Trauma In Pregnancy: Difference between revisions

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(Created page with "==Section 7 - PEDIATRIC / OBSTETRICAL== ===7.12 Trauma in Pregnancy=== INITIAL TRAUMA CARE PRACTICE PARAMETER ( with BVM. . Check for uterine contractions, vaginal bleeding...")
 
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===7.12 Trauma in Pregnancy===
===7.12 Trauma in Pregnancy===


INITIAL TRAUMA CARE PRACTICE PARAMETER (  
[[Initial Trauma Assessment and Care|INITIAL TRAUMA CARE PRACTICE PARAMETER (2.02)]] [[Medical Gases|OXYGEN]] @ 100% via NRB mask or assist with BVM.  
with BVM.  
*Check for uterine contractions, vaginal bleeding and / or leaking amniotic fluid. Assess for fetal movements.  
. Check for uterine contractions, vaginal bleeding and / or leaking amniotic fluid. Assess  
*Raise right side of backboard approximately 30 degrees.  
for fetal movements.  
*If hypotension / shock present, refer to [[Shock|SHOCK PRACTICE PARAMETER (5.13)]].  
. Raise right side of backboard approximately 30 degrees.  
*If patient in labor refer to the [[Emergency Childbirth|EMERGENCY CHILDBIRTH PRACTICE PARAMETERS (7.06)]].  
. If hypotension / shock present, refer to SHOCK PRACTICE PARAMETER (5.13).  
. If patient in labor refer to the EMERGENCY CHILDBIRTH PRACTICE PARAMETERS (7.06).  
EMERGENCY C-SECTION
. Maternal health and well being should not be compromised to save a fetus of any
gestational age.
. Emergency C-Section should only be considered when maternal death has
verified and is determined to be irreversible
. Trauma that cannot support life accompanied by a rhythm that cannot support life.
. Trauma with ASYSTOLE (
. “Injuries and rhythm that is inconsistent
. Fetus viability- 24 weeks gestational age or greater.
. For optimal survival C-
. Assess fetal heart tones if possible
. Prepare Equipment- OB kit, trauma pads, and infant resuscitation equipment.
. Locate anatomical landmarks for incision
. Using a scalpel, perform vertical incision midline between
. Cut through each layer of the abdominal wall with the scalpel and/or scissors.
. Lift skin and pull apart working through the layers
. Using the scalpel make initial incision in the uterus.
. Using scissors cut the uterine wall.
. Remove neonate,
. Suction the neonate’s airway.
. Double clamp the cord
. Keep the infant lower than the mother.
. Wait for the cord to stop pulsating,
. Record APGAR at 1 and 5 minutes.
Transport to the appropriate facility.
EMERGENCY MEDICAL SERVIC
Page 1 of 1
- PEDIATRIC / OBSTETRICAL
7.12
TRAUMA IN PREGNANCY
2.02) OXYGEN @ 100% via NRB mask or assist
abor irreversible.
4.02) or No vitals with ASYSTOLE. (4.02)
with life.”
-Section should be performed within 4 minutes of maternal dea
incision-Xiphoid Process and Pubis
between-Xiphoid
note the time of birth.
and
36 weeks
28 weeks
20 weeks
GENCY SERVICES 2009
been
death.
Process and Pubis.
then cut it.




[[File:Fundal_Heights.jpg|200px|thumb|left|alt text]]
====EMERGENCY C-SECTION====
*Maternal health and well being should not be compromised to save a fetus of any gestational age.
*Emergency C-Section should only be considered when maternal death has  verified and is determined to be irreversible
**Trauma that cannot support life accompanied by a rhythm that cannot support life.
**Trauma with [[Asystole|ASYSTOLE (4.02)]] or No vitals with [[Asystole|ASYSTOLE (4.02)]]
**'''''“Injuries and rhythm that is inconsistent with life.”'''''
* Fetus viability- 24 weeks gestational age or greater.
* For optimal survival C-Section should be performed within 4 minutes of maternal death
*Assess fetal heart tones if possible
* Prepare Equipment- OB kit, trauma pads, and infant resuscitation equipment.
* Locate anatomical landmarks for incision-Xiphoid Process and Pubis
* Using a scalpel, perform vertical incision midline between-Xiphoid Process and Pubis
** Cut through each layer of the abdominal wall with the scalpel and/or scissors.
**Lift skin and pull apart working through the layers
**Using the scalpel make initial incision in the uterus.
**Using scissors cut the uterine wall.
**Remove neonate,
**Suction the neonate’s airway.
**Double clamp the cord
**Keep the infant lower than the mother.
**Wait for the cord to stop pulsating,
**Record APGAR at 1 and 5 minutes.
**Transport to the appropriate facility.
 
[[File:Fundal_Heights.jpg|200px|thumb|left|Fundal Heights]]

Revision as of 20:02, 1 March 2012

Section 7 - PEDIATRIC / OBSTETRICAL

7.12 Trauma in Pregnancy

INITIAL TRAUMA CARE PRACTICE PARAMETER (2.02) OXYGEN @ 100% via NRB mask or assist with BVM.


EMERGENCY C-SECTION

  • Maternal health and well being should not be compromised to save a fetus of any gestational age.
  • Emergency C-Section should only be considered when maternal death has verified and is determined to be irreversible
    • Trauma that cannot support life accompanied by a rhythm that cannot support life.
    • Trauma with ASYSTOLE (4.02) or No vitals with ASYSTOLE (4.02)
    • “Injuries and rhythm that is inconsistent with life.”
  • Fetus viability- 24 weeks gestational age or greater.
  • For optimal survival C-Section should be performed within 4 minutes of maternal death
  • Assess fetal heart tones if possible
  • Prepare Equipment- OB kit, trauma pads, and infant resuscitation equipment.
  • Locate anatomical landmarks for incision-Xiphoid Process and Pubis
  • Using a scalpel, perform vertical incision midline between-Xiphoid Process and Pubis
    • Cut through each layer of the abdominal wall with the scalpel and/or scissors.
    • Lift skin and pull apart working through the layers
    • Using the scalpel make initial incision in the uterus.
    • Using scissors cut the uterine wall.
    • Remove neonate,
    • Suction the neonate’s airway.
    • Double clamp the cord
    • Keep the infant lower than the mother.
    • Wait for the cord to stop pulsating,
    • Record APGAR at 1 and 5 minutes.
    • Transport to the appropriate facility.
Fundal Heights