Bonner County EMS System Patient Care Treatment Guidelines-Medical Emergencies & OB/GYN Medical Emergencies: Nausea, Vomiting and Diarrhea -7050 NAUSEA, VOMITING AND DIARRHEA Patient Complaint of Nausea, Vomiting or Diarrhea in the Absence of Trauma History Age Past medical/ surgical history Medications Onset and duration of symptoms Palliation/ Provocation Contacts with other sick persons Travel history Bloody emesis or diarrhea Fever Last meal eaten, Last bowel movement Menstrual history / possible pregnancy Signs and Symptoms Pain (location/migration, radiation) Abdominal tenderness Nausea, vomiting Diarrhea, bloody stool Dysuria, Abdominal distention Constipation Anorexia Pregnancy Associated symptoms: Fever, headache, weakness, malaise, myalgias, cough, mental status changes, rash ASSESSMENT CNS (Increased cranial pressure, headache, stroke, CNS lesions, trauma, hemorrhage, vestibular) Drugs (NSAIDs, antibiotics, narcotics, chemotherapy) Myocardial Infarction Peptic ulcer disease/ Gastritis Gallbladder- Cholecystitis Pancreatitis, Appendicitis Kidney stones, Diverticulitis Bladder or Prostate disorder Pelvic (PID, Normal or Ectopic Pregnancy, ovarian cyst) Bowel obstruction, Renal disease Gastroenteritis (Infectious) Diabetic ketoacidosis TREATMENT GUIDELINES R-EMR E – EMT A-AEMT P-PARAMEDIC **M-Medical Control ** ***Higher level providers are responsible for lower level treatments*** Initial Patient Contact (2000). Infection Control Guidelines (1031). Oxygen Administration as indicated (9000). Temperature Measurement (9047). Do not give patient anything by mouth. R ________________________________________________________________________________________________________________ _______________________ BCEMS Medical Director Effective: 4/01/14 final 7/6/2022 page 1 of 2