Uterine bleeding in the ED

Uterine bleeding is a common presentation to the Emergency Department and rarely these patients are SICK. When they come in sick, it's not the time to be googling the ACOG recs on managing uterine bleeding. Here we review the proper management of the pregnant, post-partum, and non-pregnant patient with uterine bleeding.

 

Check out our post on the Down East EM blog for shownotes, references, and more.

 

When listening to this post, please consider the following questions (and follow us on twitter for spaced retrieval of this material @downeastem):

 

1. What tools do we have at our disposal to treat uterine bleeding in the non-pregnant patient?
2. What is your overall approach to uterine bleeding in the hemodynamically unstable patient? What are your first two interventions?
3. What is the number one cause of postpartum hemorrhage? What are the standard preventative interventions?
4. What other agents do we have at our disposal? Are there any procedures?

 

Authors: Jason Hine MD

Peer Review: Jeff Holmes MD Rebecca Bloch MD