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. 2020 Oct 15;5(4):SG1–SG231. doi: 10.21980/J82H1R
Triage zone? Green
Event: Patient waited one hour between triage and seeing you. She now has a capillary refill of three seconds, appears diaphoretic.
Physical exam? You can see bleeding through the patient’s pants. She is tachycardic and hypotensive
Pelvic exam? Large clots the size of a hand and significant bleeding of bright red blood obscures the cervix.
Labs? H&H, Type/Rh
Treatment? Call OB.
Patient likely needs emergency D&C
Dispo? Admit to OB