Obstetrics and Gynaecology
In these sessions we will use contrasting case studies of patients who have presented to the ED and had a final diagnosis of ectopic pregnancy, miscarriage, and threatened miscarriage. The Department of Health though Western Health has developed a DVD Precious 10 which is recommended viewing for all emergency clinicians.
- To use a diagnostic approach that does not miss ectopic pregnancy
- To manage women with bleeding in early pregnancy in an appropriate and compassionate way
- To understand appropriate use of B HCG and ultrasound, including consent for trans-vaginal ultrasound
- To manage hyperemesis gravidarum safely
Recommended pre reading
- Hughes T & Cruickshank J. Adult Emergency Medicine at a Glance. Chichester, West Sussex, UK : John Wiley & Sons, 2011. Chapter 23 Obstetrics and Gynaecology problems.
- Pre Lecture quiz (to be done prior to lecture): Download here or complete online
Learning resources - presentations and self directed workbook cases
- PV Bleeding in early pregnancy Dr Pauline Chapman
- PV Bleeding in 2nd and 3rd Trimester Dr Kirsty Dunn
- Obs and Gynae in the ED - Dr Steve Costa
- PPH - Dr Joshua Saunders
Other learning resources
- Australian Red Cross Anti-D Guidelines
- The Womens: Post Partum Haemorrhage Clinical Guidelines
- Chris Feier, Clinical Emergency Medicine Algorithms: Vaginal Bleeding in Early Pregnancy (Less than 20 weeks) West J Emerg Med. 2008 January; 9(1): 47–51.
- DHS- Western Health video Precious 10