2015 Trumbull Memorial Hospital Demo

OB Emergencies – Placenta Previa / Placental Abruption

OB Emergencies – Placenta Previa / Placental Abruption

Universal Patient Assessment

Oxygen 10-15 LPM NRB Mask

Adult IV/IO Do not delay transport

Cardiac Monitor

Obtain an accurate history:  Quantity of vaginal bleeding or discharge  Contractions and frequency  Fetal movement  Orthostatic vitals if possible

Abruption/Placenta Previa > 20 weeks

Miscarriage < 20 weeks

Apply external vaginal pads

Apply external vaginal pads

Bring expelled tissue to hospital

Position patient for blood pressure control

Remember that the mother is the primary patient. Resuscitation measures center around her survival.

Do not remove anything from vaginal area

Transport to appropriate facility, on left side

Contact Medical Control for TXA order Refer to Hemorrhage Control Protocol

42

EMR

EMT

AEMT

Paramedic

Extended