Episode 67 – Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi Desai

EMplify – March 2022

Interview with the Authors: Nicole Yuzuk, DO, Joseph Bove, DO, and Riddhi Desai, DO

Episode Outline:

1.Why is this an important topic in EM?

2.Hemorrhage etiologies and definition

3.Headache etiologies, both common and the more dangerous (ICH)

4.Fever and infection

Mastitis
Endometritis

5.Preeclampsia/eclampsia

Definition, diagnosis, risk factors (Table 1)

6.HELLP syndrome

Definition, diagnosis (Table 2)

7.Peripartum cardiomyopathy

Time of onset, how to make the diagnosis, risks (Table 3)

8.Prehospital care

IV fluids
TXA
AMS evaluation
Chest pain
Fever/hypotension

9.ED evaluation

History (what kind of things should we remember to ask?)
Physical exam (what should we be paying attention to?)

10.Diagnostic studies

Hemorrhage (exam, vitals, labs, US)
Headache (labs, imaging – what type?)
Fever and infection (labs, imaging – US or CT, antibiotics)
Cardiopulmonary complaints (labs, imaging, ECG)

11.Treatment

Hemorrhage
Headache (CVT)
Infection (mastitis, endometritis, wound Infection)
Preeclampsia, eclampsia, HELLP, seizures
Cardiomyopathy

12.What about breastfeeding mothers?

13.Controversies and cutting edge

Endovascular therapy
Thromboelastography

Episode 67 – Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi Desai

EMplify by EB Medicine

Episode 67 – Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi Desai