Volume resuscitation

1. Crystalloid in the form of lactated Ringer's or normal saline should be given as a 3:1 replacement for the estimated blood loss over the first 30-60 minutes of acute resuscitation.

2. O-negative packed red cells are preferred if emergent blood is needed before the patient's own blood type is known.

3. A urinary catheter should be placed to measure urine output and observe for hematuria.

E. Deflection of the uterus off the inferior vena cava and abdominal aorta can be achieved by placing the patient in the lateral decubitus position. If the patient must remain supine, manual deflection of the uterus to the left and placement of a wedge under the patient's hip or backboard will tilt the patient.

F. Secondary survey. Following stabilization, a more detailed secondary survey of the patient, including fetal evaluation, is performed.

0 0

Post a comment