Prehospital Assessment of Non-Traumatic Abdominal Pain

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Keywords

Abdominal pain
Fast track
Protocol
Prehospital care
Triage

How to Cite

PeyraviM., CarlströmE., ÖrtenwalP., & Khorram-ManeshA. (2021). Prehospital Assessment of Non-Traumatic Abdominal Pain . Iranian Red Crescent Medical Journal, 23(6). Retrieved from https://ircmj.com/index.php/IRCMJ/article/view/660

Abstract

Background: Non-traumatic abdominal pain may have several causes and often needs physicians’ consultation. In a pilot study, a template was used to assist ambulance nurses and technicians to assess this medical condition.

Objectives: This study aimed to evaluate the use of the template and the outcome of the pilot study.

Methods: A prehospital template (protocol) consisting of validated physiological and clinical scales, such as “Rapid Emergency Triage and Treatment Scale-Ambulances”, “Patient Behavioral Pain Scale”, and “Visual Analog Scale” were used to assist the ambulance crew in Shiraz, Iran, to assess all cases with non-traumatic abdominal pain. The outcome of the evaluation in this group was compared with a control group using the normal routine of assessment.

Results: Of 200 prehospital patients, 170 cases were eligible for evaluation. The majority of the patients in the protocol (n=88) and control groups (n=82) were males (n=46 and n=43, respectively). There was a slight but statistically significant difference between the two groups in favor of the protocol group concerning the need for ambulance transport and direct admission to the hospital (P<0.02).

Conclusion: Although prehospital assessment and management of non-traumatic abdominal pain continue to be challenging for emergency medical staff, educational initiatives together with prehospital guidelines may improve the accuracy of prehospital decision-making and open up for new fast-track diagnosis and direct admission to the hospital.

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