الإدارة الطارئة الأولية للانغلاف المعوي

References

• Secure IV access for all children suspected to have intussusception before diagnostic imaging
• Treat hypovolaemic shock with IV boluses of 0.9% saline
• Start IV fluids to optimise circulatory volume
• Ensure adequate analgesia, usually intranasal fentanyl or IV morphine, see Acute pain management
• Keep nil orally. Pass nasogastric tube if bowel obstruction or perforation on AXR, or if planning transfer by air