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Emergency Medicine Cases

BCE 82 Perimortem C-section – The Resuscitative Hysterotomy

Emergency Medicine Cases

Dr. Anton Helman

Science, Courses, Medicine, Health & Fitness, Education

4.7602 Ratings

🗓️ 16 June 2020

⏱️ 20 minutes

🧾️ Download transcript

Summary

In this EM Cases Best Case Ever podcast, Dr. Kari Sampsel, Emergency Physician at Ottawa Hospital and Assistant Professor at University of Ottawa, Medical Director of Sexual Assault and Partner Abuse Care Program guides us through an example of a perimortem C-section - a resuscitative hysterotomy at Janus General. She and Rajiv discuss preparation, indications, the procedure, team dynamics and debriefing for this HALO procedure...

Transcript

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0:00.0

Hello, hello, welcome back to another episode of Best Case Ever, the mini podcast series. I'm your host, Dr. Rajiv Thavenatha.

0:30.0

Today I have a very special guest. Her name is Dr. Carrie Samsel. She's a staff, emerged physician at the Ottawa Hospital, and she's also an assistant professor at

0:37.9

University of Ottawa. At her job, she's the medical director of the Sexual Assault and Partner

0:42.3

Abuse Care Program that has positively affected the lives of so many people, garnered national

0:47.4

media attention, and earned her the Al Drummond Award for Advocacy from the Canadian Association

0:51.8

of Emerged Physicians. Carrie, it's great to talk to you today.

0:55.4

Thanks for having me.

0:56.3

Why don't you tell us about your best case ever?

0:58.6

So you're getting towards the end of your shift and you get a EMS patch come in that says

1:04.5

we have a pregnant woman who is VSA, CPR in progress, five minutes out.

1:11.3

Okay, just write down a business, huh?

1:13.4

It's like, let's go, basically.

1:15.1

So you're in that kind of tidy up mode, let's get everything organized for the next

1:19.5

person coming on, and then you have to hit the adrenaline switch again, and away you

1:23.2

go.

1:23.5

And the nice thing is, is that we did get that five minutes.

1:26.5

So we had a chance to get our resuscitation area ready for this patient.

1:32.7

We set up two specific areas.

1:35.3

So we set up one area for the resuscitation of the mother.

1:38.6

And we set up another area for the resuscitation of the soon-to-be-born baby.

1:43.4

And at that time, we also paged OB and

1:47.7

an ICU pediatrics colleagues just because this was something that was far more comfortable for them,

...

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