Ems birth slideshow
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The document provides information about childbirth and gynecologic emergencies for first responders. It describes the stages of labor and delivery, potential emergencies during birth like premature cord prolapse and placenta abruption, steps to take during emergencies, and considerations around home births versus hospital births.
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This document provides an overview of first aid training, including assessing casualties, treating life-threatening conditions, and preventing cross-contamination. It discusses the primary and secondary surveys used to assess injuries, with the primary survey focusing on life threats like airway, breathing, and circulation. The secondary survey involves a full head-to-toe examination, questioning the casualty, and considering their history, symptoms, and observable signs. The goal of first aid is to preserve life, prevent conditions from worsening, and promote recovery until emergency help arrives.
Head injury presentation pdf
The document describes a presentation on managing head trauma and skull fractures. It outlines a case of a 27-year-old male brought in after a steel beam fell on his head at work with an initial GCS of 7/15. The presentation reviews the steps to stabilize the patient, including intubation, application of a hard collar, NG/OG tube placement, blood tests, and secondary survey. Key injuries discussed include suspected cribiform plate injury, haemotympanum, subconjunctival haemorrhage, and signs of basal skull fracture. Next steps outlined are further investigations like CT scans of the head and spine.
Head injury
The document discusses head injuries, including injuries to the scalp, skull, and brain. Over 1 million people in the US receive treatment for head injuries annually, with 230,000 hospitalized, 80,000 suffering permanent disabilities, and 50,000 dying. Head injuries can cause damage through primary injury at impact and secondary injury from brain swelling or bleeding in the following hours and days. Treatment depends on the severity and type of injury, and may include surgery, monitoring of intracranial pressure, and supportive care measures. The most effective prevention is through safety measures like wearing seatbelts and helmets.
Stroke.2014
An 80-year-old Saudi woman presented to the emergency department with sudden onset weakness in her right hand and difficulty speaking during dinner. She has a history of hypertension, peripheral vascular disease, anemia, and anxiety. A CT scan showed evidence of a left-sided infarct and carotid Doppler revealed 48% stenosis in the left carotid artery, consistent with an ischemic stroke. Her symptoms began suddenly and she was brought to the emergency department within 60 minutes.
Shock
This document discusses different types of hemorrhage and shock, including:
1) Types of hemorrhage include external, internal, traumatic, and non-traumatic bleeding from various locations in the body.
2) Shock is classified as hypovolemic, cardiogenic, vasogenic, neurogenic, or mixed. Compensated shock involves tachycardia and anxiety while decompensated shock includes confusion and low blood pressure.
3) General management of shock includes maintaining an open airway, high oxygen, IV access, monitoring vitals, and controlling bleeding for hypovolemic shock. Fluid resuscitation is important but type and amount depends on shock classification.
Labour : The process of child birth
Childbirth, labour, delivery, birth, partus, or parturition is the culmination of a pregnancy period with the expulsion of one or more newborn infants from a woman's uterus. The process of normal childbirth is categorized in three stages of labour: the shortening and dilation of the cervix, descent and birth of the infant, and birth of the placenta.
The Three Stages Of Labor And Delivery
The document summarizes the three stages of labor and delivery:
1) The first stage is dilation, where contractions dilate the cervix from 2-16 hours. Contractions increase in frequency and intensity to fully dilate the cervix to 10 cm.
2) The second stage is expulsion, where the woman pushes with contractions to deliver the baby. The baby's head first emerges, then the shoulders and body slip out.
3) The third stage involves delivery of the placenta and afterbirth, completing the labor process. Labor typically takes 15 hours total for a first birth but can range from 3 to 24 hours.
Maternal Care: The first stage labour Monitoring and management
Maternal Care addresses all the common and important problems that occur during pregnancy, labour, delivery and the puerperium. It covers: the antenatal and postnatal care of healthy women with normal pregnancies, monitoring and managing the progress of labour, specific medical problems during pregnancy, labour and the puerperium, family planning, regionalised perinatal care
Basic first aid
Basic first aid is the immediate care given to injured or ill people until medical assistance arrives. It aims to alleviate suffering, prevent further injury, and prolong life. The key principles of emergency action are to survey the scene, check for vital body functions like breathing and circulation, and activate medical assistance. Common conditions addressed include fainting, shock, wounds, bleeding, and choking. For fainting, the goals are to restore blood flow to the brain by elevating the legs. For shock, signs include pale skin and weak pulse; treatment involves lying down and keeping warm. For wounds, guidelines are to stop bleeding, clean the wound, apply antibiotic cream, cover it, and watch for infection.
1.3.1 introduction to first aid
This document provides an introduction and overview of first aid. It outlines the learning objectives, which are to understand first aid principles, the role of a first aider, and first aid pouch contents. The document defines first aid and describes its aims of preserving life, preventing worsening of injuries, and promoting recovery. It discusses the duties, qualities, and responsibilities of a first aider, which include being highly trained, saving lives, stabilizing victims, and properly assessing and treating casualties. Finally, it lists the essential contents of a first aid pouch, including dressings, bandages, and describes their basic uses.
Normal labor
This document provides an overview of normal labor, including:
1. It defines labor and the three stages of labor, and discusses mechanisms and signs of labor onset.
2. Intrapartum monitoring of both mother and fetus is described, including vital signs, fetal heart rate monitoring, and use of the partogram.
3. Management of the three stages of labor is outlined, including pain relief, monitoring, second stage delivery techniques, and third stage placental delivery.
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Maternal Care: The first stage labour Monitoring and management
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1. This document provides guidance on emergency childbirth and first aid for childbirth complications. It outlines the three stages of labor and signs that labor has begun.
2. It describes how to assist a woman in emergency childbirth, including calling for emergency help, comforting her through contractions, and encouraging her to push during the second stage of labor.
3. Postpartum complications like hemorrhage, infection, and depression are discussed as well as their management. Providing immediate care for the newborn like clearing the airway is also covered.
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The document summarizes the stages of childbirth from calculating the due date to delivery of the placenta. It describes what happens as the mother nears full term, the three stages of labor (labor, birth of baby, birth of placenta), signs that labor has begun, dilation and effacement of the cervix, managing pain during labor, pushing and delivery of the baby, cutting the umbilical cord, examining the placenta, and the effects of oxytocin after delivery.
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The document summarizes the stages of childbirth from calculating the due date to delivery of the placenta. It describes what happens as the mother nears full term, the three stages of labor (labor, birth of baby, birth of placenta), signs that labor has begun, dilation and effacement of the cervix, managing pain during labor, pushing and delivery of the baby, cutting the umbilical cord, examining the placenta, and the roles of hormones after birth.
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Birth complications can adversely affect the mother and baby's health. One complication is breech presentation where the baby is positioned feet or bottom first instead of head first. Breech occurs in 3-4% of pregnancies and can be detected via ultrasound or physical exam. While some breech babies will turn on their own, an external cephalic version procedure may be attempted to manually turn the baby. Due to risks of injury, doctors usually prefer caesarean section for breech births over vaginal delivery. Both c-sections and vaginal breech births carry risks for mother and baby.
Childbirth - a process
Childbirth involves three stages: cervical dilation, descent and birth of the infant, and delivery of the placenta. It is a complex physiological process influenced by hormones like oxytocin. A normal vertex birth involves six phases: engagement and descent of the fetal head, internal rotation, delivery by extension, restitution, and external rotation of the shoulders. Monitoring of the fetus and mother during labor can be done externally via Doppler or cardiotocography, or more invasively using scalp electrodes or intrauterine pressure catheters. The postpartum period following childbirth lasts around six weeks as the mother recovers.
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The document summarizes the three stages of the delivery process:
1) The first stage is when the cervix dilates and the woman experiences contractions to prepare for birth. This stage can take several hours.
2) The second stage occurs when the woman feels the urge to push. As she pushes, the baby moves through the birth canal. This stage usually lasts 1-2 hours.
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This document discusses various complications that can arise regarding the mother and passenger (baby) during pregnancy and childbirth. It covers complications such as prolapse of the umbilical cord, multiple gestation, fetal positioning issues like face presentation and brow presentation, fetal size issues like macrosomia and shoulder dystocia, and breech presentation. It also discusses managing the mother's psyche and emotional state during birth as that can impact the birthing process if she is feeling afraid, tense or unsupported. Effective management strategies are provided for each complication depending on whether a normal spontaneous delivery is possible or if cesarean section is required.
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The document provides information on handling emergency childbirth situations. It discusses recognizing that most pregnancies result in normal deliveries, being able to assist in routine vaginal births, and identifying potential pregnancy and delivery complications to provide treatment. Key points covered include the stages of labor, assessing fetal heart tones, preparing delivery supplies, managing various delivery complications like breech births, shoulder dystocia, and postpartum hemorrhage, and providing newborn care.
The Stages of Childbirth
This slide presentation covers how to know labor is beginning, the three parts of the first stage, the second stage, third stage, and what to expect immediately postpartum
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The document provides information about the stages of pregnancy from conception through birth. It explains that fertilization occurs when an egg and sperm unite in the fallopian tubes. The fertilized egg then implants in the uterus and develops into an embryo and later a fetus over a normal pregnancy period of around 40 weeks. The fetus is nourished through the placenta and umbilical cord. Pregnancy is divided into three trimesters, with major physical changes and growth occurring in each stage. Birth typically occurs through the vagina, but may also be by C-section or in rare cases of breech position. The newborn has physical traits like vernix and fontanelles that support development in the womb.
5.1 Placenta, membranes and amniotic fluid.pdf
Allows gas exchange so the fetus gets enough oxygen
Helps the fetus get sufficient nutrition (folate, vitamins, glucose, etc)
Helps regulate the fetus’ body temperature
Removes waste from the fetus for processing by the mother’s body (excretion)
Filters out some microbes that could cause infection
Transfers antibodies from the mother to the fetus, conferring some immune protection (immunity function).
Produces hormones that keep the mother’s body primed to support pregnancy (endocrine function)
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This document discusses problems that can occur with fetal position, presentation, or size during labor and delivery. It describes issues like occipitoposterior position where the baby's head is facing the wrong way, breech presentation where the baby is feet or butt first, face or brow presentations which are types of abnormal head position, and transverse lie where the baby is laying horizontally across the womb. It provides information on assessment of these problems, contributing risk factors, potential complications, and therapeutic management approaches including manual maneuvers, positions, and when cesarean delivery may be recommended.
OBSTETRIC EMERGENCIES.... BY KELVIN KEAN
The document describes various obstetric emergencies including cord presentation, antepartum hemorrhage, postpartum hemorrhage, and others. It defines each emergency, discusses causes, diagnosis, and management. The goal is to equip students with knowledge of emergency obstetric conditions so they can identify risks, offer timely interventions, and manage complications to save lives of mothers and babies.
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The document provides information on essential newborn care including the eight steps of essential newborn care. The eight steps include: delivering the baby onto the mother's abdomen; drying the baby with a warm towel; assessing breathing and color; tying and cutting the umbilical cord; placing the baby in skin-to-skin contact with the mother and initiating breastfeeding; giving eye care with tetracycline ointment; giving vitamin K injection; and weighing the baby. The document also discusses birth asphyxia, low birth weight, ear problems, throat problems, conjunctivitis, and bacterial skin infections.
All about making a baby .pptx
The document summarizes the birth process, which consists of three stages: early labor, active labor, pushing and delivery, and delivery of the placenta. Contractions become stronger and more frequent during early and active labor as the cervix dilates. Transition occurs when the cervix is fully dilated and pushing begins. The baby's head emerges during crowning and delivery. Shortly after, the placenta detaches and is delivered.
Common terminologies of obstetrics
Obstetrics deals with pregnancy, childbirth, and the postnatal period. Key terms include gestation, which is the duration of pregnancy, and trimesters, which divide pregnancy into three stages. Complications can include preterm birth before 37 weeks, post-term birth after 42 weeks, and pregnancy-induced high blood pressure conditions like preeclampsia. Delivery methods include normal spontaneous vaginal delivery and Cesarean section.
induction of labor
This document discusses labor induction, including its definition, reasons it may be done, risks, preparation, methods, duration, and outcomes. Labor induction is a procedure used to stimulate uterine contractions before spontaneous labor begins. It carries some risks but may be recommended if the mother or baby's health is at risk late in pregnancy. Common induction methods include stripping the membranes, dilating the cervix, intravenous oxytocin, or rupturing the amniotic sac. The duration of induction can vary from a few hours to a few days depending on the individual case. Outcomes include successful vaginal birth in most cases but may require a C-section in some situations.
PARTURITION
Parturition, commonly known as childbirth or labor, is a natural and complex process through which a pregnant mammal gives birth to her offspring. This transformative event marks the culmination of the pregnancy journey, as the developing fetus is ready to transition from the safety of the mother's womb to the outside world. It is a remarkable phenomenon that involves intricate hormonal, physiological, and behavioral changes in both the mother and the fetus. In this essay, we will delve into the fascinating process of parturition, exploring its stages, hormonal influences, and the significance of this event in the continuation of species.
Parturition is a highly regulated process orchestrated by the intricate interplay of hormones. During pregnancy, the uterus provides a nurturing environment for the developing fetus, surrounded by the amniotic fluid. As the pregnancy reaches full term, the fetus secretes a hormone called cortisol, which stimulates the placenta to produce another hormone called prostaglandins. Prostaglandins play a crucial role in softening and thinning the cervix, the lower part of the uterus, preparing it for dilation. Additionally, the secretion of oxytocin, commonly referred to as the "love hormone" due to its role in bonding and social behavior, increases in response to fetal cortisol levels. Oxytocin triggers uterine contractions, initiating the labor process.
Parturition can be divided into three distinct stages: the latent phase, the active phase, and the placental phase. The latent phase is often the longest and least intense, characterized by irregular contractions that help in the gradual dilation and effacement of the cervix. During this phase, the expectant mother may experience a release of the mucus plug, known as the "show," indicating the progress of the cervical changes.
The active phase marks the onset of more intense and regular contractions. Oxytocin levels surge, and the contractions become stronger, more prolonged, and closer together. This stage leads to rapid cervical dilation and the eventual transition of the fetus into the birth canal. As the contractions intensify, the mother may experience increased discomfort and a strong urge to bear down and push. The amniotic sac may rupture, leading to the release of amniotic fluid, commonly referred to as the "breaking of water." This rupture also serves to facilitate the descent of the fetus.
The fetus's position and presentation are essential during childbirth. Ideally, the baby's head presents first as it is the largest and most efficient part to pass through the birth canal. In some cases, the baby may present in a breech position (feet or buttocks first) or in other less common positions, requiring additional medical attention and possibly a cesarean section.
During the active phase, the mother's body releases endorphins, which act as natural painkillers and help the mother cope with the increasing intensity of contractions.
Ems birth slideshow FINISHED COPY
This document provides information about childbirth and gynecological emergencies for first responders. It defines key terms related to female anatomy and the birthing process. It also explains the three stages of labor: early/active labor where contractions become stronger and more frequent; transition where contractions are strongest and birth is imminent; and delivery where the baby is born. It aims to educate first responders about normal labor and signs of potential emergencies.
Newborn
The document discusses various topics related to pregnancy, including:
- The third trimester lasts from week 28 until birth, usually around week 40.
- Common fears during pregnancy include miscarriage, morning sickness, eating the wrong foods, stress, birth defects, preterm labor, weight gain, complications, changes to sex life, difficult labor, and more.
- The baby is protected in the womb by the uterus, placenta, umbilical cord, amniotic fluid, and other structures working together.
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Ems birth slideshow
- 2. This slide show explains: Key Terms and the stages of birth, along with emergencies and how to take care of them, and also home-births, and a brief explanation of a Doula. This well educate you in how labor is and signs to look for in a emergency as a first aider and a civilian . Choosing this subject was close to me, I am 32 weeks pregnant and due to deliver October 8/16. I wanted to educate my self more on what will happen with the labor process, and my options and signs to look for in case of a emergency. I’m having a boy who we are naming Oskar L.J. Hammond and this is our first child :O) I will tell you now... This has been one crazy adventure so far and life changing for my husband and I. I hope you all enjoy my slide show :O)
- 5. Gynecologic Emergencies What to do and what they are.
- 6. Placenta Abruption -Placental abruption occurs when the placenta peels away from the inner wall of the uterus before birth. Prolapsed Cord -In a prolapse, the umbilical cord drops (prolapses) through the open cervix into the vagina ahead of the baby.
- 7. Prolapsed Cord Emergency Placenta Abruption Emergency In most cases, you'll have some vaginal bleeding, ranging from a small amount to an obvious and sudden gush. Sometimes, though, the blood stays in the uterus behind the placenta, so you might not see any bleeding at all. Most women will have some uterine tenderness or back pain. And in close to a quarter of cases, an abruption will cause the woman to go into labor prematurely. IMMEDIATELY TAKE MOTHER TO HOSPITAL! The cord can be seen before the baby’s head, cord is prolapsed. 1) position the mother with her head down or buttocks raised to use gravity to lesson in the birth canal. 2)Insert fingers with a gloved hand into vagina, placing fingers on either side of the prolapsed cord to hold pressure from the presenting part (most often the head) of the fetus away from the pulsating cod. Continue until EMS arrive. DO NOT PUSH CORD BACK IN! 3) CALL 911 IMMEDIATELY!
- 8. Breech & Limb Presentation- if your baby is breech, it means he's poised to come out buttocks or feet first. In breech position if baby’s head is not delivered within 3 minutes of the body, YOU MUST act to prevent suffocation of the baby. Suffocation will occur when the face is pressed against the vaginal wall. 1)Place one hand on the vagina, positioning the palm toward the baby’s face. 2) Form a V with your fingers on either side of the baby’s nose. 3)Push vaginal wall away from baby’s face until head is delivered. 4) Have someone call 911 IMMEDIATELY 4) Have mother continue to push with contractions and attempt to deliver the baby
- 9. Meconium Emergency This emergency is baby’s first feces (bowl movement) and can be present in the amniotic fluid. It is dangerous for the baby’s to breath it into lungs and is associated with fetal distress. When recognizing this condition it is greenish/brownish rather than clear and tarry and almost colorless. 1) Keep infant moderately head down position to help with drainage. 2) Suction mouth and nose throughly, to prevent baby from inhaling the meconium. Try not to stimulate baby to breath before suction. 3)Maintain a open airway. 4) CALL 911!
- 10. Other Emergencies Pre-clampsia - is a serious complication of pregnancy associated with the development of high bloo d pressure and prot ein in the urine . Cervi cal Inc ompetence -is a weakn ess of the cervix, which may result in a late miscarriage. Ectopic Pregnancy - a fertilized egg becomes implanted in tissues outside the uterus instead of in the uterine lining. Placenta Praveia - t he placenta is implanted lower down in the uterus and closer to the cervix than is normal.
- 14. Home-births Pros Freedom to control your own birth experience is maintained Involves no hospital fee, and midwives' fees are usually much lower than physicians Environment is safe, warm, and inviting, making relaxation easier and labor go smoother Mother and baby have already developed antibodies to any germs found in the home, so they pose little threat to mother and child Mother can eat, drink, and move around as she chooses Infant's birth experience can be enhanced through lowered noise level, lowered lighting, and water birth if desired Children can be present at birth if desired No separation of mother from infant Father or partner can have as active a role as he wants in the birth, can even "catch" the baby Mother can give birth totally unassisted if she chooses to Cons Not all insurance companies pay for home birth expenses Spirituality of the birth experience can be a priority Filing for birth certificate is parent's responsibility, although some midwives do this Complications can result if caregivers do not know what to do in an emergency Arrangements for hospital care can sometimes be made in advance in case complications occur In case of emergency, there may be a delay in receiving care as you transport to the hospital Responsibility for safe birth rests with parents
- 15. Click for short video http://youtube/4DgLf8hHMgo Personal thought on Home-births: I have friends that have chosen to have their babies at home and they have all been totally Fine. Right now, I have another friend who is having her first baby and chose to have him also at home. Me personally, would of loved to do it at home, BUT I feel safer at the hospital with this being my first child. The first lady I mentioned above is my Doula :O). A Doula is a person who provides support for a woman in labor by encouraging her to use techniques learned in childbirth-preparation classes. She is also attending to get her Midwifery degree, to do home births. I think it is perfectly ok to have babies at home, as long as you know your self, your labors and if the baby is capable of doing a home birth. I think if this is a decision to take into consideration the you as a parent need to research the Midwife, Make sure they have EVERYTHING and ALL knowledge to perform a home delivery. Also, there is always a birthing center too, which is a very relaxing and you can do water births, and have a baby at your own natural state. Usually birthing centers are located next, in, or very close to the hospital.
- 16. Sources EMS Class Book http://pregnancy.doctissimo.com - Information & Images http://pregnancy.com - Informati on & Images OB Nurs e from Hillsdale Hospital Google Images http://www.unhinderedliving.com/home.html Movie- T he business of being born (Homebirth VS Hospital) My Doula (home births) And Josh’s Personal Experience.