Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14...

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Paramedic CarePrinciples & Practice

Volume 3Medical Emergencies

Second Edition

Chapter 14

Obstetrics

Figure 14-1 Fertilization and implantation of the ovum.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Figure 14-2 Anatomy of the placenta.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Figure 14-3 Uterine changes associated with pregnancy.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Figure 14-4 The hemodynamic changes of pregnancy.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-5 The maternal-fetal circulation.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-6 Placenta previa (abnormal implantation).

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-7 Abruptio placentae (premature separation).

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-8 The supine-hypotensive syndrome results from compression of the inferior vena cava by the gravid uterus.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-9 Stages of labor.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Figure 14-10 The decision to deliver at the scene or to attempt transport is often a difficult one.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-11 Crowning.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Figure 14-12   Delivery of the head.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Figure 14-13   External rotation of the head.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-14   As soon as possible, suction the mouth, then the nose.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-15   Delivery of the anterior shoulder.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-16   Complete delivery of the infant.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-17   Dry the infant.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-18   Place the infant on the mother’s stomach.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-19   Deliver the placenta and save for transport with the mother and infant.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-20 Clamp and cut the cord.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-21 Resuction the airway as needed.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-22 Stimulate the infant as required.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-23 Breech delivery.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-24 Placement of the fingers to maintain the airway in a breech birth.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-25 Prolapsed cord.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 14-26 Patient positioning for prolapsed cord.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

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