2015 Trumbull Memorial Hospital Demo

OB Emergencies – Pre-Eclampsia/Eclampsia OB Emergencies – Pre-Eclampsia/Eclampsia

Clinical Considerations Signs of Pre-eclampsia:  BP > 140/90  Visual Disturbances  Abdominal (RUQ) Pain  Headache  Pulmonary Edema

Universal Patient Assessment

Adult IV/IO

Cardiac Monitor

Assess for imminent delivery

Clinical Considerations Eclampsia:  Seizures in a patient with pregnancy induced hypertension not caused by other conditions (epilepsy, stroke, hypoglycemia, etc)

Assessment and history of pregnancy

Magnesium Sulfate 2g IV/IO Over 5-10 minutes

If actively seizing and no IV access: Versed 10mg IM only May repeat once in 3-5 minutes at 5mg if necessary. Versed should be given IM regardless of IV presence.

Rapid Transport

43

EMR

EMT

AEMT

Paramedic

Extended