Maternal Resuscitation

Question 1

Specific pregnancy addiction to standard algorithm

Answer 1

Left lateral tilt
Early tracheal intubation
Peri-mortem c/s

Question 2

Step 1

Answer 2

Call for help

Question 3

Step 2

Answer 3

Assess for signs of life

Question 4

Step 3

Answer 4

urn the woman onto her back with manual uterine displacement to the left (or left lateral tilt, 150 minimum, if on a suitable surface e.g. operating table)

Question 5

Step 4

Answer 5

Open Airway, head tilt chin lift or jaw thrust

Question 6

Step 5

Answer 6

Assess breathing and circulation <10sec
Chest compression lower 1/2 of sternum,

5-6cm depth
100-120/min

Question 7

Hand placement during chest compression

Answer 7

Chest compression
2 hands
Straight arms lower 1/2 of sternum

Question 8

Depth and rate of compression

Answer 8

5-6cm depth

100-120/min

Question 9

How often to interrupt compression

Answer 9

No interruption except pulse check or defib

Question 10

How often to change personnel

Answer 10

Change person every 2 min

Question 11

Airway management

Answer 11

Clear and maintain patent Airway

Question 12

Oxygenation how?

Answer 12

BMV or pocket mask

Question 13

Oxygenation : concentration

Answer 13

15L/min

Question 14

Breaths:compression ratio

Answer 14

2:30

Question 15

Quality of breaths

Answer 15

Chest rise visible

Question 16

Adjuncts for ventilation

Answer 16

Oral Airway

Avoid nasopharyngeal as may cause bleeding

Question 17

Step 6

Answer 17

Defibrillator monitoring and assess cardiac rhythm

Question 18

Shock delivery

Question 19

None shockable rhythm Mx

Question 20

Other consideration

Answer 20

ECMO CPR

Question 21

Tracheal intubation

Answer 21

Early as possible

By experienced operator

Question 22

Step 9

Answer 22

Wide bore iv access
Comence fluid resus
Blood for fbc, u+e, LFT, coagulation, crossmatch, VBG

Question 23

IV access

Answer 23

Large bore iv

If not possible intraosseus access

Question 24

Possible causes

Question 25

Perimortem c/s

Answer 25

Within 4min of resus and accomplished by 5min
<20 weeks no benefit
20-23 weeks maternal benefit
>23weeks maternal and fetal benefits

Question 26

When is prolonged resus required

Answer 26

Local anaesthetic toxicity

Thrombolysis

Question 27

Post cardiac arrest care

Question 28

Advance life support algorithm

Answer 28

Question 29

Basic life support

Answer 29

Question 30

Uterine displacement

Answer 30