Author: Anna Pickens, MD (@AnnaEMin5, Creator of EMin5) // Edited by: Alex Koyfman, MD (@EMHighAK), Brit Long, MD (@long_brit), and Manpreet Singh, MD (@MprizzleER)
Welcome to another edition of EMin5 with Dr. Anna Pickens. This week looks at vaginal bleeding in the 3rd trimester. Enjoy the video!
Video:
Establish the Plan and your Safety Net: IVs, monitor, T&S with RH, CBC, coags, blood products, OB consult
And don’t forget your US!
But…do not perform a speculum exam
Two Classifications: Painful vs. Non-painful Bleeding
Uterine Rupture
Placental Abruption
Placenta Previa
Vasa Previa
Suggested/Further Reading:
Articles/Posts:
emDOCs – The Bleeding Pregnant Patient in the Third Trimester: Pearls and Pitfalls
WikEM – Uterine Rupture, Placental Abruption, Vasa Previa, Placenta Previa
Podcasts/Videos:
Mayo EM Blog – Third trimester vaginal bleeding: A case and a review of the management
