EM in 5: Third Trimester Vaginal Bleeding

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

 

Leave a Reply

Your email address will not be published. Required fields are marked *