Differential diagnosis of abdominal pain in pre-hospital emergency care for adults

This bachelor thesis solves the problem of differential diagnosis of abdominal pain in pre-hospital emergency care for adults where abdominal pain includes a very wide range of possible causes and illnesses. If proper and rapid diagnosis is determined in pre-hospital emergency care, it will greatly facilitate and speed up subsequent treatment. The thesis consists of two parts, a theoretical and a research one. The theoretical deals with the concept of pain, the importance of physical examination, the carefulness of anamnesis and the differentiation of pain according to the localization (right and left upper quadrant, right and left lower quadrant), other possible causes and pharmacological therapy. The practical part was realized in a qualitative form using semi-structured questionnaires. The aim was to map the most common primary diagnoses of abdominal pain and follow-up procedures and investigative methods of emergency rescue workers in pre-hospital emergency care. The research was conducted in March and April 2018 with the health rescuers of the Vysočina Region. For clarity, the data obtained was divided into categories, processed into tables and further compared. Research has shown that the procedure for examining a patient with abdominal pain is not ideal, often neglected important information that needs to be identified as soon as possible from the onset of the problems and including their further development. Therefore, a possible algorithm for patient's abdominal pain assessment in pre-hospital inadequate care has been proposed for possible follow-up in practice, containing all the important information that needs to be found in PNP and then handed over to the target hospital facility