BAYPostpartum hemorrhage
Lucia Morales · 29F · 71 kg · ROTOR
00:00
ETA 14:00
DISPATCH
Postpartum hemorrhage
29-year-old, 40 minutes after vaginal delivery, estimated 2 L blood loss, uterus boggy. Birth center has no blood bank. Flight for MTP-capable hospital.
Pale, wet, anxious. Fundus above the umbilicus and soft. Two large clots in the chux. 18g in the left AC with LR wide open.
ARRIVAL HR 132, BP 82/50, RR 24, SpO2 95%, GCS 15, T 36.1.
ROTOR · 14 min · 2500 ft
Practice Patient · 55M
ETT 8 @ 22 cm · VENT
ETT 8 @ 22 cm · VENT
GCS 3 (111)Pupils 3/3 brisk98°F
Perfusion
100%
Cyanosis
0%
Mottling
0%
Chest rise
80%
CREW X · TRANSPORT MONITOR
Adult00:00
ECG II
SpO2
CO2
HRbpm
88
NIBPmmHg
—
press NIBP
SpO2%
98
CO2mmHg
36
BR 18
T1°C
36.8
T1 TRANSPORT VENT · COCKPITIBW 73 kg · TRAINING
ASVAdult M · Circuit OK
Ppeak cmH2O
0
Pplat cmH2O
0
PEEP cmH2O
8
VTE mL
0
fTotal /min
0
I:E
1:2.0
ExpMV L/min
0.0
Cstat ml/cm
45
Face sheet
- Allergies
- NKDA
- PMH
- Stable ICU transfer — skill bay
- Meds / given
- Propofol / fentanyl. Practice anything.
Labs / ABG
pH 7.39 PaCO2 40 PaO2 90 HCO3 24 BE 0.0 Lac 1.2 Na 138 K 4.1 Glu 112 Hgb 7.8 ICP 10