Not a call run by me so some details may be off. BUT....your working on yet another CCT truck with a basic partner in a metro area.
Your dispatched to the local ED for a 23 YOF with acitve labor and PROM. On arrival you find the patient in a standard ED bed, 27wks G6 TPAL 1-2-2-3. The patient has had minimal prenatal care (i.e. went to the ED to confirm she was pregnant) and has a history of drug abuse, preterm labor and spontaneous abortion, and has had a recent UTI. The patient presented 4 hours ago with contractions and a rupture of membranes. The patient reports contractions are 4 minutes apart, seem to be at least 1+min in duration. The only intervention is an 18ga in the L forearm that is saline locked. Your going to Our Lady of Everything Under the Sun Charity Hospital 25 minutes away.
Your dispatched to the local ED for a 23 YOF with acitve labor and PROM. On arrival you find the patient in a standard ED bed, 27wks G6 TPAL 1-2-2-3. The patient has had minimal prenatal care (i.e. went to the ED to confirm she was pregnant) and has a history of drug abuse, preterm labor and spontaneous abortion, and has had a recent UTI. The patient presented 4 hours ago with contractions and a rupture of membranes. The patient reports contractions are 4 minutes apart, seem to be at least 1+min in duration. The only intervention is an 18ga in the L forearm that is saline locked. Your going to Our Lady of Everything Under the Sun Charity Hospital 25 minutes away.
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