Regional Emergency Medical Advisory Committee of New York City Certified First Responder Support Protocols Copyright January 1996 (8/96)

324 ABDOMINAL INJURIES

Monitor the airway.

Administer oxygen.

Monitor breathing for adequacy.

Control external bleeding.

Assess for shock and treat, if appropriate. (See Protocol #315.)

For Special Considerations, see below.

Transport in accordance with first response agency policy.

EVISCERATION

Do NOT replace the protruding organ.

Place moistened, sterile dressings over the protruding organ.

Do NOT pour fluid directly onto the wound.

Secure dry, bulky dressings over the moistened dressings.

An occlusive dressing may be placed as the final layer to maintain body heat.

Position the patient appropriately with knees slightly bent.

IMPALED OBJECTS

Do NOT remove the object.

Request additional assistance.

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