Round 22 (Cardiac Arrest)

CAUTION: THESE NOTES CONTAIN SPOILERS!!!

Case Introduction

You are working a shift at EM Clerkship General when the triage nurse runs and grabs both you and your attending for a patient in triage who has active CPR in progress.

Initial Vitals

  • Temp 98.0F
  • HR 0
  • RR 0
  • BP unmeasurable
  • O2 70%

Critical Actions

  • Identify pregnancy by exam, POCUS, or history
  • Place patient in left lateral decubitus
  • Perform resuscitative hysterotomy
  • Resuscitate the neonate

Further Reading

Neonatal Resuscitation (EMCases)

Resuscitative Hysterotomy (EMCases)

2 Comments

  1. Jeremy Lickteig

    Great case for FM residents! Based on my recent ALSO course, lateral displacement of uterus is recommended and left lateral decubitus position is NOT Due to subpar compression quality in that position. Thanks for a great case. Jeremy

    • Mike Estephan

      This is true! Thanks for the comment!

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