![]() ![]() But, never delay the transport of any critical patient to await ALS units if it is going to prolong the time it would take to reach the receiving facility. The extent of true blood loss is hard to determine so rapid safe transport and requesting ALS for volume replacement is crucial. Therefore, the pregnant patient is able to maintain a viable BP at the expense of the fetus. A 30-35% reduction in blood volume can produce minimal changes in the trauma patients BP, but reduces the fetal blood volume by 20%. With an increase in maternal blood while pregnant, the mother can tolerate more of a blood loss without showing the signs and symptoms associated with shock. Note: The EMT must detect and mange all injuries that can contribute to hypovolemia or hypoxia. All pregnant trauma patients should receive high flow O2, full immobilization and rapid safe transport for evaluation of the fetus. Therefore, in the early stages of assessing/treating the patient, the focus should be on stabilizing the mother. Resuscitation of the mother is key in the survival of the fetus. Rapid safe transport to the nearest appropriate facility.If they are used, inflate only the leg compartment. Military anti-shock trousers (MAST) are considered a class III intervention (inappropriate, possibly harmful) for gravid patients. Control any life-threatening hemorrhage.Check Circulatory status/support adequate circulatory status.Assure appropriate ventilatory status (Apply O2 early).The emphasis of treatment for a Pregnant Trauma patient include: ![]() Pregnant Trauma Assessment/Management The priorities for treating a pregnant trauma patient are the same as for a non-gravid patient. Premature separation of the placenta from the uterine wall.The greatest risk to the fetus is from fetal distress and intrauterine demise caused by the trauma or death of the mother. When dealing with a pregnant trauma patient, the EMT should promptly assess and intervene on behalf of the mother! Severe abdominal trauma causing fetal death can result in: Because of the intact amniotic sac the fetus rarely experiences direct physical trauma except in cases where direct penetrating trauma or severe blunt force trauma are involved. When a pregnant woman is injured, the fetus is at a high risk of death!ĭuring pregnancy the fetus is well protected within the uterus as we recall, the fetus is surrounded by the amniotic sac that's sole purpose is "protection". The EMT must be prepared for anything that may arise during a so called, routine delivery. Pre-hospital deliveries seldom present any significant problems for the mother, newborn or the EMS crew but, complications due arise in a small percentage of pre-hospital deliveries. Quick & Dirty Guide to Childbirth II: OB EmergenciesĪs discussed in the The Quick and Dirty Guide to Childbirth I most pregnancies progress normally and will result in a routine delivery. ![]()
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