What is included in prehospital care for early pregnancy loss?

Updated: Nov 05, 2018
  • Author: Slava V Gaufberg, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Answer

Maintain routine universal precautions in view of potentially heavy vaginal bleeding. Emergency medical services (EMS) personnel should be aware of the potential for hemorrhagic shock and should treat any hemodynamic instability.

Obtain vital signs and establish an intravenous line in all pregnant patients who have abdominal pain and vaginal bleeding. If the patient is hypotensive, an intravenous bolus of normal saline (NS) is indicated for hemodynamic stabilization.

Administer oxygen.

Encourage the patient to bring any passed tissue to the hospital for evaluation.


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