Maternal Arrest; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 12 February 2025

⏱️ 66 minutes

🔗️ Recording | iTunes | RSS

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Summary

Cardiac Arrest in pregnancy affects around 1: 12-30,000 women in the developed world.

As you’d expect the risk of death for mother and child is extremely high, but some causes of arrest are reversible and we can make a real impact with our care and treatment of these cases

Now it goes without saying that these are some of the most emotive, complex and technically challenging Resuscitations that you could think to be involved in; by definition young female arrest with unborn babies involved.

Thankfully this is not going to be a case that many of us see, but with the stakes so high and potential to impact on the outcome of two patients, it’s an area that’s worth real consideration, preparation and mental rehearsal in case we are one of the few that may need to deal with it!

In this episode we’re going to run through all the same stuff that you’d expect; pathophysiology of pregnancy, aetiology and the way in which we should approach these arrests. But then we’re lucky enough to be joined by Caroline Leech, an EM and Prehospital doctor who’s an expert in the area having just published a key paper that’s prompted loads of discussion in crew room and online on the topic of maternal arrest and Resuscitative Hysterotomy which will really challenges our perception on survival for both mum and the unborn baby if a RH is indicated.

So we’ll be running through that paper with some really valuable insights from Caroline and wrap up with some questions to her exploring experience from cases, along with potential strategies for how approach and manage these cases for those working both in prehospital and in-hospital settings.

Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!

Simon, Rob & James

Transcript

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0:00.0	Welcome to the recess room podcast.
0:03.5	Five, four, three, two, one, fire.
0:12.4	Say hi, and welcome back to the recess room podcast.
0:15.3	I'm Simon Lang.
0:16.8	I'm Rob Fenwick.
0:17.8	And I'm James Hades.
0:18.9	And we're back with a really important episode this time on maternal arrest.
0:24.0	Yeah we certainly are. It's fun isn't it? When we said we'd cover this topic, I really thought we'd already done it because it's one of those big topics that really, really needs addressing. But no, we've covered NLS, we've covered maternal emergencies, but not maternal cardiac arrest.
0:37.7	And man, this is a great topic to cover. I think of all of the emergencies I can possibly think
0:43.1	about attending, this is the one that I think we all dread for so many different factors.
0:47.9	And it's given me great to kind of work through it all, break it down and really understand
0:51.2	some of the complexities behind it so that hopefully it becomes slightly less stressful if we're ever faced with it. Yeah, and I know we're not people to blow our
0:58.0	own trumpets, but my goodness, this is going to be a portfolio highlight for the research room.
1:01.8	It's coming. It's going to be a great episode. In fact, I know it's going to be a great episode.
1:06.5	I can't wait to get started. Well, that's just because we've got someone coming on that knows what they're talking about. I know exactly why it is.
1:13.2	So basically try and cut us down to a minimum and get that expert in, is what I'm trying to say.
1:18.9	Cool.
1:19.2	Well, before we get into it, once again, a huge thanks to Zol Medical Corporation for collaborating with us on the podcast
1:25.9	and making this all free open access and
1:28.7	available to you in their pursuit of excellent patient care. Make sure at the end of the
1:33.4	episode you go over, you complete the MCQ on the webpage so that you get your CPD certificate
1:38.3	to pop into your free portfolio. And if you like this sort of stuff, then go and have a look
	...

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