Between you, me and the IUD

What is the most important step in the emergency management of this patient?

Once stabilised, you perform a speculum examination and see a friable cervical mass. Direct pressure and vaginal packing temporarily controls the bleeding. The expired Mirena coil unfortunately is not the cause of this woman’s symptoms.

How long is a Mirena coil licensed for?

Her husband, a surgeon from a previous rotation, approaches you outside the cubicle and asks you what you think is going on. He also asks to see her previous surgical records.

Under what circumstances is it permissible to breach patient confidentiality? (Select all that apply)