Question

Epigastric or lower abdominal pain, "Heartburn", Nausea/vomiting blood, or bloody diarrhea, Signs of shock, Melena, = possible internal bleeding. Treat by Left lateral or shock position. No oral fluids, oxygen, Transport Code 3 continue assessment in route?

Answer 1

Symptoms like epigastric pain, heartburn, nausea, and melena indicate potential internal bleeding and the risk of hypovolemic shock. Patients should be treated with urgent care procedures such as the Left lateral position, oxygen administration, and immediate transport to healthcare facilities.

Step-by-step explanation:

The presentation of symptoms such as epigastric or lower abdominal pain, "Heartburn", nausea/vomiting blood, bloody diarrhea, signs of shock, and melena suggest possible internal bleeding, which could lead to hypovolemic shock due to excessive blood or fluid loss. This condition can result in a decreased blood volume, leading to a decrease in blood pressure and heart rate, as well as the risk of dehydration.

Urgent clinical management includes placing the patient in the Left lateral or shock position to improve circulation, abstaining from oral fluids to prevent further aggravation of potential gastrointestinal bleeding, administering oxygen to address potential hypoxia, and immediate transport to a healthcare facility under Transport Code 3 while continuing patient assessment en route.