Abstract
Trauma is now the leading cause of non-obstetric death in pregnancy. Emergency department (ED) management of trauma in pregnancy may be complicated by physiological compensation for concealed haemorrhage, reduced accuracy of diagnostic examination, a need to coordinate multiple teams, worries about imaging radiation and difficult decisions regarding emergent fetal delivery. Time constraints and emotive circumstances contribute to the challenge. We aimed to develop an evidence-based guideline for early management of trauma or significant haemorrhage concern in pregnant patients presenting to the ED.
Highlights
Trauma is the leading cause of non-obstetric death in pregnancy
Emergency department (ED) management of trauma in pregnancy may be complicated by physiological compensation for concealed haemorrhage, reduced accuracy of diagnostic examination, a need to coordinate multiple teams, worries about imaging radiation and difficult decisions regarding emergent fetal delivery
We aimed to develop an evidence-based guideline for early management of trauma or significant haemorrhage concern in pregnant patients presenting to the ED
Summary
Trauma is the leading cause of non-obstetric death in pregnancy. Emergency department (ED) management of trauma in pregnancy may be complicated by physiological compensation for concealed haemorrhage, reduced accuracy of diagnostic examination, a need to coordinate multiple teams, worries about imaging radiation and difficult decisions regarding emergent fetal delivery. Time constraints and emotive circumstances contribute to the challenge.
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