Maternal collapse checklist

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Maternal collapse checklist

  1. 1. Maternal Collapse ChecklistAction Time called or performedTime of arrest/collapse or impending arrestPress Emergency Call Button Dial 8000 Time called Time arrived• Arrest team• Obstetrician/registrar• Paediatrician if >24/40• Anaesthetist(or call specialists by cell phone)Assign roles/call for furtherhelp Name/time called Time arrived• Leader (senior MW, O&G or ED SMO)• Airway + Breathing (A + B)• Chest compressions (C)• Check List Speaker / Scribe.• Communications• Logistics (DNM) *9070• Midwife/LMC• IV access etc• Send for 2 units O neg blood• Crash Trolley/ Defibrillator• Lab: 6 units RBC 6 units FFP 1 unit platelets• Theatre• Peri-mortem C-section pack 1
  2. 2. Action Name Time called or performedLay bed flat/move away from wallLeft lateral tilt if gravidOpen Airway.Assess responsiveness and breathingIf not breathing start CPR 30:2Action Name Time called or performedAttach defibrillator shock if neededRecommence CPR. Changeperson doing compressions.Large bore IV access x 2 :Cross matchFBCLFT & renal functionCoagulationAdrenaline 1mg IV: st • 1 dose nd • 2 doseReassess @ 2 minutesAdminister shock if VF/VTRecommence CPR. Changeperson doing compressionsAt 4 minutes post arrest commence Start:caesarian. Delivered:Continue CPR, defibrillation,adrenaline, check for output/rhythmevery 3 minutes during and aftercaesarian unless 2 consultants 2
  3. 3. declare patient dead Consider reversible causes of: Hypoxia Hypovolaemia - haemorrhage or sepsis (See APH/PPH algorithm) Pulmonary embolism Amniotic fluid embolism Toxins: Magnesium Sulphate - give calcium gluconate (arrest trolley) 1 ampule Local anaesthetic - give intralipid (after hours drug cupboard) 50ml Tamponade Tension pneumothorax Hyper/hypothermia Hyper/hypoglycaemia 3

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