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One night in surgery started really quiet, there were no cases running. My two co-workers and I were planning on an early lunch and getting all the work done quickly. The night work was getting the first case carts in the correct rooms and stocking the rooms. Then suddenly at about 11:30 p.m. the overhead intercom system announced, "If there are any in house OB-GYNs, stat to ER." The fact that the hospital intercom made an announcement past 9 p.m. was startling and then the announcement itself shocked us out of our reverie. We jumped up and wondered what would command such an announcement. Just then one of our favorite OB-GYN physicians ran past us toward the emergency room. Labor and Delivery called us wanting to know what was happening; we told them we didn't know. They told us that Dr. X was the only one in house that they knew and he had just finished delivering a baby; they had had a very quiet evening also.
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Within ten minutes we got the call from E.R. saying they were bringing a 19 year old female, who was brought to the E.R. by her roommate; she had an abortion earlier in the day and when she came back to the dorm, she started bleeding a lot. We called anesthesia, told them what we were told. We ran to the room we always set up for emergencies. While we were setting up the room, Dr. X and the E.R. personnel came into the room with the patient on the stretcher. The E.R. personnel were giving all of us report at the same time we placed her on the operating table; "Jane Doe, 19 year old post abortion, probable tear in the uterus; receiving type specific blood and on her second unit." Dr. X said there's no time to scrub, just double glove. We were all in fast action opening up the instrument trays, attaching the top of the gowns, counting the lap sponges. There wasn't time to count the instruments. Anesthesia was equally busy getting their meds ready. Her blood pressure was low and she was bleeding profusely.