ED or 999 should continue to be used for life threatening injuries and illnesses.

Referral Criteria

• Acute abdominal pain for less than one weeks’ duration
• Torrential menorrhagia with Hb less than 90 or symptoms of anaemia
• Persistent bleeding post miscarriage, termination, delivery, MVA or ERPOC
• Lost coils
• Post-operative complications that are likely to require ultrasound

(Please note that all gynaecology patients can contact Ocean ward for advice for 1 week post-operatively on 01752 430026)

Exclusion Criteria

• Haemodynamically unstable patient
• Longstanding history of pain or bleeding (unless acute episode). Refer these patients to Gynaecology outpatients or post-menopausal bleeding clinic
• Postmenopausal bleeding
• Patient requiring a stretcher or bed

Pathway

• EGU directly by phone (01752 763676 – Monday to Friday 8-6pm)

or

• on-call gynaecological SHO (bleep 0406)

or

• on-call registrar/consultant (bleep 0311)

• Name
• D.O.B
• Hospital number/NHS number
• Presenting problem