Page 148 - PJ MED OPS Handbook 8th Ed

e. Suprapubic (bladder) discomfort
f. Manage with antibiotics (preferably ceftriaxone (Rocephin) 1g IV/IM if available, followed by
azithromycin 1g PO once if available), otherwise use moxifloxacin.
3. Treat per Pain Management Protocol
4. Treat per Nausea and Vomiting Protocol
5. If torsion is not present, treat as presumed STI. Consider the following antibiotics if available.
a. Ceftraxone (Rocephin) 250mg IM OR ciprofloxacin (Cipro) 500mg PO.

DISPOSITION:
1. Urgent evacuation for testicular torsion even if manually relieved with detorsion.
2. For other causes of testicular pain, treat cause and consider evacuation if symptoms per-
sist more than 3 days, and if the patient is operationally compromised.

146 n Pararescue Medical Operations Handbook / 8th Edition