Gynecologic hemorrhage

Table of contents

1 Definition 2 Causes 3 Diagnosis 4 First Aid 5 Field Care (for EMTs) 6 Clinical Treatment 7 References 8 External Links

Definition

Gynecologic hemorrhage is uncontrolled bleeding from the vagina not associated with a menstrual period or cycle. Gynecologic hemorrhage is a medical emergency.

Causes

Trauma such as from penetrating injury or sexual assault. Ectopic pregnancy that has ruptured. Internal injuries from a blow to the abdomen, particularly in pregnancy. Rarely, some forms of uterine cancer.

Diagnosis

Bleeding in quantities greater than six ounces (half a can of soda) from the groin that does not slow or stop. Note that in many cultures the patient will attempt to hide their injuries out of embarrassment or fear.

First Aid

If at all possible care should be given by a same-gender individual.

In the urban setting, call for help immediately. Apply direct pressure to the outside of the vaginal cavity. Do not attempt to pack the vaginal cavity with cotton or any other item or object.

In wilderness first aid, immediate evacuation is indicated.

Field Care (for EMTs)

Transport immediately to hospital care. "Load and go." Follow local protocols.

Clinical Treatment

Coagulants and muscle agents by injection. If caused by trauma or ectopic pregnancy, immediate abdominal surgery. Supportive care including blood transfusions.

References

medical emergency

External Links