Evaluation/Treatment of Acute Abnormal Uterine Bleeding
  • Additional Considerations
    • Social Work Consult
    • Peer Educator
Initial MD/CRNP/RN Assessment
  Assess ABC’s, VS
Orthostatic BP changes
Symptoms of hypovolemia, anemia
  Initial Labs
  • HCG (urine or serum)
  • Consider need for
    • Hgb
    • Type and SCreen
Stable Hemodynamics
HCG
Immediate transfer to HUP ED
Interfacility Transfer Process
Consider Social Work Consult
HCG
Concerning Hemodynamics
  • CBC, Type & Screen, PT, PTT
  • NS bolus, 2 PIV
  • CR monitor, VS q 15 minutes
  • Consider need for PRBC's
HCG
HCG
  • Actions to consider based
    on PE:
  • Transfer to HUP if able
  • If not stable for transfer
    • Consult General or Trauma
    • Surgery, and/or SDU
Mild
H&P reassuring
Hgb > 12 mg/dL, if checked
Moderate
Hgb 10-12 mg/dL
Severe
Hgb < 10 mg/dL
Posted: June 2015
Revised: July 2017
Authors: M. Zucker, MD; R. Hughes, Pharm D; A. Culyba, MD; L. Zinns, MD; J. Boyle, RN; C. Jacobstein, MD; J. Posner, MD; J. Lavelle, MD