Episode 67 - Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi Desai

Episode 67 – Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi DesaiEMplify – March 2022Interview with the Authors: Nicole Yuzuk, DO, Joseph Bove, DO, and Riddhi Desai, DOEpisode Outline:1.Why is this an important topic in EM? 2.Hemorrhage etiologies and definition3.Headache etiologies, both common and the more dangerous (ICH)4.Fever and infection* Mastitis* Endometritis5.Preeclampsia/eclampsia * Definition, diagnosis, risk factors (Table 1)6.HELLP syndrome* Definition, diagnosis (Table 2)7.Peripartum cardiomyopathy* Time of onset, how to make the diagnosis, risks (Table 3)8.Prehospital care* IV fluids* TXA* AMS evaluation* Chest pain* Fever/hypotension 9.ED evaluation * History (what kind of things should we remember to ask?) * Physical exam (what should we be paying attention to?) 10.Diagnostic studies* Hemorrhage (exam, vitals, labs, US)* Headache (labs, imaging – what type?)* Fever and infection (labs, imaging – US or CT, antibiotics)* Cardiopulmonary complaints (labs, imaging, ECG)11.Treatment* Hemorrhage * Headache (CVT)* Infection (mastitis, endometritis, wound Infection)* Preeclampsia, eclampsia, HELLP, seizures* Cardiomyopathy12.What about breastfeeding mothers? 13.Controversies and cutting edge* Endovascular therapy* Thromboelastography