1. Lesson 11: Abdominal Illness

3. Objectives Demonstrate a field assessment for abdominal pain/discomfort List signs/symptoms of serious abdominal problems Define and describe treatment of and long term care for stomachache and diarrhea Describe situations that would require evac versus rapid evac Describe personal/camp hygiene to help prevent abdominal issues

4. Abdominal Illness Overview Abdominal pain can be common May never know source of the problem When taking SAMPLE history ask about abdominal pain/discomfort To assess, press gently on four quadrants with fingers flat on abdomen. Start away from the pain Note results in assessment

5. Checking and Caring for Stomache Gastritis: inflammation of stomach lining, causes most stomachs Signs/symptoms? –Gradually increasing/widespread discomfort, often worse in lower region –Intermittent cramping –Nausea and vomiting –diarrhea

6. Care for Stomachaches Keep Patient well hydrated Provide bland diet, if not vomiting Maintain good hygiene to keep from spreading

7. Caring for Diarrhea Diarrhea: frequent loose and watery stools, may also have stomachache Gastroenteritis: mild inflammation of gastrointestinal tract –If mild, have patient drink water or diluted sports drink/non citrus fruit juice –If persistent, requires aggressive electrolyte replacement. 1 teaspoon salt, 8 teaspoons sugar/qt

8. Caring for Diarrhea If patient not vomiting –Feed with rice, grains, bananas, potatoes or other bland items –Avoid fats, dairy products, caffeine, alcohol OTC medications can be used if available

9. Serious Abdominal Pain Signs and Symptoms? –Fever higher than 102F –Persistent pain for more than 12 hrs –Localized pain, especially if patient guards area –Tenderness, rigidity, swelling –Pain increases with movement, walking, etc –Blood in vomit, feces, or urine In vomit looks like coffee grounds In feces may be black like tar In urine appears light brown to reddish

10. Guidelines for Evacuation GO SLOW with any person that has persistent abdominal discomfort GO FAST for any patient with signs/symptoms of serious abdominal pain

11. Preventing Abdominal Pains Keys for Personal and Group Hygiene? –Wash hands with soap and water –Don’t eat leftover food unless properly stored –Bury human waste >200 feet from water source –Do not share personal eating utensils –Do not put personal eating utensils in group food pot –Keep kitchen clean, disinfect all pots/utensils prior to using –Disinfect all drinking water

12. Methods for Disinfecting Water Boiling: rolling boil for at least 1 min (longer at higher elevations) Chemical treatment, as directed for particular treatment Filtration: removes bacteria, may not get all viruses Ultraviolet light devices

13. Questions??? What else could you add to your First Aid Kit?