Archive

Medical Category: Obstetrics and Gynecology

Usefulness of the Pelvic Examination in 1st Trimester Vaginal Bleeding

Background: First trimester vaginal bleeding is a common complaint seen in the emergency department.  Patients are obviously stressed about the possibility of miscarriage while providers are stressed about missing diagnoses such as ectopic pregnancies.  There have been multiple studies questioning …

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Obstetrics and Gynecology

The WOMAN Trial: Early TXA in Post-Partum Hemorrhage

Background: Post-partum hemorrhage (PPH) is the leading cause of maternal death worldwide. It is typically defined as > 500 ml of blood loss within 24 hours of giving birth. However, PPH encompasses a broad spectrum of disease from mild oozing …

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Obstetrics and Gynecology

Post Intubation Sedation for Pregnant Patients

  You have just intubated a seizing eclamptic woman who is 34 weeks pregnant. As she is being prepped for transfer to the OB unit for an emergent C-section your nurse asks you what medications you would like for post …

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Obstetrics and GynecologyResuscitation

Is Pelvic Exam in the Emergency Department Useful?

Women with undifferentiated abdominal pain and/or vaginal bleeding commonly present to the emergency department.  Many textbooks advocate for the pelvic exam as an essential part of the history and physical exam. Performance of this portion of the exam is time …

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Obstetrics and Gynecology

REBEL Review 3: Medications in Pregnancy

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REBEL Reviews

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