Clinical Concept: Managing first trimester vaginal bleeding in the ED — NUEM Blog

Written by: Priyanka Sista, MD (NUEM PGY-2) Edited by: Spencer Lang, MD, (NUEM PGY-4) Expert Commentary by: Natasha Wheaton, MD Introduction Vaginal bleeding in a pregnant patient occurs frequently (20-40% of all 1st-trimester pregnancies) and these patients present to the Emergency Department often. Patients in their 1st trimester (prior to 12 weeks gestational age) may not have initiated prenatal care and may not have a definitive intrauterine pregnancy (IUP). In fact, they may not be aware...