Me at the start of O&G placement: I’ve admitted a 29 year old lady, 10 weeks pregnant, with PV bleeding
Senior over the phone: what’s her Rhesus status?
Me: errr she’s 29 and pregnant so presumably for full escalation and CPR?
Senior:
Me: ... oh
right time to explain the tweet. With pregnant ladies we ask about their ‘Rhesus’ status, ie their blood group (positive or negative). If they’re Rhesus negative, ie their blood group is O negative or A neg or B neg etc, and bleeding, we give them a special antibody
Completely separately, when we’re admitting patients into hospital (and especially if they’re old, frail etc) we ask about their ‘Resuscitation Status’ or ‘Resus’ status - ie: have we had the conversation with them about whether we would perform CPR if their heart were to stop
For a 29yo pregnant lady, the senior was asking about her Rhesus status. I heard ‘Resus status’ which is why I was baffled about why that’s even a question for a young fit healthy pregnant lady, and replied with ‘err I think we should resuscitate her if her heart stops’
The senior however, was completely baffled as to why I would reply the way I did to a simple question about ‘what’s her blood group’. This confusion was funny
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