Trauma in Pregnancy - 07/11/12

Doi : 10.1016/j.emc.2012.08.003

Ali S. Raja, MD, MBA, MPH ^a,^b,^⁎ , Christopher P. Zabbo, DO ^c,^d,^e
^a Department of Emergency Medicine, Brigham and Women’s Hospital, 75 Francis Street, Neville House, Boston, MA 02115, USA
^b Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA
^c Emergency Medicine Residency, Kent Hospital/UNECOM, 455 Toll Gate Road, Warwick, RI 02886, USA
^d Department of Emergency Medicine, Kent Hospital, 455 Toll Gate Road, Warwick, RI 02886, USA
^e Department of Emergency Medicine, UNECOM, 11 Hills Beach Road, Biddeford, ME 04005, USA

Corresponding author. Department of Emergency Medicine, Brigham and Women’s Hospital, 75 Francis Street, Neville House, Boston, MA 02115.

Résumé

The treatment of pregnant patients with traumatic injuries requires knowledge of the fundamentals of general trauma management as well as the specific anatomic and physiologic changes brought about by pregnancy. This article provides a review of the spectrum of trauma prevention and treatment in pregnant women, from counseling strategies that can be used during any emergency department visit to a step-by-step evaluation protocol for patients with trauma during pregnancy and the severe injuries that might be encountered by providers during the treatment of these women, including maternal cardiopulmonary arrest and the perimortem cesarean section.

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Keywords : Trauma, Pregnancy, Maternal cardiopulmonary arrest, Perimortem cesarean section