An Excerpt from the course on Caring for Common Medical Emergencies – Part II 

Ensure that the airway is clear and check circulation for any possible bleeding. Treat the patient for shock and decide if emergency transportation is required.

Take the patient’s history and continue with the detailed secondary examination where you inspect the entire abdominal area and the possibility of bleeding.

During the physical examination, palpate the quadrant that’s farthest away from the quadrant exhibiting signs of injury and pain. Also, inspect and palpate the kidney area for bruises, tenderness, swelling, and pain.

Since abdominal injuries can lead to a quick deterioration of blood pressure and pulse, always stay on top of the vitals. If the mechanism of injury suggests an isolated injury, focus your examination on that area.

Communicate everything to the receiving healthcare facility and document your findings.