How should you approach suspected abdominal injuries in the field?

• A. Massage the abdomen
• B. Give water
• C. Do not palpate deeply, keep comfortable, monitor for shock, and summon EMS
• D. Palpate deeply to locate injury

Answer: (C)

In suspected abdominal injuries, the priority is to prevent further harm while getting professional care quickly. Deeply pressing or massaging the abdomen can injure organs or worsen internal bleeding, so avoid palpating it or applying pressure. Do not give water or food, since ingestion can complicate vomiting or surgical needs and may lead to aspiration. Instead, keep the person as comfortable and still as possible, monitor for signs of shock (changes in skin color, sweating, rapid pulse, confusion, or shallow breathing), and call EMS for urgent transport. If possible and there’s no spinal injury concern, have them lie still with knees bent to ease abdominal tension. This approach minimizes risk and supports safe handover to responders.