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Chapter 74 - Trauma in Pregnancy
from Section 13 - Miscellaneous Conditions
- By Marwa Salman
Edited by Amira El-Messidi, McGill University, Montréal, Alan D. Cameron, University of Glasgow
Book:

OSCEs in Obstetrics and Maternal-Fetal Medicine

Published online:

23 February 2023

Print publication:

16 February 2023, pp 939-945
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Summary

A 29-year-old G1P0 at 32 weeks’ gestation is brought in by ambulance to the A&E (E.R.) department in your tertiary trauma center following a road traffic accident. She was the restrained driver of a vehicle driving on an icy road at around 50 mph (80 km/h), when she lost control and had a frontal impact collision with another vehicle. She is healthy and has had an unremarkable pregnancy to date. On arrival, she is alert but appears anxious and uncomfortable. Her cervical spine is immobilized with a cervical collar and blocks, and she is on a spinal board. She complains of pains in her chest and lower abdomen. There is a bruise across her right forehead. Her vital signs show a sinus tachycardia of 115 bpm, blood pressure 87/62 mmHg, pulse oximetry 94% on room air, respiratory rate 28/min, and core temperature of 34.6°C. You are covering the birthing center and have been called urgently to the A&E department to assist in the management of this patient.