chbare Posted September 1, 2008 Posted September 1, 2008 You are kicked out on a call for a 28 year old female with abdominal pain. Take care, chbare.
Christopher.Collins Posted September 1, 2008 Posted September 1, 2008 OOOH OOOH I GOT IT!!! SCENE SAFETY? AND I HAVE MY BSI ON!!! Ok seriously... Hows she presenting? Where in the abdomen is the pain (quadrant/s), 1/10 Pain Scale Palpate quads, how does she react, how does it feel? OPQRST Vitals SAMPLE Is she pregnant, history of past pregnancies if applicable? Last urine and fecal output, did she observe any abnormalites?
chbare Posted September 1, 2008 Author Posted September 1, 2008 Scene appears safe. You enter to find the patient on her way to use the bathroom. She says, "I feel like I have to go." She is a G5P5A0. She states while walking past you, "I can't be pregnant I just had a baby less than a year ago." Reports severe pain that comes and goes. 10/10. Take care, chbare.
Christopher.Collins Posted September 1, 2008 Posted September 1, 2008 Howd that pregnancy go? Does she appear to be pregnant? Any ongoing sickness?
chbare Posted September 1, 2008 Author Posted September 1, 2008 All of her pregnancies were uneventful. Each successive labor and delivery was "faster and easier." Hard to tell if she looks pregnant, she is a large framed person. No real complaints of any ongoing problems. She tells you she "would rather talk after using the bathroom" and continues walking past you. Take care, chbare.
Christopher.Collins Posted September 1, 2008 Posted September 1, 2008 What did she eat last and when? What provokes the pain? What if anything eases it? So shes in the bathroom now, anything happening or is she still just sitting there in pain? As soon as shes done Id tx priority 1, 15lpm NRBR in POC
Christopher.Collins Posted September 1, 2008 Posted September 1, 2008 Does she feel like shes having contractions or in labor, anything compared to pregnancy?
chbare Posted September 1, 2008 Author Posted September 1, 2008 You start hearing her scream shortly after she enters the bathroom. Take care, chbare.
emt322632 Posted September 1, 2008 Posted September 1, 2008 Has she had the urge to evacuate her bowels any other time than right now? If so color, formed or soft? Current med (prescription, otc, herbal and illicit), med hx. other than pregnancies. What was going on prior to the call to 911? trauma? Can't think of anything else at the moment, eatin my lunch
Christopher.Collins Posted September 1, 2008 Posted September 1, 2008 Well if shes screaming in pain and the door is locked (try before I pry lol)... Im taking the door (easily in case the toilet is near). What do I find once I gain access?
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