The Casserole Perimortem Caesarean Section Model
Correspondence should be addressed to Nur-Ain Nadir, MD, MHPE at nurainnadir@yahoo.com
DOI: https://doi.org/10.21980/J8FK8H
ABSTRACT
Audience:
PGY 1-4 emergency medicine residents, PGY 1-4 obstetrics and gynecology (OB/gyn) residents and medical students intending to pursue these specialties.
Introduction:
Perimortem caesarean sections (C-section) are infrequently occurring emergencies with far reaching repercussions for two patients (the fetus and the mother).1 Emergency physicians and trainees should know the theory and practice of this life saving procedure. Perimortem caesarean section (PCS) have traditionally been taught to residents in didactic lecture formats. Residents rotating on Labor and Delivery are further required to attend cesarean deliveries as a means of achieving competency in performing this procedure. However, the procedural technique of PCS is different from scheduled or even emergency caesarian sections. A review of partial task training models has illustrated a relative paucity of easily reproducible and standardized PCS models.2 Thus, we developed an easily reproducible, low cost high-fidelity PCS model to train emergency medicine residents and other trainees.
Objectives:
At the end of this 1-hour activity learners will: 1) describe the indications, contraindications and complications of the PCS, and 2) demonstrate the performance of a PCS.
Methods:
The PCS casserole model is a partial task trainer that has been designed with an aluminum turkey pan as a base, a gravid uterus designed from insulation foam and “Syn-Skin,” a subcutaneous layer made from gelatin and skin-colored latex. A baby doll simulates a fetus inside a turkey roasting bag with some plain water to simulate amniotic fluid.
Topics:
Emergency medicine, obstetrics and gynecology, OB/gyn, perimortem caesarian section.
