EMS: Obstetrics Emergency

Learner will arrive on-scene to find a 26-year-old female patient in the bathroom in the final stage of labor. Learner will perform an initial assessment and identify that delivery is imminent. The Learner will aid in delivery which will proceed in an uncomplicated fashion. The newborn will initially be blue with decreased respiratory effort (a weak cry). After stimulation, HR is 70, to which the learner should respond by delivering BVM rescue breathers. After this, the infant improves, is pink and crying, with a HR 130. The Learner will clamp and cut the cord, and deliver the placenta. This scene ends in the field.

Learning Objectives

– Assesses scene, identifying any potential safety concerns, number of patients, presence of bystanders, and additional resources available

– Conducts primary survey and obtains vital signs with attention to the following:
a. Determines level of consciousness and identifies mental status impairment
b. Identifies any signs of airway obstruction, hypoxia, or any observable breathing difficulties
c. Identifies any profuse bleeding, signs of decreased or absent circulation, or any pulse deficits in extremities

– Performs immediate interventions to address concerns identified during the primary survey

– Determines priority of transport

– Conducts a secondary survey to gather additional pertinent HPI and PMH and conduct a focused physical exam

– Performs any necessary medical interventions to ensure patient(s) stability and safety during transport

– Contacts Medical Direction when indicated

– Provides verbal report summarizing patient encounter