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Management of acute bleeding after removal
Do not panic!!!
• Removal of applicator parts:
look at the needle / tube tips when removing,
e.g. with speculum support
• Bleeding……
clean the vagina and identify the location of the bleeding
Differentiate between venous and arterial bleeding!!!
•
Arterial bleeding: secure the IV access and start IV fluids
•
Nurse/anasthesiologist : TO monitor the vitals
• Focussed compression with your pointing figure
on the spot where the bleeding comes from, against the pelvis (bone).
Maintain the compression for at least 7- 10 minutes
• To perform CT pelvis after patient is stable to assess pelvic collection
• To monitor Hemoglobin directly after the procedure and after 3 hours