AROI-ESTRO GYN Teaching Course

Management of acute bleeding after removal

Do not panic!!!

• Secure the IV access and start IV fluids

• Nurse : TO monitor the vitals Unlock the Applicator Assembly

• At removal : look at the needle / tube tips

• Needles / tubes with fresh blood tinge are usually potential spots

• Bimanual compression with betadine gauze & local anesthetic rolled on your fingers

• Maintain the compression for atleast 7- 10 minutes

• Estimate the Bleeder : Arterial Vs Venous or vaginal tear

• To perform CT pelvis after patient is stable to assess pelvic collection