Trauma In Pregnancy Temple College EMS Professions. - презентация

1 Trauma In Pregnancy Temple College EMS Professions

2 Trauma n Leading cause of death during pregnancy n MVAs cause 50% of prenatal mortality n Consider possible pregnancy in any female trauma patient of childbearing age

3 Trauma In Pregnancy n Priorities same as in non-pregnant patient n ABCs

4 Trauma In Pregnancy n Most common cause of fetal death from trauma is maternal death n Whats good for mom is good for baby!!

5 Alterations In Pregnancy n As pregnancy progresses: –Heart rate increases –Blood pressure decreases n Normal pregnant vital signs mimic hypoperfusion n Assessment more difficult

6 Alterations In Pregnancy n Blood volume increases by 40-50% –30% blood loss may occur before shock signs and symptoms develop –Reversal of hypoperfusion more difficult

7 Alterations In Pregnancy n 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

8 Alterations In Pregnancy n Uterus can compress inferior vena cava when patient is supine –Decreases cardiac output % –Do NOT put pregnant patients in supine position!

9 Management n Airway n C-spine control n High flow O 2 –3rd trimester O 2 demand increases 10-20% n Assist ventilation

10 Management n If MAST used, inflate legs only n Transport patient: –on left side, or –elevate right side of spine board