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Scenario 2

Abdominal Pain

GENERAL SCENARIO DESCRIPTION
A 25 year old female with progressive, acute non-traumatic abdominal pain

INFORMATION GIVEN TO TRAINEE
You are called to the house of the patient who is experiencing severe abdominal pain.

PATIENT SUMMARY
Patient complains of terrible stomach pain and is tender when the abdominal area is palpated.

SCENARIO OBJECTIVES

Assessment:
  • Verify scene safety
  • Primary assessment: “OPQRST” questions; reveals tender abdomen no known cause, complete a full assessment to attempt to determine nature or cause of abdominal pain
  • Recognize need for urgent treatment and activate ALS
  • Secondary assessment, no other injuries or illnesses found
Problem Management:
  • Rule out injury vs. medical emergency
  • Maintain patient privacy and clear out area around patient, notify area management, communicate with patient and others in a clear and calm manner
SPECIFIC INSTRUCTIONS FOR INJURED PATIENT

Position: You are lying on a couch. 

Answers to SAMPLE:
Signs and symptoms: severe abdominal pain, pale face
Allergies: none
Medication: none
Past history: none
Last meal: two hours ago
Events leading: abdominal area started hurting several hours ago 

Behaviors: You are guarding your abdominal area, which is tender to the touch, and you tell the first responder that you are having terrible stomach pain. When questioned, you relate that your menses has been regular, and that you have not had pain or burning when you void.  

SPECIFIC COMMENTS FOR EVALUATORS
Must communicate with sensitivity to rule in/out the various possibilities... apendicitis, pregnancy, UTI, etc.

Source: derived from National Ski Patrol
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