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BCE 82 Perimortem C-section – The Resuscitative Hysterotomy

Emergency Medicine Cases

Kari Sampsel, Emergency Physician at Ottawa Hospital and Assistant Professor at University of Ottawa, Medical Director of Sexual Assault and Partner Abuse Care Program guides us through an example of a perimortem C-section - a resuscitative hysterotomy at Janus General.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

This should include early identification of life-threatening injuries, targeted fluid resuscitation using blood products, pain management, then eventual safeguarding and psychological support. Establish IV access for potential fluid resuscitation. You feel the patient needs fluid resuscitation. Administer O2 if necessary.

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It’s EMERGENCY Nurse to you!

Advanced Emergency Nursing from AENJ

It might be in a resuscitation room, the waiting room or rest room, the hospital lobby, or even the parking structure, perhaps even on the way home. Those who are also trained in forensic work can work with sexual-assault cases, law enforcement, or death scene investigation and survivor counselling.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

These patients suffer from untreated physical injuries, including gunshot wounds, shrapnel, accidents, envenomations, sequelae of physical or sexual assault, and heat exhaustion/heat stroke. ED Evaluation Transport to the ED from the refugee reception center takes 1 hour. Viral hemorrhagic fevers and their regions in Africa.