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Prehospital Assessm...
Prehospital Assessment of Non-Traumatic Abdominal Pain
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- Peyravi, Mahmoudreza (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery
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- Carlström, Eric, 1957 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
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- Örtenwall, Per, 1951 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery
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- Khorram-Manesh, Amir, 1958 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery
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(creator_code:org_t)
- 2021-07-01
- 2021
- English.
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In: Iranian Red Crescent Medical Journal. - : DoNotEdit. - 2074-1804 .- 2074-1812. ; 23:6
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https://ircmj.org/in...
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https://doi.org/10.3...
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Abstract
Subject headings
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- 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 prehospitaldecision-making and open up for new fast-track diagnosis and direct admission to the hospital.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Keyword
- Abdominal pain
- Fast track
- Prehospital care
- Protocol
- Triage
Publication and Content Type
- ref (subject category)
- art (subject category)
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