Fluid admin
Estrogen-progestin OCP until gyn follow up
Maintain hemodynamics
Consider IV conjugated estrogen (Premarin) 25mg IV q4-6 hrs until<unk>  stops
Continued severe<unk>  requires D&C
Dysfunctional uterine bleeding
Systemic Causes
Nonpregnant vaginal bleeding
Cirrhosis
Prepubertal vaginal bleeding
Coagulopathy 
Postpartum hemorrhage
Group A strep vaginitis 