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REBEL Review 89: Treatment of Postpartum Hemorrhage #FOAMed #table #obstetrics #hemorrhage #PPH
obstetrics #hemorrhage #PPH
Back to Basics: Postpartum Hemorrhage

#Diagnosis #Management #Postpartum #Hemorrhage #PPH #4Ts #Differential
Postpartum #Hemorrhage #PPH
Multiple Uses for Tranexamic Acid (TXA) - Evidence Based Indications and Dosing

Trauma < 3 hrs •
MTP YES ICH NO PPH
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm
Blood Loss: >500mL post vaginal delivery OR >1000 mL
PostPartum #Hemorrhage #PPH
Resuscitative Hysterotomy - Procedure Instructions
When? ASAP. Within 4 minutes when possible.
Who? Pregnant patient with uterus above
prepare to manage PPH
Perimortem Hysterotomy Instructions

Do 4 minutes into arrest if uterus above the umbilicus

1. Manage Arrest
 • Compressions,
Resuscitate, Treat PPH
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Atony (80%) - Most PPH
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
for causes of PH ... Differentiate PAH ... from PVH Dr. ... #Hypertension #PH
Differentiating PAH from PVH - Echocardiography
Pulmonary Artery Hypertension (PAH):
 • RV size - Enlarged
 • LA
Differentiating PAH ... from PVH - Echocardiography ... Hypertension (PAH ... Hypertension (PVH ... Differentiating #PAH
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
LFTs, lipase PMH ... surgeries - Other PMH ... Treatment started (PPI