tailieunhanh - Lecture Mosby's paramedic textbook (4th ed) - Chapter 29: Abdominal and gastrointestinal disorders

This chapter include objectives: Identify the purpose of the patient care report; describe the uses of the patient care report; outline the components of an accurate, thorough patient care report; describe the elements of a properly written emergency medical services (EMS) document; describe an effective system for documenting the narrative section of a prehospital patient care report;. | 9/11/2012 1 Chapter 29 Abdominal and Gastrointestinal Disorders 2 Lesson Abdominal Organs and Abdominal Pain 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/11/2012 Learning Objectives • Label a diagram of the abdominal organs. • Describe the function of the abdominal organs. • Outline prehospital assessment of a patient who is complaining of abdominal pain. 4 Learning Objectives • Distinguish between pain characteristics in abdominal pain. • Describe general prehospital management techniques for a patient who is complaining of abdominal pain. 5 Gastrointestinal Anatomy • Provides body with water, electrolytes, other nutrients used by cells – Major organs • • • • • • Esophagus Stomach Small and large intestines Liver Gallbladder Pancreas 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/11/2012 7 Acute Abdominal Pain • When abdominal pain is present, begin primary survey by ensuring scene is safe – Initial scene size up – Determine if abdominal pain is result of trauma or medical condition • May be evident from initial scene survey 8 Acute Abdominal Pain • Nature of pain may become evident by obtaining information from patient, family, or bystanders • Inspect nearby area for medication bottles and signs of alcohol or other drug use – May offer clues about cause of patient’s condition – If alcohol or other drug use is suspected, any containers of emesis should be transported with patient for laboratory analysis 9 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 3 9/11/2012 Acute Abdominal Pain • After primary survey to ensure adequacy of airway, breathing, and circulation, assessment of patient begins with thorough history focused on chief complaint – Assess and document baseline vital signs and perform systematic physical examination • Helps identify abdominal emergencies • .