Gynae BT 2017

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