Miscarriage Recognition and Treatment

摘要

It's 1730 hours on what has been a fairly slow day. You're pulling a 24-hour shift on the medic unit this cycle and are just getting ready to sit down to dinner when the tones go off: "Medic 6, respond to 123 Main Street for vaginal bleeding." Additional dispatch information advises your patient is a 26-year-old female who is 14 weeks pregnant and is experiencing vaginal bleeding. On arrival, you enter the house to find your patient on the bathroom floor, visibly upset, with a significant amount of blood saturating her pants. Where do you begin, and how do you best assess and treat this patient?