Thanks to Dr Althea Askern for her presentation. Review it here:
O&G for the ED 2017
Key points:
- Two registrars on duty for ED calls with two consultants on call until 1730hrs – so escalate where delays are anticipated
- 875 – obstetrics
- 885 – gynaecology
- EPAS (early pregnancy assessment service) is now running
- BHCG only useful in unsited pregnancies
- miscarriage is common and staff should have a familiarity with the clinical and emotional needs of these cases
- Consider PID and ovarian torsion in differentials for pelvic pain
- PV / Speculum exam is not to be feared and as utility particularly in the assessment of heavier bleeding and cervical shock
- management of collapse of the obstetric patient requires an appreciation of the altered physiology in pregnancy
- pregnant patients may represent a particularly vulnerable group in our socio-economic setting
Review also: Dr Aekta Neel’s presentation in 2016
Consider also: LACTMED – a resource for the use of medications in lactation