GAMANIT – CHANCES ARE NOT AS LOW AS YOU MAKE IT SOUND, THE RISK OF POSTPARTUM EXSANGUINATION IS HIGH ON THE LIST. THERE ARE MANY OTHER CAUSES THAT CAN PUT AN OB AT RISK FOR HYPOVOLEMIC SHOCK (HS), TRUE THAT MOST OF THEM WOULD NOT PRESENT WITH A ‘PUDDLE OF BLOOD’ BUT SOME WOULD. THAT IS WHY THEY HAVE THE OR NEAR THE OR IN THE LD UNIT, FOR THESE TYPES OF EMERGENT SITUATIONS. ARE YOU SAYING STUFF LIKE ABRUPTIOS DO NOT OCCUR, THEY SURELY DO AND HIGHER CLASS ABRUPTIOS ARE TRUE LIFE THREATENING EMERGENCY’S?
I am pretty aware of the statistics. The chances of sudden hemorrhage with no prior indication such as heavy bleeding is close to nill. Woman are typically given guidance as to what is considered heavy enough bleeding to come into L&D. There is usually several hours from when bleeding would be considered heavy to when there is actually a life threatening issue.
IF THIS WERE A MEDICAL REVIEW THERE WOULD HAVE BEEN A LOT OF QUESTIONS AND ADDED DETAILS, WAS THIS A TRAUMA PATIENT THAT IS IN SHOCK? IS THE MISCARRIAGE SECONDARY TO ANYTHING ELSE THAT IS GOING ON?
True. I’m talking about the story as it is told here.
REGARDING THE TERMS USED, THIS DOES NOT APPEAR TO HAVE BEEN WRITTEN BY A DOCTOR OR A LAWYER, SEEMS MORE LIKE STREET TERMS WERE USED. TO SOME LAY PEOPLE MISCARRIAGE/STILL BORN/SPONTANEOUS ABORTION ARE ONE AND THE SAME.
In my experience woman are more likely to use the term stillbirth in error when referring to a late miscarriage than use the word miscarriage (which gives a connotation that it’a not such a big deal) for a late term loss.
YOUR OTHER POINTS ARE ALL SITUATIONAL AND YOUR OWN ASSUMPTIONS.
Could be. So are yours.
I AM ALSO SURE THAT EN WOULD HAVE FOLLOWED PROTOCOL, I ALSO BELIEVE THAT DID FOLLOW PROTOCOL WHICH WAS TO DIAL 911, WHAT ELSE CAN THEY DO FOR THE PATIENT?
If you think shock protocol is to dial 911 then I don’t know how you passed your EMT course. You are supposed to place patient in shock position, give them a blanket, and closely monitor vitals. In NYC MAST trousers aren’t typically used but you’re supposed to carefully monitor vitals. Not sit there waiting for transport.