ABCs
First management priority for trauma in pregnancy
What is stabilization of maternal vital signs?
Controversial test which quantitates fetomaternal hemorrhage
What is a Kleihauer-Betke test?
Standard CPR medication/procedure that can NOT be used in pregnancy
What is none?
Prioritization of fetal assessment in care of pregnant trauma patient
What is part of secondary survey?
This is what FAST (as in a FAST US) stands for.
What is "Focused Assessment Using Sonography for Trauma Patients"?
The "D" in ABCD of resuscitation
What is leftward displacement of the uterus?
Amount of fetalmaternal hemorrhage covered by 300 mcg Rhogam
What is 30 mL?
Cardiac output during chest compressions in (1) nonpregnant patient (% of normal) and (2) pregnant patients (% of normal)
What is < 33% normal and < 10% normal?
Most sensitive clinical tool for diagnosing placental abruption
What is cardiotocography?
Cause of two-thirds of all trauma cases among pregnant women.
What are motor vehicle crashes?
Amount acute blood loss at which most pregnant women will exhibit tachycardia and hypotension
What is 30-35% total blood volume (or 1800-2100 mL)?
Characteristic fetal heart rate pattern in a baby exhibiting feto-maternal hemorrhage from traumatic abruption
What is a sinusoidal pattern?
Two items needed for postmortem Cesarean section
What are scalpel and a pair of gloves?
Four criteria allowing discontinuation of continuous fetal monitoring after 4 hours
What are uterine contractions less frequent than 1 in 10 minutes, absence of vaginal bleeding, absence of abdominal pain, and reassuring fetal heart rate tracing?
Most significant modifiable factor in decreasing maternal and fetal injury and mortality after motor vehicle crashes
What is proper seat belt use?
Rate of blood flow to uterus (and reason pregnant women can rapidly exsanguinate from abdominal/pelvic injury)
What is up to 600 mL/min?
Fetomaternal hemorrhage is more common with this placental location
What is anterior?
If a pregnant woman with a live fetus at or above viability does not respond to CPR within this many minutes, cesarean delivery is indicated for optimal maternal and fetal outcome.
What is four?
Sensitivity of ultrasound for detecting abruption in the setting of trauma
What is 40%
After motor vehicle accidents and falls, the most common cause of blunt abdominal trauma in pregnancy
What is interpersonal violence?
Reason external chest compression for cardiac arrest may not be effective in the late second and third trimesters
What is aortocaval compression?
Percent of FMH events which involve less than 30 mL fetal blood
What is > 90%?
Skin incision used for a perimortem cesarean section
What is whatever you can do the fastest?
Death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the cause of death
What is a pregnancy-related death?
Best person (conductor) to direct the resuscitating team (orchestra)
What is the obstetrician?