Floppy Flop
Try This
Why Are You Bleeding
Please Stop
Mix it up
100
What are the first non-medication intervention to be done to stop bleeding if uterine atony is the suspected cause?
When atony is suspected, the bladder should be emptied and a bimanual pelvic examination conducted, any intrauterine clots should be removed, and uterine massage should be performed
100
This medication should be reconstitued in either 1000ml or 10ml of NS and has shown it's greatest benefit when used within the first 3 hours of delivery. This is also the timeframe which it should be pushed.
TXA pushed over 10 minutes
100
This is a life threatening condition in which either a portion of or the entire placenta invades into the myometrium and fails to separate from the uterine wall during the third stage of labor
Placenta accreta; in the presence of placenta previa and a history of cesarean delivery, the obstetrician–gynecologist should have a high clinical suspicion for placenta accreta. The risk was far higher in women with placenta previa with 3%, 11%, 40%, 61%, and 67% of such women with their first through fifth or more cesarean deliveries having a placenta accreta.
100
This amount of bleeding is quite concerning and should trigger preparation for mass transfusion
1500 mL; In women with ongoing bleeding that equates to the blood loss of 1,500 mL or more or in women with abnormal vital signs (tachycardia and hypotension), immediate preparation for transfusion should be made.
100
Who can/has to activate and deactivate MTP?
The Physican or anesthesia
200
What is the brand name for carboprost, and what is a contraindication for this medication?
Hemabate (Carboprost); Contraindicated in patient with history of asthma
200
This is the name of the intrauterine device that works as a tamponade. This is also the maximum fill for the device.
Bakri; Max fill 500ml
200
This condition may arise when all clotting factors have been used up
DIC; Disseminated Intravascular Coagulation
200
This QBL is considered a PPH
1000 ml regardless of mode of delivery
200
This is when the PPH Risk Assessment should be done
Admission, prior to delivery, following delivery, change in condition
300
If treatment with medications don't work, treatment with an intrauterine balloon can be considered if there's persistent lower uterine atony. We often use a Jada. How much fluid goes into the cervical seal and to how many mmHg do we set the suction at? Bonus if you can walk through the whole process of Jada insertion
60 mL-120mL; 80 mmHg
300
Do this when the fundus is boggy and deviated to the right
Empty bladder
300
These are the 4 T's that cause bleeding
Tone
Tissue
Trauma
Thrombin
300
This should be used if the patient does not have a cross match sample in the blood bank
Emergency Release blood (O negative)
300
Location of the Atony Kit
Refrigerator in Med Room
400
This medication can be given for induction, but also for a PPH. In a PPH it is given rectally. What is the medication and what is the dose range for PPH?
Misoprostol - 600-800mcg
400
What is this suturing technique called ? 
B-lynch; to provide uterine compression
400
This is the most common cause for PPH
Tone/Uterine Atony
400
This is AMTSL
Active Management of the Third Stage of Labor: Oxytocin administration and gentle cord traction
400
This is how you call for assistance in an OB Emergency
*71
500
What is the route, dosage, and frequency of Methylergovine given in the setting of uterine atony?
Methergine: IM 0.2mg every 2-4 hours
500
Use this when multiple blood products are required.
Level 1 Rapid Transfuser
500
In the event of uterine inversion, manual replacement with or without uterine relaxants usually is successful with the large majority being successfully replaced in one small series. In the unusual circumstance in which it is not, laparotomy is required. These two procedures have been reported to return the uterine corpus to the abdominal cavity.
The Huntington procedure: Progressive upward traction on the inverted corpus using Babcock or Allis forceps. The Haultain procedure: Involves incising the cervix posteriorly, which allows for digital repositioning of the inverted corpus, with subsequent repair of the incision.
500
What are the components of MTP
PRBC
Platelets
FFP (Fresh Frozen Plasma)
Cryoprecipitate (if ordered by physician)
500
This is a description of the process of obtaining QBL in a vaginal delivery
Calibrated under buttock drape (following placenta - amount present just before placenta), total weight of bloody items minus dry weights