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Management of acute bleeding after removal
Do not panic!!!
• Secure the IV access and start IV fluids
• Nurse : TO monitor the vitals Unlock the Applicator Assembly
• At removal : look at the needle / tube tips
• Needles / tubes with fresh blood tinge are usually potential spots
• Quick per-speculum examination if possible
• Bimanual compression with betadine gauze & local anesthetic rolled on your fingers
• Maintain the compression for atleast 7- 10 minutes
• Estimate the Bleeder : Arterial Vs Venous or vaginal tear
• Monitor Hemoglobin, correct if necessary
• To perform CT pelvis after patient is stable to assess pelvic collection