Trauma In Pregnancy: Difference between revisions
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===7.12 Trauma in Pregnancy=== | ===7.12 Trauma in Pregnancy=== | ||
[[Initial Trauma Assessment and Care|INITIAL TRAUMA CARE PRACTICE PARAMETER (2.02)]] [[ | [[Initial Trauma Assessment and Care|INITIAL TRAUMA CARE PRACTICE PARAMETER (2.02)]] [[Oxygen|OXYGEN]] @ 100% via NRB mask or assist 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 for fetal movements. | ||
*Raise right side of backboard approximately 30 degrees. | *Raise right side of backboard approximately 30 degrees. | ||
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[[File:Fundal_Heights.jpg|200px|thumb|left|Fundal Heights]] | [[File:Fundal_Heights.jpg|200px|thumb|left|Fundal Heights]] | ||
[[Category:Pediatric and Obstetrical|0712]] | |||
Latest revision as of 14:39, 24 April 2020
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.
- Check for uterine contractions, vaginal bleeding and / or leaking amniotic fluid. Assess for fetal movements.
- Raise right side of backboard approximately 30 degrees.
- 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 (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.
