Emergency MedicineObstetrics & Gynaecology
Suspected Ectopic Pregnancy
NICE NG126 — assessment of early pregnancy bleeding, βhCG + USS, surgical/medical/expectant management, anti-D.
Source: NICE NG126; RCOG Green-top 21
Step 1 of ~8
info
Risk Assessment
Any woman of reproductive age with abdominal pain or bleeding — assume pregnancy until proven otherwise. Ectopic risk factors: prior ectopic, PID, tubal surgery, IVF, IUCD, smoking, age >35.
Symptoms: amenorrhoea, abdominal pain (often unilateral), PV bleed, shoulder-tip pain (diaphragmatic blood), dizziness/syncope, rectal pressure.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Methotrexate (Ectopic) · Antimetabolite (Ectopic Pregnancy Management)
- Mifepristone and misoprostol (combination pack) · Anti-progestogen + prostaglandin (medical abortion)
- Silicone Gel / Sheeting (Scar Management) · Medical Device / Topical Scar Treatment
- Methylprednisolone (Surgical — Anti-Inflammatory) · Corticosteroid (Systemic — IV)
- Tranexamic Acid (ICU/Trauma/Surgical) · Antifibrinolytic
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
Pathways
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Major Haemorrhage Protocol · NICE NG24; UK MHP guidelines
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
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