Initial Trauma Management in Advanced Pregnancy

Yuval Meroz, Uriel Elchalal, Yehuda Ginosar

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

The principles enshrined in existing trauma resuscitation protocols for treating nonpregnant trauma victims should also be applied to the pregnant patient. In addition, left tilt of the pregnant patient (or the back board) and supplement oxygen are mandatory. The patient should be treated by a multidisciplinary team, preferably in a trauma center. Early intubation is recommended, but should be performed, where possible, by an experienced physician. The physician should be aware of the different physiologic and laboratory values in normal pregnancy. Fetal monitoring is important to assess both fetal and maternal welfare. Imaging examinations, where indicated, should not be delayed. Even minor maternal trauma, especially if caused by interpersonal violence, might cause fetal loss.

Original languageEnglish
Pages (from-to)117-129
Number of pages13
JournalAnesthesiology Clinics
Volume25
Issue number1
DOIs
StatePublished - Mar 2007
Externally publishedYes

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