Abdominal pain with hemodynamic instability critical pathways

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Approach

Abdominal Pain Smart Algorithm

Hemodynamically Stable?

Yes

No

Definition

• Abdominal pain is pain felt anywhere between the chest and the groin.
• Immunocompromised and elderly patients may have atypical patterns of presentation.
• A systolic blood pressure of more than 80 mm Hg and a proportional pulse pressure of more than 25% suggest adequate cardiac output.