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O&G CasesSexual & reproductive health

O&G Cases · Sexual & reproductive health

Post-abortion sepsis — emergency management station

Emergency-management station: post-abortion sepsis with retained products. Tests recognition of the septic retained-tissue syndrome, parallel resuscitation and source control, uterotonic and transfusion management, and closed-loop team communication. Includes assessor timeline, marking domains, assessor key and fail criteria.

resus3 min readVerification in progress

Target exams

FRANZCOGMRCOGABOG
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Study tools

Target exams

FRANZCOGMRCOGABOG
Prompt
A 27-year-old woman is brought to the emergency department four days after a medical abortion performed in another city. She has fever, severe lower abdominal pain, foul-smelling vaginal discharge and heavy bleeding. She is tachycardic and hypotensive. You are the on-call gynaecology registrar; the consultant is ten minutes away.

Station brief

Format. Emergency-management station, approximately 12 minutes. You are the on-call gynaecology registrar. An emergency nurse and an anaesthetist are with you; the consultant has been called and is ten minutes away. The assessor runs the clock and feeds new observations. [1]

Candidate instruction. Lead the management of suspected post-abortion sepsis with retained products. Verbalise your actions, your drug orders with doses, your escalation triggers, and your communication with the team and the consultant. [1]

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You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Obstetrics & Gynaecology fellowship library.

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References4ShowHide
  1. [1]Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) Clinical Guideline for Abortion Care (version 1.4) RANZCOG, Melbourne, 2026.Source
  2. [2]White K, Carroll E, Grossman D Complications from first-trimester aspiration abortion: a systematic review of the literature Contraception, 2015.PMID 26238336
  3. [3]Cheng T, Kumar N, Laursen L, et al. Society of Family Planning Clinical Recommendation: Prevention of infection after abortion and pregnancy loss Contraception, 2025.PMID 40154660
  4. [4]Merner B, Haining CM, Willmott L, et al. How Are Healthcare Providers Conscientiously Objecting to Abortion in Australia? A Qualitative Study Perspect Sex Reprod Health, 2026.PMID 41673524
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