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Occasionally you will be called for a patient experiencing a gynecologic emergency unrelated to pregnancy. This may include excessive bleeding, soft-tissue injuries, or infection.

The reproductive system is very vascular, and there is a great potential for massive . Familiarity with a woman's anatomy and normal physiology will prepare you to deal with most common gynecologic problems.

The majority of patients experiencing a gynecologic emergency will be treated in the same manner regardless of the cause. Bleeding should be controlled, and the patient's ABCs should be monitored closely. Watch for developing signs of shock, and treat appropriately. Transport in the proper mode to the closest appropriate facility.

History has a major role in caring for a patient with a gynecologic emergency. Along with a detailed history of the present illness, ask the patient about any previous gynecologic problems and her obstetric history. Consider the possibility of in any patient of childbearing age with abdominal pain.

Always question the patient in privacy to maintain confidentiality.

Perform a detailed physical exam, with close attention to preserving the patient's privacy. Expose only the areas that you need to examine, and cover the patient with a sheet. Monitor the patient closely for changes that may indicate that is developing.

Excessive bleeding is a serious emergency. Cover the vagina with a sterile pad; change the pad as often as necessary, and take all used pads to the hospital for examination. Pharmacologic interventions are generally not indicated. Contact medical control for further instructions.

Use local pressure and a diaper-type bandage to hold dressings in place when treating nonobstetric injuries to the external genitalia. Never place dressings in the vagina. Treat patients with these injuries as you would any other victim of blood loss.

In the case of , treat for shock if necessary, and record all the facts in detail. Follow any crime scene policy established by your system to protect the scene and any potential evidence. Discourage the patient from washing, douching, or voiding until a physician has examined him or her.