Episode 67 – Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi Desai

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 April 29, 2022

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