Precipitous Birth
Correspondence should be addressed to Andrew King, MD at andrewking3@osumc.edu, Twitter: @akingermd
DOI: https://doi.org/10.21980/J8192R
ABSTRACT:
Audience:
This scenario was developed to educate emergency medicine residents on the management of a precipitous birth in the emergency department (ED). The case is also appropriate for teaching of medical students and advanced practice providers, as well as reviewing the principles of crisis resource management, teamwork, and communication.
Introduction:
Patients with precipitous birth require providers to manage two patients simultaneously with limited time and resources. Crisis resource management skills will be tested once baby is delivered, and the neonate will require assessment for potential neonatal resuscitation.
Objectives:
By the end of this simulation session, the learner will be able to: 1) Recognize impending delivery, 2) identify abnormal maternal vital signs and potential associated pathologies (eg: hypertension in preeclampsia), 3) discuss the evaluation and management of postpartum bleeding, 4) discuss the principles of neonatal resuscitation, 5) appropriately disposition the patients, and 6) effectively communicate with team members and nursing staff during resuscitation of a critically ill patient.
Method:
This session was conducted using high-fidelity simulation, followed by a debriefing session and lecture on precipitous birth management and neonatal evaluation.
Topics:
Medical simulation, precipitous birth, neonatal management, neonatal resuscitation, obstetrics, pediatrics.
