A long time ago, as a first responder, I had a client that was having acute gynecological emergencies. I had only been on the job for a week and I didn’t know how to handle the situation. Thankfully the Officer that was on duty was also a licensed EMT in the state of Texas. That day I learned firsthand how to provide medical care for acute gynecological emergencies. The most important step as an EMT is to make sure that others, your partner, and you are safe.
As an EMT assess if the patient has trauma or a medical illness. To find out, our patient had ovarian cyst that were causing her to bleed heavier than usual during her menstrual cycle. There are other gynecological emergencies that can cause bleeding. Trauma such as sexual assault can cause bleeding from the vagina.
If there could possibly be a sexual assault then contact proper authorities and follow the procedures your state would follow when dealing with sexual assaults.
If injury is possible, stabilize the spine using the proper equipment
An EMT should make sure that the patient is breathing and use breathing mechanical airway devices if not.
Determine the rate, rhythm, and quality of the patients breathing. Be sure to constantly check the quality of breathing.
Always check for shock