A 17-year-old female presents to your ED with abdominal pain. Her vital signs are as follows: BP 90/60, HR 120, RR 16, and SpO2 99%. LMP is unknown. A urine pregnancy test is pending. She is awake and alert but looks uncomfortable so you decide to perform a bedside ultrasound:

HPI:

As with most complaints in Emergency Medicine, headaches are usually benign and self-limited conditions. Occasionally, however, the etiology can be potentially devastating, particularly in post-partum patients...

A 25 yo female presents with a complaint of abdominal cramping and heavy vaginal bleeding. This is a routine complaint in the Emergency Department and rarely represents a life-threatening emergency....until it does...

A 26 year old female at 40 weeks gestation presents to your emergency department in labor.  During the delivery you notice retraction of the fetal head against the maternal perineum and are unable to deliver either shoulder.  Which of the following steps below should be performed first?

1. Suprapubic pressure with flexion of hips 
2. Episiotomy 
3. Rotate mother to prone position 
4. Cephalic replacement 
5. Intentional clavicle fracture 

Which of the following is the leading cause of postpartum hemorrhage?

A) Uterine atony

B) Retained placental fragments

C) Lower genital tract laceration 

D) Underlying coagulopathy 

Vaginal Cuff Dehiscence and Evisceration After Total Hysterectomy

Incidence of vaginal cuff dehiscence after hysterectomy ranges from 0.14-4.1%.

Risk factors include post-operative infection, radiotherapy, chemotherapy, early return to sexual intercourse, constipation

This week at conference we reviewed how trauma management differs in the pregnant patient