[Effectiveness of a Rapid Response Team (RRT) in a case of ruptured ectopic pregnancy].
BACKGROUND
An ectopic pregnancy happens when a fertilized egg attaches somewhere outside the endometrial surface. This sort of pregnancy has an estimated incidence of 1.6 to 2 each 100 births. The main objective was to expose the effective answer of a Rapid Response Team in a case of ruptured cervical ectopic pregnancy. We also describe a clinical case of this sort of pregnancy.


METHODS
37-year-old female with a two-month history of amenorrhea. The patient entered the Labor & Delivery department with hypovolemic shock secondary to vaginal bleeding. The Código Mater (Mater Code) was activated and the Rapid Response Team arrived to the L&D department. This team performed pelvic examination and detected tissue in cervix with mild bleeding. The pelvic ultrasound displayed the presence of gas and the endometrium status was normal (no gestational sac was detected). The immunologic test for pregnancy was positive. It was diagnosed cervical ectopic pregnancy and hypovolemic shock.


CONCLUSIONS
Providing timely access to care with standardized criteria by interdisciplinary teams in all the cases of obstetric emergency avoids maternal deaths related to obstetric hemorrhage.
Hospital General Regional 1 "Vicente Guerrero", Instituto Mexicano del Seguro Social, Acapulco, Guerrero, México. guillermina.juanico@imss.gob.mx.
José Miguel
JM
Campechano-López
María Lourdes
ML
Carranza-Bernal
Guillermina
G
Juanico-Morales
María Rayo
MR
Reyes-Gil
D000328:Adult; D002584:Cervix Uteri; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000628:therapy; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000628:therapy; D012771:Shock, Hemorrhagic / Q000209:etiology / Q000628:therapy
Ectopic pregnancy ; Hemorrhagic shock