Cardiac Arrest in Pregnancy In-Hospital

Question 1

What is the first thing you do for cardiac arrest in a preggo patient

Answer 1

CPR
Defib PRN
ACLS interventions (epi)

Question 2

After doing CPR, defib PRN, and other interventions, what is the next step of management in a cardiac arrest preggo?

Answer 2

Assesmble maternal cardiac arrest team

Question 3

After assesmbling your maternal cardiac arrest team, what do you do?

Answer 3

Consider the etiology of the arrest

Question 4

What are the maternal interventions to do?

Answer 4

Airway
100% O2
IV above diaphrapgm
IV Mg2+
Continue BLS/ACLS

Question 5

what are the obstetric interventions?

Answer 5

Continuous lateral uterine displacement
Detach fetal montiros
Prepare for perimortem C section

Question 6

When do you do a perimortem C section?

Answer 6

If no ROSC in 5 minutes

Question 7

How does the management differ if the preggo is OUT of hospital?

Answer 7

First perform life saving measures
Alert hospital
Perform continous lateral uterine displacement

then the same management