Tintinalli's Emergency Medicine A Comprehensive Study Guide 8th Ed(2015)
Section 9: Gastrointestinal Disorders
Chapter 71: Acute Abdominal Pain
p.483 SYMPTOM TREATMENT AND FURTHER CLINICAL DIAGNOSIS
At this point, provide symptomatic relief.
Opioid analgesia relieves pain and will not obscure abdominal findings, delay
diagnosis, or lead to increased morbidity/mortality.
Do not withhold analgesia from patients with acute undifferentiated abdominal
pain.
The information on the safety of opioids cannot be extrapolated to
nonsteroidal anti-inflammatory drugs such as parenteral ketorolac because
nonsteroidal anti-inflammatory drugs are not pure analgesics and can mask
early peritoneal inflammation.
急诊人的圣经，再怎样不想念也要翻翻它...
腹痛可以放心的止痛，然后要大胆的开 Opioid 去止痛
别开 Ketorolac 这类 NSAID，因为会掩盖早期腹膜炎的症状，且很伤胃...
如果有急诊前辈还有着“急诊腹痛不能止痛”的概念，可以拿着 Tintinalli's 去“请教”
对了...顺带一提~
只要你是 PGY，那代表你有医师证书，法院传票还是有你一张喔 XD
我只是路过的...废废