This Week's Most Viewed TopicsTrauma In The Pregnant Patient: An Evidence-Based Approach To Management (Trauma CME)
April 2013
Abstract
The management of acute trauma in the pregnant patient relies on a thorough understanding of the underlying physiology of pregnancy. This issue reviews the evidence regarding important considerations in pregnant trauma patients, including the primary and secondary survey as well as the possibility for Rh exposure, placental abruption, uterine rupture, and the need for a prompt perimortem cesarean section in the moribund patient. Because ionizing radiation is always a concern in pregnancy, the circumstances where testing provides benefits that outweigh risks to the fetus are discussed. Emergency clinicians are encouraged to advocate for trauma prevention, including proper safety restraints for motor vehicles and screening for domestic violence, as these measures have been shown to be effective in reducing morbidity and mortality in this population. Recommendations for monitoring, admission, discharge, and follow-up are also noted.
Key words: pregnancy, trauma in pregnancy, blunt trauma, motor vehicle collision, orthopedic injury, radiation in pregnancy, fetal monitoring, Rh immunization, perimortem cesarean section
- » Download Full Topic PDF
- » Authors & Peer Reviewers
- » Case Presentation & Conclusion
- » Introduction
- » Critical Appraisal Of The Literature
- » Epidemiology And Outcomes
- » Pathophysiology
- » Differential Diagnosis
- » Prehospital Care
- » Emergency Department Evaluation
- » Diagnostic Studies
- » Treatment
- » Special Circumstances
- » Controversies And Cutting Edge
- » Disposition
- » Summary
- » Risk Management Pitfalls For Pregnant Trauma Patients
- » Time- And Cost-Effective Strategies
- » Clinical Pathway For Management Of Pregnant Trauma Patients
- » Tables and Figures
- » References
- » American Heart Association Guidelines For The Emergency Clinician: Cardiac Arrest In Special Situations And First Aid (Trauma CME)” - October 2012 - EM Practice Guidelines Update
- » “Supportive Management Of Critical Illness In The Pregnant Patient” - June 2012 - EM Critical Care
- » “An Evidence-Based Approach To Emergency Ultrasound” - March 2011 - Emergency Medicine Practice
- » “Trauma In Pregnancy: Double Jeopardy (2008) (free) - July 2008 - Emergency Medicine Practice
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