Wednesday, August 10, 2022

When To Call An Ambulance For Stomach Pain

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When To Call An Ambulance And When Not

MSTC Paramedic Medical Assessment (Chest Pain)

Avoid having a claim for an ambulance rejected by understanding exactly when you should, and when you should not, arrange for an ambulance to take you to hospital. The most important differentiator in deciding whether an ambulance is appropriate or not, is whether the situation is a real emergency, or not. Read on to see the difference

Ambulances should always be available for real emergencies. An ambulance should never be used as a transport mechanism when you could have travelled in a private vehicle.

Nedgroup Medical Aid Scheme and ER24 have embarked on a stringent programme to decrease the misuse of ambulances and to try to ensure that ambulance transports are reserved for patients who fit the definition for emergencies:

Causes Of Abdominal Pain

Many different conditions can cause abdominal pain. The key is knowing when immediate medical attention is required, based on your symptoms. In most cases, medical attention is only required if these symptoms persist.

Less serious causes of abdominal pain include:

  • Constipation
  • Food allergies or intolerance
  • Food poisoning
  • Abdominal aortic aneurysm
  • Bowel blockage or obstruction
  • Cancer of the stomach, colon , and other organs
  • Cholecystitis with or without gallstones
  • Diverticulitis
  • Heartburn, indigestion, or gastroesophageal reflux
  • Inflammatory bowel disease
  • Kidney stones

You Probably Dont Need Ambulance Transport But You Should Take Someone Straight To A& e If They Have:

A fever and are floppy and lethargic but conscious.

Abdominal pain.

A bleeding wound that will probably need stitches or gluing, if they have amputated a finger or if have something embedded in the wound..

A leg or arm injury and cant use the limb

Swallowed poison or tablets and are not showing any adverse effects.

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What To Expect When You Call An Ambulance

The EMTs and paramedics are able to provide certain kinds of care on the scene and while in transport, which can help save a persons life or minimize pain and suffering. The ambulance will go to the nearest appropriate emergency room based on the level of care needed and the availability of anticipated resources, such as specialized stroke, trauma, or pediatric care. Once at the hospital, the ER staff will determine which patients get seen first. Just because you arrive in an ambulance doesnt necessarily mean you get first priority. You will be seen based on level of need.

Your Doctor Will Want To Know

Pin on Stomach pain

The doctor will want to know how long your feeling sick and being sick have lasted and whether you have any other symptoms. The doctor will particularly ask about symptoms which may suggest an underlying serious condition. These are known as ‘red flags’. The sort of information your doctor will want to know includes the following:

  • Did it start suddenly or develop over time? Did anything trigger it? How long has it lasted?
  • When do you vomit? Is it worse when you move your head?
  • Do you feel feverish?
  • Are you coughing up blood or bile?
  • Do you feel ill? Do you have a high temperature , weight loss or tummy pains? Do you have headaches?
  • How much alcohol do you drink?
  • When was your last period? Could you be pregnant?
  • Have you started any new medication recently?

This information will help the doctor to work out the cause of your nausea and/or vomiting. Your doctor will examine you. He or she will check your temperature, chest and abdomen. You may be asked to produce a urine sample and have a blood test. You may be asked to do a pregnancy test. Further tests of your stomach and abdomen may be advised. Referral to a specialist is possible.

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What Is An Emergency

The definition is as follows: An emergency medical condition means the sudden and, at the time, unexpected onset of a health condition that requires immediate medical treatment and/or an operation. If the treatment is not available, the emergency could result in weakened bodily functions, serious and lasting damage to organs, limbs or other body parts, or even death.

All ambulance cases will be audited to assess whether the patient was admitted into hospital and/or whether there was a need for specialised emergency care. If the patient was not admitted and did not require specialised care, the ambulance claim may be rejected and the member may be billed for the transportation.

Signs Of Food Poisoning: When To Go To The Er

In serious cases, food poisoning can lead to life-threatening dehydration and organ damage. Seek emergency medical care or call 911 if you see these signs of food poisoning:

  • Change or loss of consciousness
  • Confusion

Food poisoning is usually the result of:

  • Foods being left at room temperature too long
  • Unwashed vegetables and fruits
  • Undercooked poultry and other meat
  • Eating foods prepared by people carrying germs

We recommend follow these tips to prevent food poisoning:

  • Wash your hands frequently.
  • Wash all foods thoroughly before you eat them.
  • Throw away expired food and food that looks or smells bad.
  • Heat foods to their proper temperature when cooking, and throw them away after theyve been out for two hours.
  • Clean and dry all kitchen surfaces and items you use to handle raw meat, seafood, and eggs.

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What Causes Stomach Pain

Common Causes Harmless abdominal pain usually subsides or goes away within two hours.

  • Gas: Formed in the stomach and intestines as your body breaks down food, this can cause general stomach pain and cramps. This often can be indicated by belching or flatulence.
  • Bloating: Related to gas, this occurs when excessive gas builds up in your digestive tract. Your stomach will usually feel full, and you may experience cramps.
  • Constipation: This occurs when you are having difficulty making bowel movements. If you are having two or fewer bowel movements a week, constipation is the likely cause. In addition to feeling bloated and nauseous, you may experience cramping and pain in your rectum.
  • Indigestion: You typically experience this as an upset stomach, burning, or belly pain after eating.
  • Stomach flu: Your stomach may hurt before each episode of vomiting or diarrhea.

Severe Pain Causes In serious cases, the stomach pain gets worse. This may be an indication of a more severe condition, such as:

What Is Abdominal Pain

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Abdominal pain refers to cramps, a dull ache, or a sharp, burning or twisting pain in the belly . Abdominal pain is also called stomach, belly, gut or tummy ache.

The abdomen holds major organs such as the stomach, large and small bowel, appendix, gall bladder, spleen, kidneys and pancreas. The bodys largest artery and largest vein also sit in the abdomen.

Abdominal pain can be very serious, but most abdominal pain is caused by a minor upset or stomach bug and doesnt last long. Minor abdominal pain is very common and people may experience stomach aches or cramps every few months or so. You can usually treat abdominal pain yourself and it will go away in a few days.

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Copd Symptoms: Calling Your Healthcare Provider Vs 911

Sanja Jelic, MD, is board-certified in sleep medicine, critical care medicine, pulmonary disease, and internal medicine.

A COPD exacerbation, or more simply a “flare-up,” happens when COPD symptoms worsen and the lungs become inflamed and irritated. This is usually caused by a viral infection in the lungs, but it can also happen if you inhale an irritating substance like an allergen or air pollution.

COPD exacerbations can be very severe and sometimes life-threatening, requiring you to be hospitalized. Because they can begin suddenly over the course of a few hours to days, it’s important to be prepared with an emergency action plan so that you can act quickly and decisively to get the help you need.

This article discusses why and when you should call 911 for your COPD symptoms. It also covers several tips that may help prevent a COPD flare-up, along with how you can prepare by creating an emergency action plan.

Identify The Pain Location In The Abdomen

Many times the location of the pain in your stomach can determine the potential cause:

  • Upper right: Gallstones, cholecystitis, stomach ulcer, duodenal ulcer, hepatitis
  • Upper center: Heartburn/indigestion, hiatal hernia, epigastric hernia, stomach ulcer, duodenal ulcer, hepatitis
  • Upper left: Functional dyspepsia, stomach ulcer, gastritis, pancreatitis
  • Middle right: Kidney stones, kidney infection, inflammatory bowel disease, constipation
  • Middle center: Umbilical hernia, appendicitis, stomach ulcer, inflammatory bowel disease, pancreatitis
  • Middle left: Kidney stones, kidney infection, inflammatory bowel disease, constipation
  • Lower right: Appendicitis, inflammatory bowel disease, constipation, pelvic pain
  • Lower center: Bladder infection, prostatitis, inflammatory bowel disease, inguinal hernia, pelvic pain
  • Lower left: Constipation, diverticulitis, irritable bowel syndrome, inflammatory bowel disease, pelvic pain, inguinal hernia

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What Exactly Is Abdominal Pain

Firstly, it is important to distinguish between discomfort and pain. Pain in the abdomen, also known as a stomach ache, can vary depending on how you perceive it. It can feel achy, campy or dull and either stops you from doing things or changes your behaviour. Discomfort, on the other hand, is unpleasant and doesnt typically stop you from doing things.

Abdominal pain occurs in the abdominal cavity between the chest and pelvic regions. The pain can sometimes radiate to the spine. This pain is usually caused by an inflammation or infection of the organs inside your abdomen, or by a groin, hip or even a heart problem. In order to get to the bottom of the nature of your stomach pain, you will need to be assessed by a specialist.

Other Serious Conditions That Can Cause Chest Pain

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Many other non-life-threatening conditions and diseases can present in similar ways to a heart attack, but some are life-threatening and should also be treated as soon as possible by calling 911.

  • Angina presents almost identically to a heart attack and indicates an underlying issue with your heart, usually coronary heart disease .
  • Blood clots in your lung can also cause chest pain and should be checked out by a doctor to rule out any complications.
  • Dissecting aneurysm is another life-threatening condition that may be diagnosed instead of a heart attack. If you have a known issue seek immediate medical attention.

Throughout our region, AdventHealth hospitals are accredited as Chest Pain Centers, which means they offer unmatched expertise for heart attack patients. This accreditation improves the clinical processes for the early assessment, diagnosis and treatment of heart attacks in our hospitals, leading to:

  • More efficient and effective evaluations
  • Rapid treatment of patients with chest pain and other heart attack symptoms
  • Better educated health care professionals and a more well-informed community

For more information on conditions that may seem like a heart attack but are non-life-threatening, learn more here. To find the AdventHealth emergency room near you, view all our locations.

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What Can You Do If You Develop Nausea And Vomiting

  • See your doctor urgently if you develop ‘red flag’ symptoms.
  • See your doctor if your vomiting lasts for more than 48 hours and is not improving.
  • Avoid a lack of fluid in your body : drink little and often to replace any fluid you have lost. Consider using rehydration drinks, such as Dioralyte®.
  • If you have motion sickness and you do not have access to medicines:
    • Try breaking the journey to have some fresh air, drink some cold water and, if possible, take a short walk.
    • Try to change your seating (for example, move to the front of a car, or to the middle of the deck of a boat.
    • Breathe fresh air and avoid strong smells .
    • Close your eyes . This reduces ‘positional’ signals from your eyes to your brain and reduces the confusion.
    • Don’t try to read.
      • Metabolic conditions – for example:
        • Diabetes, particularly if poorly controlled. Diabetic ketoacidosis occurs most commonly on patients who are on insulin, and is usually caused by being unwell and not using enough insulin. It can cause persisting, increasing vomiting.
        • Addison’s disease. This rare condition develops over several months and also causes severe fatigue, weight loss, low blood pressure and other symptoms.
        • Hypercalcaemia. A high calcium level is most commonly due to parathyroid gland overactivity, but it can also be caused by certain cancers.

Iv Fluids Pain Treatment Blood Tests & Imaging Tests

Typically in the ER, you’ll get an IV. We’ll put an IV in, which is giving you medications. So if you’re having severe pain we’ll give you a pain medication. If you’re having nausea we’ll treat that. Often times we’re giving fluid for dehydration, especially if a person has been vomiting a lot, “I’ve had a lot of diarrhea.” And then I’m thinking about testing. What do I need to do to figure this out?

In some cases someone may come in, I may push on their abdomen and in doing that I pretty much have an idea of what’s going on, but those cases are rare. A lot of times with abdominal pain we are sending tests and so typically there I’m doing blood work, looking at their white blood cell count, that’s going to show me signs of infection.

Also, looking at their liver function test to see if there’s anything there that suggests a liver problem. Look at something called the lipase, which is something that they have an issue in the pancreas. I’m going to see things that are abnormal there. Looking at the kidneys, electrolytes. So all sorts of different blood tests.

And then beyond that I may do an ultrasound, an ultrasound to look at the gallbladder. Maybe we end up getting a CT scan to look at the appendix or the other organs in the abdomen. So it’s going to be more testing guided by where this person hurts.

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Cost Of An Ambulance Ride To The Hospital

How much you have to pay depends on your health insurance coverage and any deductible you might have. If you have to take an ambulance to the hospital, you will be billed at a later time by the ambulance company. Check with your insurance provider for more information about the cost of ambulance transport. Above all, do not delay calling for an ambulance when you think one is needed.

How You Can Assist The Ambulance Crew

EMS Patient Scenario | Abdominal Pain R/O

There are a number of things you can do to assist the ambulance service.

For example, stay calm and:

  • if you’re in the street, stay with the patient until help arrives
  • if you’re calling from home or work, ask someone to open the door and direct the paramedics to where they’re needed
  • lock away family pets
  • if you can, write down the patient’s GP details and collect any medicine they’re taking
  • if you can, tell the paramedics about any allergies the patient has

If appropriate, you may want to call the patient’s GP. The GP may meet you at the A& E department, or call with important information about the patient.

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When To Call Your Healthcare Provider

If you have never had a severe exacerbation before, you might feel unsure about whether you should call 911 or reach out to your healthcare provider.

Although not everyone needs medical attention for their COPD exacerbation, it’s best not to take chances. If you develop new or worsening COPD symptoms that you think could be an emergency, call 911 right away.

The following list includes symptoms that should prompt you to call your healthcare provider:

You should be able to reach out to your healthcare provider or COPD care team whenever you feel the need. Call your healthcare provider’s office and ask for the best phone number to reach your practitioner quickly. This contact information should be included in your emergency action plan.

Problems Caused By Persistent Vomiting

    • Repeated vomiting can cause dehydration, particularly in babies and small children.
    • Persistent vomiting leads to loss of water and salts from the body, including sodium, potassium and chloride. Altering the balance of the body’s salts can lead to complications, including irregularities of the heart rhythm. It can be very difficult to replace lost fluids and salts whilst vomiting continues.
    • Tooth enamel damage is common in people with bulimia nervosa who induce vomiting on a regular basis as part of their illness. The acid from the stomach erodes and damages teeth, and digestive enzymes damage gums, leading to dental complications.
    • Tears of the oesophageal lining can cause bleeding, and you may see blood in the vomit. Recurrent vomiting can also lead the stomach and gullet to become inflamed .
    • Vomiting whilst unconscious can be very dangerous, as it can lead to stomach contents getting into your windpipe, and therefore into your lungs, where it can obstruct breathing or lead to severe lung inflammation.

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We Strongly Advise You To Immediately Administer First Aid And Call An Ambulance If Someone Experiences:

Unconsciousness whether breathing or not breathing

Abnormal breathing

Obvious serious wound or suspected skull fracture

Bleeding or clear fluid from the nose, ear or mouth

Lack of co-ordination, disturbance of speech or vision, pupils of unequal size following a head injury

Weakness or paralysis following a head injury, or could possibly indicate a Stroke think FAST test

Neck pain or stiffness, either following a fall or accident, or if extremely unwell

Fitting and seizures particularly if this is the first time

Repeated vomiting following a head injury.

For a baby or young child err on the side of caution. Children can deteriorate quickly.

Inability to pass urine, for a baby a dry nappy for over 6 hours.

An acute anaphylactic attack.

An asthma attack that will not resolve with the inhaler.

Serious bleeding particularly if it is bright red frothy blood or pulsating blood and will not stop with direct pressure.

Serious burns give immediate first aid under cool running water, treat for shock and get help fast.

Showing signs of shock.

Possible indications of Sepsis or meningitis.

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