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HardIndigenous HealthObstetric emergency in rural Indigenous communityca-mccqe1ca-ccfpca-rcpsc-em

A 29-year-old G2P1 living in a remote fly-in Indigenous community presents to the nursing station in active labour at 36 weeks with heavy vaginal bleeding and a tender uterus. Fetal heart rate is 90 beats/min. There is no surgical capability on site. What is the most appropriate immediate action by the rural clinician?

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