The aim of the work was to discuss the behavior of a paramedic in acute pancreatitis. Acute pancreatitis, which in 15-20% of patients is a severe inflammation with life-threatening complications and is associated with 5% mortality, belongs to the most common acute states in gastroenterology. On the basis of the information gathered, the following conclusions were made: 1. Acute pancreatitis is a disease in which systemic and local changes occur. 2. The occurrence of acute abdominal symptoms in a patient treated for acute pancreatitis may indicate gastrointestinal perforation. 3. The procedure of the paramedic in case of acute pancreatitis consists in: conducting an interview, carrying out a quick assessment of the patient, examining basic life parameters, conducting a physical examination of the abdominal cavity, administering fluids, analgesics and safe transport to the hospital.