Victorian State Trauma System

Major Trauma Guidelines & Education – Victorian State Trauma System

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Obstetric Trauma

The pregnant patient presents a complex scenario requiring care for both the mother and the unborn child, with early maternal resuscitation having the greatest impact on foetal outcomes. It is important to be aware of the significant changes during pregnancy in order to optimise care.

References

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2Hill C. Trauma in the obstetric patient. Women’s Health. 2009 5(3). DOI 10.2217/whe.09.6.

3Cheng H, Wang Y, Hung-Chieh L, Li-Ting S, Chui-Hsiu L, Fung-Chang S. Trauma during pregnancy: a population based analysis of maternal outcome. World J of Surg. 2012 Sep (36). Doi 10.1007/s00268-012-1750-6.

4Criddle L. Trauma in pregnancy. American Journal of Nurs. 2009 Nov; Vol 109 (11). Available at: http://journals.lww.com/ajnonline/pages/default.aspx (Accessed 26 March 2014).

5The Royal Melbourne Hospital. Trauma Service. Emergency and Trauma Services. Pregnancy and trauma guideline. Melbourne: Advisory Committee on Trauma. 2009 Nov.

6Bryan C, Mistovich J, Krost W, Limmer D. 2009. Beyond the basics: trauma during pregnancy. EMS Magazine. Feb; p52-56. Available at: http://www.ncbi.nlm.nih.gov/PubMed/19326685 (Accessed April 4 2014).

7Mirza F, Devine P, Gaddipati S. Trauma in pregnancy: a systematic approach. Am J of Perinatology. 2010 Mar. p579-586. Available at: http://dx.doi.org/10.1055/s-0030-1249358 (Accessed April 4 2014).

8F Jeejeebhoy, C. Z. (2015). Cardiac Arrest in Pregnany: a scientific statement from the American Heart Assosciation. Circulation, 132: 1747 – 1773, November 3

9American College of Surgeons. Advanced Trauma Life Support. 9th Edition. American college of Surgeons committee on Trauma. 2012, Chicago.

10Nishijima, D, Simel D, Wisner, D, Holmes, J. Does this patient have a blunt intra-abdominal injury? JAMA, 2012 April 11, Vol 307, No. 14:1517.

11Gumm K. Major trauma initial assessment and management. In: Curtis K, Ramsden, C, Lord, B. Emergency and Trauma Care for nurses and paramedics. Sydney, Elsevier. 2011. P 60.

12Lee C, Porter K. The pre-hospital management of pelvic fractures. Emerg Med J. Feb 2007; 24(2): 130–133.

13Jain, J. C. (2015). Guidelines for the management of a pregnant trauma patient. J Obstet Gynaecol Can, 37(6):553-571.

14Wang L, Paech J. Neuroanesthesia for the pregnant woman. Neurosurgical Anesthesiology. 2008 July. Vol. 107(1). Doi: 10.1213/ane.0b013e31816c8888.

15Nedjlova M, Johnson T. Anaesthesia for non-obstetric procedures during pregnancy. Continuing Education in Anaesthesia, Critical Care & Pain J. 2012 Vol 12 (4). doi:10.1093/bjaceaccp/mks022.

16Australia. Guidelines for the use of Rh (D) immunoglobulin (Anti-D) in obstetrics in Australia. The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. College Statement. C-Obs6. 2012 Nov.