Protocol 2-022 - Abdominal Pain

CMH EMS & MIH Protocols

EMD:

EMR:

EMT:

AEMT:

RN:

Medic:

CP:

NEMSIS Protocol: 9914109 - Medical-Abdominal Pain

Citations:

Change Log:

DateLink to
previous
version		Description of change
12/12/14pdfChanged Fentanyl over 65 yr to weight-based dose. Clarified pediatric Zofran and Phenergan dosages.
12/12/14pdfMade Intubation a DELIBERATE ACTION. Added Fentanyl for greater than 65 yr to be weight-based.
12/26/14pdfAdded TXA.
03/02/15Removed DELIBERATE ACTION.
05/31/15Re-worded indications for TXA for better clarity.
09/16/15Added by request of Dr. Merk to TXA indications that signs of shock must still be present after 1 L fluid bolus.
02/03/16pdfAdded comment that IV preferred location is in left AC and to use pigtail extension.
11/11/17pdfAdded comment that TXA could be used before fluid bolus if obvious life-threatening hemorrhage.
07/03/18pdfSignificantly added to this protocol from paramedic class discussions.
03/01/19pdfChanged targeted SBP from 80 to 100 based on PHTLS ver 9 recommendation.
07/23/19Added link to new hemorrhage protocolremoved TXA.
04/09/20pdfAdded content (without substantive modification) from old Protocol 5-020 - Abdominal Trauma.
04/09/20Added content (without substantive modification) from old Protocol 4-010 - Abdominal Pain.
06/03/20pdfAdded comment to consider removing Glucagon for esophageal obstruction.
06/06/21pdfMoved to emsprotocols.online
10/14/21pdfRemoved consider glucagon for esophageal obstruction. Approved by Dr. Nicholes 6/8/21. Evidence for removal here https://www.ncbi.nlm.nih.gov/pubmed/9828271 and https://academic.oup.com/ajhp/article-abstract/69/7/573/5112101?redirectedFrom=fulltext
10/15/21pdfMoved trauma and hypotension section to newly created hypotension protocol (2-583).
02/28/22Updated link to Phenergan.
03/14/23pdfAdded provision for CP.
03/17/23Changed link to NS.
03/19/23Changed link for LR.
05/26/23pdfAdded link to 4-083.

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