Emergency OB Triage

Emergency Birth Triage & EMS Dispatch Log

🚨 Case Incident & Mother Parameters

Breech Presentation Alert
Presentation Breech
Gestational Age 38 Weeks
Contractions Every 2 min
Delivery Phase Phase 5: Delivered

Interactive Emergency Protocol Steps

1 Initial 911 Dispatch & Mother Positioning
Completed

Place mother in an upright knee-to-chest or hands-and-knees position to utilize gravity. Prepare clean towels or clothing beneath her.

Critical: Keep calm, encourage mother not to hold her breath, pant through strong contractions until crowning.
2 Hands-Off Breech Guidance (Do Not Pull)
Completed
CRITICAL WARNING: DO NOT PULL ON THE BABY! Pulling causes the head and arms to hyperextend and become entrapped.

Allow spontaneous delivery of buttocks, legs, and torso via maternal pushing efforts. Support infant’s body gently only to prevent falling.

3 Airway & Head Clearance
Completed

Once torso is delivered, ensure head delivers gently. If head is delayed, create an airway by placing two fingers inside the vagina past the infant's face to form an air pocket.

4 Umbilical Cord Management (Do Not Cut)
Completed

Check if cord is wrapped around neck. If loose, slip over shoulder. DO NOT CUT THE CORD in an uncontrolled field environment unless EMS arrives with sterile clamps.

5 Neonatal Warmth & Skin-to-Skin Care
Completed

Immediately dry infant with warm dry cloth. Stimulate sole of foot if not crying. Place skin-to-skin directly on mother's chest and cover both with dry blankets.

Infant cried spontaneously upon delivery. Vigorous breathing confirmed.

🚑 EMS Dispatch & Clinical Handoff

Online & Logging
Dispatched Paramedic Arrival
07:00
Unit 41 In Route

Primary Clinical Triage Result Verified Active

Triage Status Active Emergency Delivery Complete
EMS Dispatch Status Dispatched - ETA 7 Minutes
Recommended Clinical Action Keep newborn warm, skin-to-skin contact, check breathing, do not pull on infant
Paramedic Handoff Summary

Emergency out-of-hospital breech delivery managed in Florida Pawn Shop Parking Lot. Infant delivered spontaneously, cried immediately. Mother stable.

TIME-STAMPED INCIDENT LOG (EMS DISPATCH FEED) LOGGED EVENTS: 5
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