logging in or signing up Trauma in Pregnancy aSGuest1270 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 1717 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: October 18, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Trauma in PregnancyEMS ProfessionsTemple College : Trauma in PregnancyEMS ProfessionsTemple College Morbidity & Mortality Rates : Morbidity & Mortality Rates Accidental Injury complicates 6-7% of all pregnancies. Most common cause of death of fetus is the death of the mother fetal death with maternal survival occurs with placental seperation or ruptured uterus fetal skull fractures are more common than maternal pelvic fractures Trauma in Pregnancy : Trauma in Pregnancy Unique challenge for the provider Two Patients each with unique needs All female patients are pregnant until proven otherwise Changes During Pregnancy : Changes During Pregnancy Cardiovascular : Cardiovascular Cardiac output increase 20 - 30 % Heart rate increases by 10 - 15 bpm Systolic and Diastolic pressure decrease 10 -15 mmHg “Hypervolemia” of pregnancy red blood cells and plasma (45%) relative anemia (greater of plasma than RBC) Increased blood flow to uterus (2% to 20%) Respiratory : Respiratory Respiratory rate may due to upward pressure of uterus on diaphragm Respiratory rate may PCO2 Tidal volume and minute ventilation in late pregnancy GI/GU : GI/GU Delayed gastric emptying Movement of abdominal organs intestines bladder Uterus is the largest abdominal organ Placenta Shock : Shock Body protects the mother uterine vasoconstriction (20-30%) decreased blood flow to fetus Loss of 30 - 35% blood volume before developing hypotension Slower onset of sign/symptoms Mechanism of Injury : Mechanism of Injury Motor Vehicle Collisions Penetrating Injuries Falls Burns Assessment : Assessment Mother Initial Rapid Trauma Assessment/ Focused Assessment Fetus Abdominal tenderness, guarding, rigidity, rebound tenderness Uterus Abnormal fetal position Fundus Fetal body Contractions/Tetany Management : Management C-Spine Motion Restriction IF indicated Airway Assist ventilations if needed High flow O2 O2 requirements 10 - 20 % greater Control External Bleeding Transport on left side to appropriate Facility Management : Management En route Treat shock MAST/PASG application w/o inflation May be helpful in pelvic fracture IV of LR/NS enroute Titrate fluids to BP ~ 90 - 100mm Hg Aggressive fluid therapy You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.