Episode 67 – Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi Desai
EMplify – March 2022
Interview with the Authors: Nicole Yuzuk, DO, Joseph Bove, DO, and Riddhi Desai, DO
Episode Outline:
1.Why is this an important topic in EM?
2.Hemorrhage etiologies and definition
3.Headache etiologies, both common and the more dangerous (ICH)
4.Fever and infection
- Mastitis
- Endometritis
5.Preeclampsia/eclampsia
- Definition, diagnosis, risk factors (Table 1)
6.HELLP syndrome
- Definition, diagnosis (Table 2)
7.Peripartum cardiomyopathy
- Time of onset, how to make the diagnosis, risks (Table 3)
8.Prehospital care
- IV fluids
- TXA
- AMS evaluation
- Chest pain
- Fever/hypotension
9.ED evaluation
- History (what kind of things should we remember to ask?)
- Physical exam (what should we be paying attention to?)
10.Diagnostic studies
- Hemorrhage (exam, vitals, labs, US)
- Headache (labs, imaging – what type?)
- Fever and infection (labs, imaging – US or CT, antibiotics)
- Cardiopulmonary complaints (labs, imaging, ECG)
11.Treatment
- Hemorrhage
- Headache (CVT)
- Infection (mastitis, endometritis, wound Infection)
- Preeclampsia, eclampsia, HELLP, seizures
- Cardiomyopathy
12.What about breastfeeding mothers?
13.Controversies and cutting edge
- Endovascular therapy
- Thromboelastography
Last Updated on January 25, 2023
Sam Ashoo, MD, FACEP, is board certified in emergency medicine and clinical informatics. He serves as EB Medicine’s editor-in-chief of interactive clinical pathways and FOAMEd blog, and host of EB Medicine’s EMplify podcast. Follow him below for more…
