Hi all, I would like to know if you picked up a patient 2 months pregnant that had passed out if you would do a vaginal visual. Pt stated she did have some spotting ealier on. Thanks
visual inspection
Hi all, I would like to know if you picked up a patient 2 months pregnant that had passed out if you would do a vaginal visual. Pt stated she did have some spotting ealier on. Thanks
I assume by you saying that she had passed out that she was CAOx3 when you where there? I would be very hesitant to do a visual inspection honestly.
After deleting a very long answer to your question. I will simple say that with the information you offered my answer is NO. Ask the patient the how any pads have you used question. That will give you a better idea than a vaginal exam at that point in the pregancy.
Of course there is no formula for success except perhaps an unconditional acceptance of life and what it brings.
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And just for arguement sake vaginal exams are generally not a ALS skill.
Of course there is no formula for success except perhaps an unconditional acceptance of life and what it brings.
There is no refuge from memory and remorse in this world. The spirits of our foolish deeds haunt us, with or without repentance. "Gilbert Parker"
Unconscious? NO! If there's obvious signs of vaginal bleeding through the clothes, document that but do NOT drop their drawers. If she is delivering a term baby, that would be different. 2 months along....forget that noise.
In a word NO! here is my thought in more than one word, she is only 2 months prego we can not stop the bleeding or treat it, why do I need to see it, always safe to start an IV after assessing BP, you know if you need to give fluid bolus or not. Plus I have a who wha and I do not need to see anyone elses if I can help it!
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Last night I molested my self, I said NO! But I knew I wanted it!
I have to agree with everyone else so far. At 2 months most women don't even show they are pregnant so I don't see the value of an exam here unless an actual injury had occured and the OB wasn't the problem. Even if she miscarried, the exam would be moot unless she had uncontrolled bleeding and even then just pack it to stop, 2 large bore IV's and hang the bags on blood tubing if you got it.
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Even on the BLS level, at 2 months there's nothing that we can do about it and nope, we wouldn't look.
Too many damn lawyers around these days anyway. If the patient absolutely insisted, I'd think about having one of the female EMTs do it, and I'd definitely document the hell out of the entire situation.
Otherwise, no.. it can wait until we got to the hospital.
NO! That is why the OB/GYN makes all that money.
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Nope
I agree with the above post as to not looking. It does no good and will more than likely not affect the treatment given. IV if necessary, transport to the hospital.
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