You are a paramedic in your first-year post-qualification, working with a graduate who has only been on road for 2 month
Posted: Wed Jul 06, 2022 10:23 am
You are a paramedic in your first-year post-qualification,working with a graduate who has only been on road for 2 months.
You are dispatched to a 28-year-old female,with imminent delivery. The information you have is:
On arrival, you find the woman, Sophie, lying on her bedactively pushing and the baby’s head is beginning to crown. Herpartner, Tom, is relieved to see you. You only have time to placeyour equipment down before the head is birthed with Sophie's nextpush.
One the next contraction you then recognise:
1) Provide a definition and overview of the obstetriccondition the patient is presenting with?
2) List and discuss the pertinent risk factors that thispatient has when considering the presenting condition?
3) Describe one (1) of the manoeuvres or actions that islinked with this obstetric emergency and provide apathophysiological rationale?
Once the application of the manoeuvres is complete, the baby isdelivered safely with an APGAR of 8.
Sophie is now holding the baby skin to skin on her chest whenshe states that she doesn’t feel well and you notice considerablePV blood loss. At this point, she delivers the placenta, and withthis comes a fresh flow of frank red blood. You feel her abdomen atthis point, and it feels soft and boggy.
4) What is your concern at this point, and outline anddiscuss the likely potential cause of this substantial bloodloss?
5) Describe that pathophysiology behind one of the keypharmacological options used post-delivery in the management ofthis condition?
You are dispatched to a 28-year-old female,with imminent delivery. The information you have is:
On arrival, you find the woman, Sophie, lying on her bedactively pushing and the baby’s head is beginning to crown. Herpartner, Tom, is relieved to see you. You only have time to placeyour equipment down before the head is birthed with Sophie's nextpush.
One the next contraction you then recognise:
1) Provide a definition and overview of the obstetriccondition the patient is presenting with?
2) List and discuss the pertinent risk factors that thispatient has when considering the presenting condition?
3) Describe one (1) of the manoeuvres or actions that islinked with this obstetric emergency and provide apathophysiological rationale?
Once the application of the manoeuvres is complete, the baby isdelivered safely with an APGAR of 8.
Sophie is now holding the baby skin to skin on her chest whenshe states that she doesn’t feel well and you notice considerablePV blood loss. At this point, she delivers the placenta, and withthis comes a fresh flow of frank red blood. You feel her abdomen atthis point, and it feels soft and boggy.
4) What is your concern at this point, and outline anddiscuss the likely potential cause of this substantial bloodloss?
5) Describe that pathophysiology behind one of the keypharmacological options used post-delivery in the management ofthis condition?