Abdominal pain

Bleep triage

How fast

Within 30 minutes

Sooner if anything on the go-now list applies.

Go now if

  • Low BP or tachycardic
  • Rigid abdomen
  • Vomiting blood or melaena
  • Could be pregnant

Ask on the phone

  1. Where, since when, how bad?
  2. Vomiting, bowels opened, passing wind?
  3. Post-op? On anticoagulants?
Every bleep: the basics
  • Name, ward, bed, age, why they're in hospital.
  • Full set of obs and the NEWS2 score — and what it was before.
  • Resuscitation status (DNACPR / ReSPECT) and ceiling of care.

Ask the nurse to start

  • Analgesia per chart; nil by mouth until seen.
  • Full obs, urine dip, pregnancy test if relevant; bladder scan.

Call your senior if

  • Peritonism, shock, suspected obstruction, ischaemia, AAA or bleed.

When you get there

Sources (1)

For healthcare professionals, as an aid to clinical judgement — not a substitute for it. Follow your local policy and ask a senior when in doubt.