeding with well amed direct pressure, once controlled apply dry sterile dressing.

Question 5

How should you handle evisceration with protruding abdominal contents?

Answer 5

Loosely wrap any protruding abdominal contents with a sterile dressing moistened with NS and cover entirety with an occlusive dressing

Question 6

Paramedic part of protocol

Answer 6

Consider intubation, OG tube, cardiac monitor, two large bore IVs and titrate to systolic BP of 90 to 100. Obtain and interpret 12 lead. Consider Fentanyl, ondansetron. Reassess vitals every 5 minutes.