EMS Protocol of the Week - Obstetric Emergencies — Maimonides Emergency Medicine Residency

The EMS protocol for obstetric emergencies basically goes down one of two paths – is baby coming out or not? If so, it’s all about positioning and referring to the protocol for emergency childbirth (stay tuned!) But if not, the focus shifts to hemorrhage/shock management and close monitoring with a high index of suspicion for maternal hypertension and pre-eclampsia/eclampsia. If an ALS unit is taking care of the patient, this is where they will call OLMC requesting to give IV magnesium, generally as a 2-4g IV infusion. But again, like with any other order, make sure you confirm dosing with clear, closed-loop communication!

The rest of the game is about transport, at this point. That is, right up until baby comes a’knockin! What do our crews do then? We’ll find out next week! Unless you’re all about those spoilers, in which case you’ve got www.nycremsco.org and the protocol binder for more.

Dave