Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.


Obstetric Emergency

Mosey Nuccio, MD

  • Premature Rupture of Membranes
    • True ferning has branched appearance versus cervical mucosa that has linear appearance
  • Cord Prolapse
    • Do not remove your hand on the fetal presenting part
    • CALL OB for stat cesarean section
  • Shoulder Dystocia
    • Start the clock! Complications increase after 6 minutes.
    • Call Ob for help
  • Uterine Atony
    • Start oxytocin: 10 units IM or 20 units IV