ATLS Pregnancy
Penetrating Trauma to the Upper Abdomen during late gestation may result in
________________,
complex intestinal injury due to the displacement of the cephalad (bowel lies in upper abd)
Pelvic Fracture in late gestation may result in what injury to the fetus?,.
Skull Fracture or serious intracranial Fracture
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Abrupt decrease in maternal intravascular volume may result in,
"uterine vascular resistance, reducing fetal oxygenation while maintaining normal maternal VS. "
Normal HCT in pregnancy?,
HCT: 31%-35%
How much the plasma volume is increased in pregnancy?
about 50 %
Pregnant women can lose up to ______________ml before having signs of hypovolemia.,
1200-1500 mL or 30% of total blood volume
, Which ids the effect of the physiologic hypervolemia of pregnancy on the management of the
severely injured woman?
The pregnant should lose a significant amount of blood volume ( 30% of the total blood volume)
before tachycardia and hypertension develop
Hypertension with proteinuria may be a sign of ,
pre-eclampsia.
"Htn, seizures, hyperreflexia, proteinuria, and peripheral edema may be a sign of
____________",
Eclampsia
How should pregnant women be immobilized?
"spine board, log rolled 4-6 inches to the left. Manual displacement of the uterus to the left side
will relieve the pressure off the IVC ."
The most frequent cause of fetal death?
The maternal death
The resuscitation of the mother is the priority
If the mom has normal VSS does this mean she is stable and the fetus is safe?
NO. Pregnancy causes an increase in intravascular volume which allows for significant blood
loss before becoming symptomatic. The fetus may be in distress before the mother. Early
resuscitation needed.
True or False? Vasopressor are needed to restore blood pressure during pregnancy?,
False. Pressors should be a last resort. Pressors reduce uterine blood flow and cause fetal
hypoxia.
Normal fibrinogen level may be an indicator of _______,
early DIC.
Fibrinogen level is usually doubled during late pregnancy.
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