⚠️Heterotopic pregnancy — do not miss: In IVF/ART patients, co-existing intrauterine and ectopic pregnancy must be actively excluded even when an IUP is identified on USS. Risk up to 1:100 in ART pregnancies.
💗 Vital signs & clinical assessment
Clinical signs of haemodynamic instability / shock
No signs of shock
Signs present
🚨 HAEMODYNAMIC INSTABILITY — IMMEDIATE SENIOR REVIEW & SURGICAL REFERRAL REQUIRED. Do not delay for further investigations.