Big Belly Baby Bleed – managing late-term Obstetric bleeding
May 5, 2013
It is ladies month here still – and today we are going to get into one of the the big Emergency scenarios of Women’s health. Imagine this:
Its a quiet night shift – you are contemplating a third cuppa when the triage nurse rolls in with a young woman on a wheelchair.
Your powers of observation tell you three things: (1) she is heavily pregnant, (2) she is in a lot of pain and (3) there is a trail of blood flowing behind the wheelchair.
This is not good. If you work in an adult ED this is probably a pretty rare occurrence – but in a mixed Obs / Paed place this is one of those moments – action stations!
Now I imagine most of you will be thinking – “get that patient outta my ED ASAP!”, however this is a scenario where time is of the essence – and it is worth knowing where the decisions are made, how to start the resuscitation and how do obstetricians think about this scenario
I sat down with my old sparring partner – Dr Wendy Hughes, our resident O&G specialist to go over a case – how should we go about the early management and where are the crucial decision points.
Have a listen and let us know if you have any insights. There are a heap of pearls and great practical tips crammed into about 20 minutes.
I am a GP working in Broome, NW of Western Australia. I work as a hospital DMO (District Med Officer) doing Emergency, Anaesthestics, some Obstetrics and a lot of miscellaneous primary care. Also on the web as @broomedocs | + Casey Parker | Contact