You're working in your new hospital without ObGyn coverage and your triage nurse informs you that "there is a woman bleeding up front...she looks pregnant." You begin to run a differential through your head of what that problem could be. Read on below for diagnoses to consider.
Dr. Christopher Smith takes a deep dive into the literature to find out if lactic acid in septic shock can be used the same in pregnant women as non-pregnant women.
A 29-year-old woman presents for heavy vaginal bleeding. She is hemodynamically stable. She had an uncomplicated vaginal delivery of a full-term baby 1 week ago. She denies fever or pain. There is active bleeding from the os. No cervical motion tenderness or signs of trauma or foul-smelling discharge. What is the most likely diagnosis?
A. Uterine Atony
B. Retained products of conception
C. Cervical Trauma
D. Endometritis
The nurse calls you to the room of a 34 year old crashing patient....and she happens to be pregnant. Here are the pearls for resuscitation and management of the critically ill pregnant patient.
Pregnant and vomiting is a common ED complaint. Read on below for a great overview of hyperemesis gravidarum.
A very gravid patient arrives in your ED after sudden cardiac arrest. You begin to panic as you wonder what differences you need to consider for a pregnant patient in cardiac arrest. Lucky for you, you are an avid EM Daily reader!
A woman presents to your ED with vaginal swelling. Your correctly identify a Bartholin's abscess and the need for drainage. Here are some pearls on word catheter placement.
Not quite seeing that crisp yolk sac on traditional trans-abdominal ultrasound imaging with the curvilinear probe? Click ahead for a cool trick to avoid breaking out the trans-vaginal probe!
While it is a procedure you will hopefully never need to do, if the time comes, there is no time to prepare. Here is a quick review on what you need to know about the perimortem/emergency cesarean section:
Happy Thanksgiving to all from EM Daily! Hopefully many of you are able to watch some football and spend quality time with your family and friends. The conference pearl for this week is from Dr. Lisa Filippone who explains why you may get a false negative pregancy test. Take a few minutes to read about the Hook Effect...
