Episode 22 – Four Quadrant Death Hunch - Abdominal Emergencies

Abdominal pain is one of the most common — and most underestimated — complaints in EMS. In this episode, we break down abdominal emergencies through anatomy, assessment, and red flags that should immediately raise concern. From peritonitis and appendicitis to abdominal aortic aneurysms and referred pain, we focus on what EMTs need to recognize early and why “just belly pain” is never something to ignore.

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Episode Breakdown

00:00 – Intro and episode setup

03:30 – Why abdominal emergencies are difficult to assess in the field

31:45 – Medical Term of the Week: Peritonitis

44:55 – Abdominal quadrants, anatomy, and what organs live where

50:45 – Peritoneum vs retroperitoneal space and why it matters

58:15 – Types of abdominal pain, including referred pain

01:19:00 – Abdominal aortic aneurysm and life-threatening red flags

01:51:00 – Tools of the Trade: Thermometers and recognizing infection/sepsis

02:05:30 – Student Tip of the Week: Never dismiss abdominal pain

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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.

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