Posts in OB/Gyn
Precipitous Delivery in the Emergency Department

A 23-year-old G1P1 female with no significant past medical history presents to the emergency department with progressively worsening abdominal pain for the past week. She describes the pain as a sharp, intermittent, cramping pain in her lower abdomen…

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Point-of-Care Ultrasound in Early Pregnancy

…Patients who underwent POCUS examination for identification of an IUP had a length of stay in the emergency department that was over an hour shorter than those who went for comprehensive ultrasound. Emergency physician proficiency in POCUS in early pregnancy could improve patient flow and satisfaction…

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Caring for the Pregnant Trauma Patient

Trauma affects an estimated 8% of all pregnancies and is the leading cause of non-obstetric maternal morbidity and mortality. Pregnancy can complicate the evaluation of a trauma patient, and we must be aware of the normal anatomic and physiologic changes that occur during pregnancy, as well as the adjustments that must be made to our trauma algorithm. This post will review the keys to managing a pregnant trauma patient, as well as injuries and interventions specific to pregnancy…

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Molar Pregnancy: Diagnosis of Hydatidiform Mole Using Bedside Emergency Ultrasound

A 41-year-old G1P0 female at 7 weeks gestation presents to the emergency department (ED) with 3 days of mild lower abdominal cramping and intermittent vaginal spotting. Nothing makes the cramps better or worse and the spotting randomly occurs throughout the day. She rates the cramping at a 7/10 and describes it as “bad period cramps.” She has no other symptoms and is nervous that “something is wrong with the baby”…

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