Vaginal Bleeding: Difference between revisions
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[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE (2.01)]] - [[ | [[Initial Medical Assessment and Care|INITIAL MEDICAL CARE (2.01)]] - [[Oxygen|OXYGEN]] @ 100% via NRB mask or assist with BVM. | ||
*Determine date of LMP; note passage of clots or tissue and save same for analysis. | *Determine date of LMP; note passage of clots or tissue and save same for analysis. | ||
* Examine perineum; DO NOT perform vaginal examination. | * Examine perineum; DO NOT perform vaginal examination. | ||
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* If hypotensive, refer to [[Shock|SHOCK PRACTICE PARAMETER (5.13)]]. | * If hypotensive, refer to [[Shock|SHOCK PRACTICE PARAMETER (5.13)]]. | ||
* If in active labor, refer to [[Emergency Childbirth|EMERGENCY CHILDBIRTH PRACTICE PARAMETERS (7.06)]]. | * If in active labor, refer to [[Emergency Childbirth|EMERGENCY CHILDBIRTH PRACTICE PARAMETERS (7.06)]]. | ||
[[Category:Pediatric and Obstetrical|0711]] | |||
Latest revision as of 14:38, 24 April 2020
Section 7 - PEDIATRIC / OBSTETRICAL
7.11 VAGINAL BLEEDING
INITIAL MEDICAL CARE (2.01) - OXYGEN @ 100% via NRB mask or assist with BVM.
- Determine date of LMP; note passage of clots or tissue and save same for analysis.
- Examine perineum; DO NOT perform vaginal examination.
Unknown pregnancy status and / or LMP, and / or known pregnancy in first six months:
- Place patient in a position of comfort.
- If hypotensive, refer to SHOCK PRACTICE PARAMETER (5.13).
- If in active labor, refer to EMERGENCY CHILDBIRTH PRACTICE PARAMETERS (7.06).
Third trimester bleeding:
- Establish 2 large bore IV lines.
- Place patient in left lateral recumbent position.
- Mark fundal height and time of mark with pen; reassess fundal height every 20 minutes.
- If hypotensive, refer to SHOCK PRACTICE PARAMETER (5.13).
- If in active labor, refer to EMERGENCY CHILDBIRTH PRACTICE PARAMETERS (7.06).