Safety Training for Obstetric Emergencies: The OB FAST Approach

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Learning objectives List key specialties to include in interdisciplinary planning of complex surgical cases. Describe clinical and sonographic findings of abdominal pregnancy. Describe sonographic findings of cesarean scar pregnancy. Develop interdisciplinary plan for management of complex surgical cases. There are…

Learning objectives Describe the basic principles of trauma management in pregnancy. Demonstrate how to triage trauma patients to guide management. List signs of trauma-related placental abruption. Trauma in pregnancy is the main cause of maternal death due to nonobstetrical etiologies.…

Learning Objectives Describe the pathophysiology of autonomic dysreflexia. Recognize signs and symptoms of autonomic dysreflexia. Describe prevention and treatment of autonomic dysreflexia in labor. Pathophysiology Occurs in 85% of women with spinal cord injury at level of T6 or above…

Learning Objectives Describe the pathophysiology of myasthenia gravis. Identify pregnancy-related risks of myasthenia gravis. Describe management of a myasthenic crisis. Pathophysiology Autoimmune disease resulting from antibodies against the acetylcholine receptor or muscle-specific kinase When antibodies bind to acetylcholine receptor, it…

Learning Objectives Describe the pathophysiology of amniotic fluid embolism. List risk factors for amniotic fluid embolism. Identify clinical presentation of amniotic fluid embolism. Describe a management strategy for amniotic fluid embolism. Amniotic fluid embolism is a fortunately rare obstetric emergency.…

Learning Objectives Describe the clinical presentation of pheochromocytoma in pregnancy. Discuss appropriate management of pheochromocytoma in pregnancy. Pheochromocytoma is a catecholamine-secreting tumor that arises from chromaffin cells of the adrenal medulla or the sympathetic ganglia. Clinical Presentation Symptoms ( Fig. 24.1 ): Severe…

Learning Objectives Recognize clinical presentation of thyrotoxicosis. Describe management of thyrotoxicosis in pregnancy. Thyroid storm and thyrotoxic heart failure are life-threatening hypermetabolic states in pregnancy. Thermoregulation, cardiovascular, nervous, and gastrointestinal systems can be affected, typically leading to multisystem failure (…

Learning Objectives Identify risk factors for diabetic ketoacidosis in pregnancy. Recognize presentation of diabetic ketoacidosis in pregnancy. Describe management algorithm for diabetic ketoacidosis in pregnancy. Diabetic ketoacidosis (DKA) is a relatively rare but life-threatening condition. Pregnant women are prone to…