A 17-year-old female presents to your ED with abdominal pain. Her vital signs are as follows: BP 90/60, HR 120, RR 16, and SpO2 99%. LMP is unknown. A urine pregnancy test is pending. She is awake and alert but looks uncomfortable so you decide to perform a bedside ultrasound:
As with most complaints in Emergency Medicine, headaches are usually benign and self-limited conditions. Occasionally, however, the etiology can be potentially devastating, particularly in post-partum patients...
A 25 yo female presents with a complaint of abdominal cramping and heavy vaginal bleeding. This is a routine complaint in the Emergency Department and rarely represents a life-threatening emergency....until it does...
A 26 year old female at 40 weeks gestation presents to your emergency department in labor. During the delivery you notice retraction of the fetal head against the maternal perineum and are unable to deliver either shoulder. Which of the following steps below should be performed first?
- Suprapubic pressure with flexion of hips
- Rotate mother to prone position
- Cephalic replacement
- Intentional clavicle fracture
Vaginal Cuff Dehiscence and Evisceration After Total Hysterectomy
Incidence of vaginal cuff dehiscence after hysterectomy ranges from 0.14-4.1%.
Risk factors include post-operative infection, radiotherapy, chemotherapy, early return to sexual intercourse, constipation
Surgical emergency with risk of bowel necrosis.
As EM physicians, we receive training in obstetrics. While most of us don't walk into a shift *hoping* for a delivery, we are trained to handle these cases if the present. Postpartum hemorrhage can be a complication of even a "normal" delivery. Read on below for some pearles regarding how to manage a postpartum hemorrhage.