Postpartum haemorrhage on night shift
Deliberate PracticeDistrict hospital, night shift
Blood loss500 ml
HR105
SBP100
Shock index1.05
Elapsed0:00
Scenario
A multipara in her late twenties has just delivered spontaneously at term. The placenta is complete. Within 10 minutes, you notice heavy vaginal bleeding and a soft uterus. She is pale and becoming drowsy. IV fluids have been running for 15 minutes. What do you do now?