Patient with vaginal bleeding… July 26, 2013
Posted by Andy Jagoda, MD in: Hematologic/Allergic/Endocrine Emergencies, Renal and Genitourinary Emergencies , trackback
Your radio goes off and a panicked paramedic reports that they are en route with a 42-year-old woman who is having profuse vaginal bleeding and appears very ill. She is pale, tachycardic, and hypotensive. She has a history of fibroids. She has been bleeding heavily for 3 days, and the bleeding has acutely increased in the past few hours. The on-call gynecologist is delivering a baby at the hospital across town, and you will have to stabilize this patient and manage her on your own for a few hours…
How would you manage this patient?
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