Three hours later he reports that he is nauseous and the pain is still getting worse and is now six on the ten pain scale. The pain has also localized to his lower right quadrant. Another abdominal exam reveals slight tenderness in his lower right quadrant. He reports a sharp pain when asked to stand on his toes and drop suddenly to his heels. His pulse is 80 & regular, his respirations are 20 and easy, his skin is pink, warm, & dry, and his oral temperature is 100.6º F.
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Don't know where to begin or what to do? Take one of our wilderness medicine courses. Guides and expedition leaders should consider taking our Wilderness First Responder course.