ADULT MEDICAL PROTOCOLS

Question 1

S/S for abdominal pain

Answer 1

hypotension, nausea &/or vomiting, bleeding from mouth or rectum

Question 2

causes of hypotension associated with abdominal pain

Answer 2

• vascular emergencies (i.e. ruptured abdominal aortic aneurysm
• ruptured ectopic pregnancies
• bowel obstructions causing fluids to build up
• traumatic damage to slid organ (i.e. spleen, kidney, liver)
• gastrointestinal bleeding

Question 3

upper abdominal pain

Answer 3

everything above umbilicus

Question 4

lower abdominal pain

Answer 4

everything below umbilicus

Question 5

male age group to receive 12 lead ecg presenting with upper abdominal pain

Answer 5

35 years or older

Question 6

female age group to receive 12 lead ecg presenting with upper abdominal pain

Answer 6

45 years or older

Question 7

females of childbearing age presenting with lower abdominal pain should be treated as possible what ?

Answer 7

ectopic pregnancy until proven otherwise

Question 8

what can help understand the reasons for patients abdominal pain ?

Answer 8

past medical/ surgical history or current medications

Question 9

starts in the posterior flank and radiates around to lower abdomen on the side of the pain and never crosses the midline

Answer 9

renal colic (kidney stones)

Question 10

starts in the right upper quadrant but may move around the upper abdomen into the mid back

Answer 10

gallbladder pain

Question 11

possible causes of right lower quadrant pain

Answer 11

• kidney stones
• ectopic pregnancy
• classic appendicitis

Question 12

pain starts in mid upper abdomen or around the umbilicus and later moves to the right lower quadrant

Answer 12

classic appendicitis

Question 13

possible cause of left upper quadrant pain

Answer 13

pancreatitis

Question 14

associated with alcohol abuse or gallbladder stones

Answer 14

pancreatitis

Question 15

possible causes of left lower quadrant pain

Answer 15

• diverticulitis
• ectopic pregnancy
• kidney stones

Question 16

abdominal pain may be associated with

Answer 16

• nausea &/or vomiting
• diarrhea or constipation
• urinary symptoms
• difficulty breathing
• cough
• fever

Question 17

treatment for hypotension with abdominal pain

Answer 17

• 500cc IV bolus

- may repeat once

Question 18

treatment for nausea/ vomiting with abdominal pain

Answer 18

-zofran (ondansetron) 8m PO

Question 19

treatment for pt vomiting blood or bleeding large amounts per rectum

Answer 19

• start saline lock

- administer NS if pt hypotensive or tachy

Question 20

Steps to provide assistance through the Elder Links Project or other Community Services

Answer 20

1. complete elder helpline referral form
2. deliver or fax form to rescue division
3. if person is a pt, document referral in narrative pf PCR

Question 21

Elder Links Info

Answer 21

• Florida Department of Elder Affairs, Alliance for Aging Inc.
  (Elder Links)
  -Phone: 305-670-HELP (4357) or 180096ELDER (963-5337)
  Fax: 305-670-6516 or 305671-7229

Question 22

Any fire rescue employee who knows or has reasonable cause to suspect abuse, neglect, or exploitation of a child or vulnerable adult will immediately report such knowledge or suspicion to

Answer 22

the Florida Abuse Hotline 180096-ABUSE (962-2873)

Question 23

Information obtained from victim when reporting to FL Abuse Hotline

Answer 23

1. name
2. full address
3. phone #
4. DOB, age, race, sex
5. SS #
6. Description of physical mental or behavioral indications demonstrating person is infirm or disabled
7. history including medical conditions
8. incident # & police case #

Question 24

do not fax forms to FL Abuse Hotline b/c

Answer 24

no guaranteed process to confirm it was received

Question 25

Response by police to incident or transportation of neglected or exploited person to hospital, does not release unit from what ?

Answer 25

responsibility of reporting the incident to the Florida abuse hotline