Cardiac Arrest in Pregnancy: An 2019 UPDATE

Sometimes we need a reminder and update on the basics… Your Welcome.. Cardiac arrest in pregnancy. SEMINARS IN PERINATOLOGY 42(2018)33–38. https://doi.org/10.1053/j.semperi.2017.11.007 MATERNAL PHYSIOLOGY – The maternal heart rate increases by 20–30% or 15–20 beats per minute – Cardiac output increases by 30–50% or 1.8 L per minute with the uterus receiving approximately 17% of maternal cardiac […]

Emergency Contraception in the ED and BMI?

We in the ED may sometimes be asked advice on emergency contraception (EC). The most popular one available is levonorgestrel. The message from this quick hit article is pretty simple and serves as a simple reminder: Clinicians should counsel women with BMI ≥ 26 kg/m2 on the potential limitations of oral levonorgestrelfor EC and offer […]

TRAUMA IN PREGNANCY UPDATE 2018

Today’s algorithm is all about Trauma in pregnancy. Its a quick breakdown of the need-to-know basics! PRIMARY SURVEY 1. Oxygen supplementation should be given to maintain maternal oxygen saturation > 95% to ensure adequate fetal oxygenation 2. If needed, a thoracostomy tube should be inserted in an injured pregnant woman 1 or […]