• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
Maternal collapse checklist
 

Maternal collapse checklist

on

  • 624 views

 

Statistics

Views

Total Views
624
Views on SlideShare
624
Embed Views
0

Actions

Likes
0
Downloads
7
Comments
0

0 Embeds 0

No embeds

Accessibility

Upload Details

Uploaded via as Microsoft Word

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    Maternal collapse checklist Maternal collapse checklist Document Transcript

    • 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
    • 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
    • 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