EMT Challenge Cases


S: Darla is a 24 year old female who called 911 stating that she felt the baby kicking earlier and then the contraction started coming. Now she says there is nothing but contractions. Patient never saw a doctor during her pregnancy. 

O: No sound of fetal heartbeat despite multiple positions. Pelvic exam reveals what feels like a string of grapes which were toes sticking out indicated that baby was breech. Continued listening for sounds finally revealed a slow swish, slower than the mothers heartbeat at a rate of 78 bpm. Meconium staining was present.  

How would you handle this patient?