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Immediate priorities
Stabilization and time-critical actions
Airway protection triggers
GCS < 13
Refractory hypoxaemia
Severe acidaemia with respiratory fatigue
Hemodynamic state
Shock index > 1
MAP < 65 mmHg
Persistent lactate rise despite resuscitation
Early activation
Immediate surgery consult for suspected AMI
Immediate vascular surgery or interventional radiology consult if arterial occlusion likely
ICU consult for shock or multiorgan dysfunction
Analgesia while resuscitating
Opioid analgesia with haemodynamic monitoring
Avoid masking deterioration as sole strategy
Broad-spectrum antibiotics early if transmural ischaemia possible
Class I recommendation based on expert consensus for suspected bowel infarction or perforation
Systemic anticoagulation early if no contraindication
Unfractionated heparin preferred when intervention likely
Class I recommendation based on expert consensus for suspected arterial or venous mesenteric thrombosis
High-risk patterns and escalation triggers
Clinical suspicion triggers
Pain out of proportion to exam
Sudden severe abdominal pain
Minimal early tenderness
Rapid progression features
Peritonitis
Haemodynamic instability
Altered mental status
Immediate OR triggers
Peritonitis
Free air
Portal venous gas with shock
Pneumatosis with metabolic acidosis and peritonitis
Immediate CT angiography triggers
Suspected AMI without peritonitis
Persistent severe pain with risk factors
Unexplained lactic acidosis with abdominal pain
Monitoring and access
Monitoring and lines
Continuous ECG
Atrial fibrillation detection
Ischaemia monitoring
Frequent haemodynamic reassessment
MAP targets per shock state
Urine output trend
IV access
Two large-bore peripheral IVs
Intraosseous access if needed
Arterial line considerations
Vasopressor requirement
Frequent ABG checks
Foley catheter considerations
Shock resuscitation endpoint monitoring
Contraindication review
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.