Abnormal uterine bleeding?  Remember PAL-COEIN.

As EM physicians, we receive training in obstetrics. While most of us don't walk into a shift *hoping* for a delivery, we are trained to handle these cases if the present. Postpartum hemorrhage can be a complication of even a "normal" delivery. Read on below for some pearles regarding how to manage a postpartum hemorrhage.

You're working in your new hospital without ObGyn coverage and your triage nurse informs you that "there is a woman bleeding up front...she looks pregnant." You begin to run a differential through your head of what that problem could be. Read on below for diagnoses to consider.

Dr. Christopher Smith takes a deep dive into the literature to find out if lactic acid in septic shock can be used the same in pregnant women as non-pregnant women. 

A 29-year-old woman presents for heavy vaginal bleeding. She is hemodynamically stable. She had an uncomplicated vaginal delivery of a full-term baby 1 week ago. She denies fever or pain. There is active bleeding from the os. No cervical motion tenderness or signs of trauma or foul-smelling discharge. What is the most likely diagnosis? 

A. Uterine Atony

B. Retained products of conception

C. Cervical Trauma

D. Endometritis 

The nurse calls you to the room of a 34 year old crashing patient....and she happens to be pregnant.  Here are the pearls for resuscitation and management of the critically ill pregnant patient. 

Pregnant and vomiting is a common ED complaint. Read on below for a great overview of hyperemesis gravidarum. 

A very gravid patient arrives in your ED after sudden cardiac arrest. You begin to panic as you wonder what differences you need to consider for a pregnant patient in cardiac arrest. Lucky for you, you are an avid EM Daily reader!

A woman presents to your ED with vaginal swelling.  Your correctly identify a Bartholin's abscess and the need for drainage.  Here are some pearls on word catheter placement.

Not quite seeing that crisp yolk sac on traditional trans-abdominal ultrasound imaging with the curvilinear probe? Click ahead for a cool trick to avoid breaking out the trans-vaginal probe!