Best Case Ever 9 Vaginal Bleeding in Early Pregnancy

Best Case Ever 9 Vaginal Bleeding in Early Pregnancy

As a bonus to Episode 23 on 'Vaginal Bleeding in Early Pregnancy' with Dr. Ross Claybo and Dr. David Dushenski, we have here, Dr. Claybo's Best Case Ever. While vaginal bleeding in early pregnancy is rarely life threatening, there are a significant percentage of woman who will require emergency resuscitation and surgical intervention. We don't have mountains of RCTs on this topic; still Dr. David Dushenski & Dr. Ross Claybo run through the key clinical pearls of the history, the physical, interpretation of the BhCG and the value of serum progesterone in working up these patients. The newest on point of care ultrasound is discussed in the patient with vaginal bleeding in early pregnancy. The various types of spontaneous abortion including septic abortion are reviewed as well as the management of the unstable patient with massive vaginal hemorrhage. Ectopic pregnancy, in all it’s various presentations is reviewed with particular attention to the most common pitfalls and how to avoid them. [wpfilebase tag=file id=388 tpl=emc-play /] [wpfilebase tag=file id=389 tpl=emc-mp3 /]

Episoder(392)

EM Quick Hits 17 Adrenal Crisis, Strep Throat, Posterior MI, DKA Just the Facts, Ovarian Torsion Imaging, HINTS Exam, Canadian CT Head Rule

EM Quick Hits 17 Adrenal Crisis, Strep Throat, Posterior MI, DKA Just the Facts, Ovarian Torsion Imaging, HINTS Exam, Canadian CT Head Rule

Anand Swaminathan on recognition and ED management of adrenal crisis, Maria Ivankovic on indications for antibiotics in strep throat from EM Cases Course 2020, Jesse McLaren on recognition of posterio...

21 Apr 202049min

EM Quick Hits 16 COVID-19 Oxygenation Strategies, Trauma Care, Addictions Considerations, Cardiovascular Complications and Compassionate Care

EM Quick Hits 16 COVID-19 Oxygenation Strategies, Trauma Care, Addictions Considerations, Cardiovascular Complications and Compassionate Care

Anand Swaminathan on oxygenation strategies for COVID-19 learned from the New York experience, Andrew Petrosoniak on trauma care modifications in the COVID-19 era, Michelle Klaiman on addiction medici...

7 Apr 202036min

EM Quick Hits 15 – COVID-19 Practical Tips, Pediatric COVID and Human Factors

EM Quick Hits 15 – COVID-19 Practical Tips, Pediatric COVID and Human Factors

Drs. Sara Gray, Emily Austin, Chris Keefer, Justin Morgenstern, Sarah Reid, Chris Hicks, Peter Brindley and Andrew Cameron share their experience with the COVID-19 pandemic and offer some practical ti...

2 Apr 20201h 4min

Ep 141 COVID-19 Part 5 Epidemiology and Prediction Models

Ep 141 COVID-19 Part 5 Epidemiology and Prediction Models

Ashleigh Tuite infectious diseases mathematical modeler discusses factors predicting spread of SARS CoV-2, prediction models and flattening the curve of COVID-19. Is the COVID-19 virus likely to mutat...

31 Mar 202034min

Ep 140 COVID-19 Part 4 – Protected Intubation

Ep 140 COVID-19 Part 4 – Protected Intubation

There are many complicated guides on airway management and protected intubation since the COVID-19 pandemic broke. This can be confusing in our rush to develop protocols and guides in our own EDs. In ...

28 Mar 202048min

Ep 139 COVID-19 Part 3 – PPE: What We Know, Conservation Strategies and Protected Code Blue

Ep 139 COVID-19 Part 3 – PPE: What We Know, Conservation Strategies and Protected Code Blue

The single most important thing we can do as ED providers in this COVID pandemic is to protect ourselves, our colleagues, our patients, our families and our friends against transmission of the virus; ...

26 Mar 202038min

EM Quick Hits 14 – COVID-19 Your Colleagues’ Experiences and Practical Tips

EM Quick Hits 14 – COVID-19 Your Colleagues’ Experiences and Practical Tips

In this special edition EM Quick Hits podcast, Drs. Eddy Lang, Salim Rezaie, Anand Swaminathan, Jonathan Sherbino and Reuben Strayer share their experience with the COVID-19 pandemic and offer some pr...

24 Mar 202035min

Ep 138 COVID-19 Part 2 – ED Surge Capacity Strategies in the COVID-19 Pandemic

Ep 138 COVID-19 Part 2 – ED Surge Capacity Strategies in the COVID-19 Pandemic

No matter where you practice emergency medicine there will be, or has been, capacity problems in the COVID-19 crisis. Even if we "flatten the COVID-19 curve" there will be a load on the systems that e...

23 Mar 202026min

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