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from Subsection 4K - Clinical – Obstetrics and Gynecology
Published online by Cambridge University Press: 27 June 2025
Patients appropriate for the observation unit (OU) include those who are not ready to be discharged home from the emergency department but are not in shock, hemodynamically unstable or will presumptively require a prolonged inpatient stay. Patients who need fluid and/or blood product administration with further evaluation of the cause of the vaginal bleeding are ideal candidates for the OU. A pelvic ultrasound can be performed while the patient is in the OU. If medical management of the bleeding is indicated, then medications can be started in the OU. If a gynecology consult is warranted, it can be done while the patient is in the OU and follow-up arranged.
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