Emergency Medicine Management Quiz

Trauma Management

• If a patient is unconscious with blood from the right ear, securing the airway is the first priority in management.
• Other options like CT scan or FAST scan can be performed after airway management.

Vaginal Examination in Labor

• Vaginal examination is not carried out in chronic fetoplacental insufficiency.
• Situations where vaginal examination is necessary include bloody discharge, changes in fetal heartbeat, and outpouring of amniotic fluid.

Duration of Cervical Dilation in Primiparous

• The duration for cervical dilation in primiparous women is typically 10-12 hours.

Biomechanics of Labor: Anterior Occipital Presentation

• The second moment involves internal rotation of the head with the back of the head facing forward.
• The third moment consists of extension of the head during the birthing process.

Head Presentation

• In anterior occipital presentation, the head is born through the small oblique size.
• The head configuration changes shape while passing through the birth canal, leading to the formation of a birth tumor.

Head Shape Characteristics

• The head configuration during anterior occipital presentation is dolichocephalic, characterized by being longer than it is wide.
• There may be a sharp dolichocephalic shape indicative of confluence at the large fontanelle.

Biomechanics in Posterior Occipital Presentation

• The first moment involves flexion of the head.
• The second moment includes internal head rotation, allowing for proper alignment in the birth canal.