Mfrdmanager at 17:36, 13 November 2020

2020-11-13T17:36:45Z

Mfrdmanager: Protected "Trauma In Pregnancy" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T17:11:16Z

Protected "Trauma In Pregnancy" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Section 7 - PEDIATRIC / OBSTETRICAL== ===7.12 Trauma in Pregnancy=== INITIAL TRAUMA CARE PRACTICE PARAMETER (2.02) Medical Gases|OX..."

2018-02-10T17:11:10Z

Created page with "==Section 7 - PEDIATRIC / OBSTETRICAL== ===7.12 Trauma in Pregnancy=== INITIAL TRAUMA CARE PRACTICE PARAMETER (2.02) Medical Gases|OX..."

New page

==Section 7 - PEDIATRIC / OBSTETRICAL==
===7.12 Trauma in Pregnancy===

[[Initial Trauma Assessment and Care|INITIAL TRAUMA CARE PRACTICE PARAMETER (2.02)]] [[Medical Gases|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|SHOCK PRACTICE PARAMETER (5.13)]].
*If patient in labor refer to the [[Emergency Childbirth|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|ASYSTOLE (4.02)]] or No vitals with [[Asystole|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.

[[File:Fundal_Heights.jpg|200px|thumb|left|Fundal Heights]]

[[Category:Pediatric and Obstetrical|0712]]

@@ Line 2: / Line 2: @@
 ===7.12 Trauma in Pregnancy===
-[[Initial Trauma Assessment and Care|INITIAL TRAUMA CARE PRACTICE PARAMETER (2.02)]] [[Medical Gases|OXYGEN]] @ 100% via NRB mask or assist with BVM.
+[[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.
 *Raise right side of backboard approximately 30 degrees.

← Older revision	Revision as of 17:11, 10 February 2018
(No difference)

Trauma In Pregnancy - Revision history

Mfrdmanager at 17:36, 13 November 2020

Mfrdmanager: Protected "Trauma In Pregnancy" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Section 7 - PEDIATRIC / OBSTETRICAL== ===7.12 Trauma in Pregnancy=== INITIAL TRAUMA CARE PRACTICE PARAMETER (2.02) Medical Gases|OX..."