critical incidents

1. Good Clinical practice
Critical incidents and real scenarios

8. Case 1

11. Case 2

14. ECLAMPSIA
• Eclamptic seizures are a significant cause of mortality in pre-
eclampsia, and complicate 1-2% of pre-eclamptic pregnancies.
• Intracerebral haemorrhage and cardiac arrest are complications
• Magnesium sulphate is first-line therapy for treatment .

15. MANAGEMENT
• The patient should be turned to the left lateral position
• Call for help
• Assess and support Airway, Breathing and Circulation
• High flow oxygen by face mask
• Obtain IV access
• Treat with IV magnesium sulphate.
• Monitor ECG, BP, respiratory rate and oxygen saturations ανδ χheck blood sugar .
• Repeated seizures not responding to magnesium sulphate, consultant obstetrician and anaesthetist decide intubation and transfer
to intensive care .
• consider CT scan to exclude other causes

16. Case 3

19. Case 4

23. Case 5
You have been asked To Review a Patient who has
been operated for a Fixation of his femur and
reporting a Severe Pain 10/10.

26. Venous Access

32. Thanks