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Challenges during cardiac arrest in pregnancy.
Resusc Plus
January 2025
Department of Emergency Medicine, University Hospital Gasthuisberg, Leuven, Belgium.
A 36-year-old woman at 23 weeks and 3 days of gestation experienced a witnessed cardiopulmonary collapse. Bystander cardiopulmonary resuscitation (CPR) was initiated immediately. After advanced life support, she was transferred under mechanical CPR to a hospital for extracorporeal membrane oxygenation (ECMO).
View Article and Find Full Text PDFMaternal and neonatal outcomes following resuscitative hysterotomy for out of hospital cardiac arrest: A systematic review.
Resuscitation
December 2024
University Hospitals Birmingham NHS Foundation Trust, Birmingham Heartlands Hospital, B9 5SS, UK; Warwick Clinical Trials Unit, University of Warwick, Coventry CV4 7AL, UK.
Objective: To examine maternal and neonatal outcomes following Resuscitative Hysterotomy for out of hospital cardiac arrest (OHCA) and to compare with timing from cardiac arrest to delivery.
Methods: The review was registered with PROSPERO (CRD42023445064). Studies included pregnant women with out of hospital cardiac arrest and resuscitative hysterotomy performed (in any setting) during cardiac arrest.
Low-Cost, Scalable Simulations in Obstetric Trauma and Resuscitative Hysterotomy for Emergency Medicine Residents.
MedEdPORTAL
October 2024
Consultant, Department of Emergency Medicine, Tan Tock Seng Hospital.
Article Synopsis
- Simulation-based learning is crucial for emergency physicians to effectively handle rare obstetric emergencies, particularly maternal cardiac arrest, which involves a key procedure called resuscitative hysterotomy (RH).
- A low-cost RH task trainer was developed to improve the skills and confidence of emergency medicine residents, with a 20-minute scenario involving a pregnant trauma patient.
- Feedback from 30 participating residents indicated that the simulation was effective, enhancing their clinical skills and confidence, while future plans aim to improve the trainer's realism and accessibility.
Enhancing maternal survival in traumatic cardiovascular collapse during pregnancy: A case series on resuscitative hysterotomy (RH) from a level 1 trauma center.
Injury
January 2025
Department of Trauma and Acute Care Surgery, Hurley Medical Center, MI, USA; Michigan State University College of Human Medicine, East Lansing, MI, USA. Electronic address:
Article Synopsis
- Trauma during pregnancy poses risks for both the mother and fetus, necessitating interventions like resuscitative hysterotomy (RH) to improve maternal outcomes alongside fetal survival.
- Recent studies indicate that RH can quickly restore maternal vital signs, making it crucial for patients with unstable conditions before cardiovascular collapse.
- A case review of 4 pregnant trauma patients showed a 50% maternal survival and provided insights into the effectiveness of RH in emergency situations, highlighting a shift towards prioritizing maternal health.
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