Category: Other

Postpartum Hemmorrhage VSA as a Medical Arrest vs Trauma Arrest

Question#: 560

Question:

Hello,

What is the RPPEO's view on running a postpartum hemorrhage VSA as a Medical Arrest vs Trauma Arrest?



Thank you!

Answer:

If the cardiac arrest is secondary to massive post partum hemorrhaging, the treatment of choice is rapid transport to a facility which can provide blood products. A NS bolus can also be performed but there is no evidence that epinephrine is of any benefit and is not recommended in this situation. In summary, this would be considered an unusual circumstance under 'Clinical Considerations' in the Medical Cardiac Arrest Directive of the ALS PCS with the main focus on early transport after the first analysis. 

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