EMT Challenge Cases


This patient is too intoxicated to provide a reliable history, but he is complaining of severe rectal and lower abdominal pain for two hours. Someone called 911 for him but when you arrive at the scene, he is alone and quite intoxicated. Despite his diminished LOC due to alcohol, he exhibits distinct pain upon gentle palpation of the lower, middle abdomen. As stated, he is too intoxicated to give you a reliable medical or SAMPLE history. No visible signs of bleeding or of any wounds. You are unable to ascertain anything abnormal aside from his severe abdominal pain and intoxication. 

Q.  How do you handle this case?

Q.  Once at the ER, the following x-ray was taken which revealed his diagnosis. What is your diagnosis?