EmtTraumaPregnancy

EmtTraumaPregnancy - Alterations In Pregnancy Blood flow to...

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Trauma In Pregnancy Temple College EMS Professions
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Trauma Leading cause of death during pregnancy MVA’s cause 50% of prenatal mortality Consider possible pregnancy in any female trauma patient of childbearing age
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Trauma In Pregnancy Priorities same as in non-pregnant patient ABC’s
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Trauma In Pregnancy Most common cause of fetal death from trauma is maternal death What’s good for mom is good for baby!!
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Alterations In Pregnancy As pregnancy progresses: Heart rate increases Blood pressure decreases Normal pregnant vital signs mimic hypoperfusion Assessment more difficult
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Alterations In Pregnancy Blood volume increases by 40-50% 30% blood loss may occur before shock signs and symptoms develop Reversal of hypoperfusion more difficult
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Unformatted text preview: Alterations In Pregnancy Blood flow to uterus, placenta can be selectively reduced Fetus can be in distress while mother appears stable Adequate resuscitation of mom does NOT ensure adequate resuscitation of baby Alterations In Pregnancy Uterus can compress inferior vena cava when patient is supine Decreases cardiac output 30 - 40% Do NOT put pregnant patients in supine position! Management Airway C-spine control High flow O 2 3rd trimester O 2 demand increases 10-20% Assist ventilation Management If MAST used, inflate legs only Transport patient: on left side, or elevate right side of spine board...
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EmtTraumaPregnancy - Alterations In Pregnancy Blood flow to...

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