2015 Trumbull Memorial Hospital Demo
Abnormal Deliveries – Breech / Prolapsed Cord Abnormal Deliveries – Breech / Prolapsed Cord
Universal Patient Assessment
Clinical Considerations Obtain pertinent history Gestational age Prior complications Parity/Gravidity
Midwives have no medical authority over EMS.
Oxygen 10-15 LPM NRB Mask
Childbirth Procedure
Nuchal Cord? Cord wrapped around newborn’s neck
Breech Presentation? Something other than the head presenting
Prolapsed Cord? Cord presents ahead of the baby
Try to unwrap cord, or carefully cut, clamp, unwrap, and continue with delivery.
Place the mother face down, knees to chest, and butt in the air (Knee-chest position)
Discourage the mother from pushing
Rapid Transport
Follow appropriate protocol
Rapid Transport
Rapid Transport
Adult IV/IO (mother) if hemodynamically unstable
38
EMR
EMT
AEMT
Paramedic
Extended
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