Objectives Clinical Assessments and Interventions Referral for Medical Action 108 ● Acute onset of colicky abdominal pain, nausea, and vomiting (may indicate entrapment/strangulation of hernia). Follow-up Actions ● Conduct worksite assessment to identify potential risk factors for overexertion and prevention strategies (lifting aids, redesign of task, etc.). ● Review treatment plans provided by private health care provider. ● Discuss importance of proper lift- ing techniques. ● Assist with return to work assess need for accommodations based on job duties. Obtain pertinent history. Determine extent of injury and prevent further injury. ● Inquire about contributing or causative events at the time of onset, including work events (such as lifting, standing) and non- work-related activities. ● Ask about presence of colicky abdominal pain, nausea, vomiting, groin pain, swelling, and aggravating or alleviating fac- tors, such as symptoms worse with stand- ing, straining, coughing, or lifting. ● Assess site to determine type of hernia. Arrange for immediate medical evaluation if bowel incarceration is suspected.