What pregnancy history should be considered during emergency assessment?
Ask sensitively whether the patient is pregnant or has been pregnant within the past year; pregnancy-related complications can occur during pregnancy, birth, and after birth.
Study 1 Initial Assessment and Emergency Response with 12 free online flashcards. Review key terms, definitions, and concepts with this interactive flashcard deck.
What pregnancy history should be considered during emergency assessment?
Ask sensitively whether the patient is pregnant or has been pregnant within the past year; pregnancy-related complications can occur during pregnancy, birth, and after birth.
Which bleeding-related signs call for emergency services?
Activate EMS for heavy vaginal bleeding, fainting, confusion, marked weakness, pale or clammy skin, or other signs of shock.
What is the rapid primary-assessment sequence?
Check responsiveness and immediate threats, assess airway and breathing, assess circulation and bleeding, get help early, then reassess.
What examination practices should be avoided during initial assessment?
Avoid unnecessary internal examinations or inserting anything into the vagina; do not diagnose the cause of bleeding from its appearance alone.
What does pregnancy alone imply about a patient's decision-making ability?
Explain the proposed care in plain language and seek consent. Pregnancy alone does not mean a person cannot make decisions.
What information belongs in a concise emergency handoff?
Give symptoms and onset, known pregnancy or postpartum status, vital signs and trends, key findings, care provided, and the patient’s response.
What dangerous condition may severe pelvic pain with bleeding and dizziness signal?
Severe abdominal or pelvic pain with bleeding, shoulder pain, dizziness, or fainting may signal a ruptured ectopic pregnancy and internal bleeding.
How may adnexal torsion present, and how urgently should it be evaluated?
Ovarian or adnexal torsion can present as sudden severe pelvic pain and needs immediate evaluation.
Which neurologic or breathing symptoms are obstetric emergency red flags?
During pregnancy or after birth, seizure, trouble breathing, chest pain, severe persistent headache, or sudden vision changes require emergency response.
What signs of imminent birth require emergency escalation?
Activate emergency help for labor with an urge to push, a visible presenting part (“crowning”), or a birth that appears imminent.
Should a lengthy history delay emergency transport?
Activate EMS or the emergency response team for red flags; do not delay transport for a lengthy history or examination.
How should a patient with possible shock be managed while awaiting care?
If possible, do not let a patient with suspected shock walk; monitor closely and keep the patient warm.