Planes, Pregnancy and Bleeding

jet_plane

A real case highlighting the challenges of managing the critically ill obstetric patient in remote regions of Australia.

Coughing Kid and a Blood Red Eye

Photo by therealbs2002 (Click image for source)

A 14 year-old boy is brought into the emergency department by his weary mother. She is worried about bleeding under the surface of his eye. Now what?

An Obstetric Bleeder

DIC

A 32 year-old woman is referred to the ICU post caesarean section. She had an uneventful elective caesarian section 10 hours previously. She has been referred because in the last 2 hours she has developed vaginal bleeding and oozing from her epidural site.

Are Redheads Bleeders?

Google does ginger

I first became aware that redheads were treated differently in medicine when I started hanging around anaesthetists. Most anaesthetists i know tend to get slightly more uptight when they see the phaeomelanin-laden locks of a freckled UV-sensitive patient. Especially in obstetrics. Why is this you ask?

Supratherapeutic INR

A 70 year-old man has presented to your emergency department to get his INR checked. He has been traveling around the country in a camper van for the past month and has had trouble getting regular blood tests.

Warfarin deliberate self poisoning

The Wisconsin Alumni Research Foundation - after which warfarin was named.

A 30 year-old female is brought into the ED by her husband. The couple had a heated argument which ended with the patient swallowing ~2mg/kg warfarin.