The main objectives of the UMC (Urgent medical care) in assisting the patient with acute abdominal pain.
Identifying patients with acute surgical diseases and their emergency hospitalization
Identification of patients with non-surgical causes of acute abdominal pain and determination of the indications for their emergency hospitalization.
Ensure venous access, monitoring and maintenance of vital functions (in accordance with general principles of intensive care) in patients with acute abdominal pain of any etiology.
When signs of hypovolemia, hypotension: intravenous sodium chloride 0.9% - 400 ml.
With clearly defined because of colicky pain is acceptable introduction miotropnymantispasmodics: Drotaverinum intravenous slow, 40-80 mg (2% solution - 2.0 ml).
Permissible to use nitroglycerin under the tongue tablets (0.25 mg or 0.5 tablets) or spray (400 micrograms or 1 dose).
Vomiting, nausea: metoclopramide 10 mg (5% solution - 2 ml) intravenous (onset of action within 1-3 minutes) or intramuscularly (onset of action 10-15 min.)
