Managing Medical and Obstetric Emergencies and Trauma: A Practical Approach

 

Description:

MANAGING MEDICAL AND OBSTETRIC EMERGENCIES AND TRAUMA: A PRACTICAL APPROACH

Managing Medical and Obstetric Emergencies and Trauma provides an evidence-based, structured approach to the recognition and treatment of emergencies in pregnancy. This contemporary resource provides step-by-step guidance on the knowledge, practical skills and procedures required to improve outcomes for the mother and fetus.

Now in its fourth edition, the text fully aligns with the mMOET course, and has been extensively reviewed and revised throughout. Lessons learned from mortality reports and national guidelines underpin the new material. This edition includes:

New chapters on cardiac disease, neurological emergencies and human factors

An update for obstetric teams treating pregnant trauma patients in line with modern trauma management

Revised algorithms and new illustrations

Managing Medical and Obstetric Emergencies and Trauma is a vital source of practical information presented as a systematic approach to prepare the obstetric team: obstetricians, midwives, anaesthetists and emergency physicians.

The Advanced Life Support Group (ALSG) improves outcomes for people in life-threatening situations, anywhere along the healthcare pathway, anywhere in the world. ALSG is a leading medical education charity and has delivered advanced life support training to over 225000 clinicians in 44 countries, across 5 continents, for over 25 years.

 

 

Table of contents:

 

PART 1: Introduction

CHAPTER 1: Introduction

CHAPTER 2: Saving mothers’ lives: lessons from the Confidential Enquiries

2.1 Introduction

2.2 How the enquiries work

2.3 Lessons from the past

2.4 Recent lessons

2.5 Direct deaths

2.6 Indirect deaths

2.7 Coincidental deaths

2.8 Quality of care

2.9 The international dimension

2.10 Summary

2.11 Further reading

CHAPTER 3: Structured approach to emergencies in the obstetric patient

3.1 Introduction

3.2 Resuscitation

3.3 Definitive care

3.4 Summary

CHAPTER 4: Human factors

4.1 Introduction

4.2 Extent of healthcare error

4.3 Causes of healthcare error

4.4 Human error

4.5 Learning from error

4.6 Communication

4.7 Team working, leadership and followership

4.8 Situation (or situational) awareness

4.9 Improving team and individual performance

4.10 Summary

4.11 Further reading

PART 2: Recognition

CHAPTER 5: Recognising the seriously sick patient

5.1 Introduction

5.2 Modified early‐warning systems

5.3 Summary

5.4 Further reading

Appendix 5.1 Blood gas interpretation

Appendix 5.2 Radiology in the pregnant woman

CHAPTER 6: Shock

6.1 Introduction

6.2 Aortocaval compression and supine hypotension syndrome

6.3 Types of shock

6.4 Symptoms and signs of shock

6.5 Principles of treatment

6.6 Summary

6.7 Further reading

CHAPTER 7: Sepsis

7.1 Introduction and definition

7.2 Sepsis in pregnancy

7.3 Pathophysiology of sepsis

7.4 Microbiology

7.5 Clinical issues and presentation

7.6 Monitoring, investigations and urgent treatment

7.7 Summary

7.8 Further reading

Appendix 7.1 Viral rash in pregnancy

CHAPTER 8: Intravenous access andfluid replacement

8.1 Intravenous access

8.2 Alternatives to peripheral venous access

8.3 Intravenous fluid administration

8.4 Types of intravenous fluid

8.5 Clinical signs guiding fluid replacement

8.6 Fluid administration in special circumstances

8.7 Summary

8.8 Further reading

CHAPTER 9: Acute cardiac disease in pregnancy

9.1 Introduction

9.2 Cardiac disease

9.3 Chest pain

9.4 Summary

9.5 Further reading

PART 3: Resuscitation

CHAPTER 10: Airway management and ventilation

10.1 Introduction

10.2 Airway assessment

10.3 Airway management

10.4 Advanced airway techniques

10.5 Management of ventilation

10.6 Summary

10.7 Further reading

Appendix 10.1 Practical procedures

CHAPTER 11: Cardiopulmonary resuscitation in the pregnant patient

11.1 Introduction

11.2 Management of CPR

11.3 Follow the advanced life support algorithm

11.4 Physiological changes in pregnancy affecting resuscitation

11.5 Perimortem caesarean section

11.6 Communication, teamwork and human factors

11.7 Summary

11.8 Further reading

CHAPTER 12: Amniotic fluid embolism

12.1 Introduction

12.2 Incidence of AFE

12.3 Clinical manifestations

12.4 Symptoms and signs

12.5 Diagnosis of AFE

12.6 Management of AFE

12.7 Summary

12.8 Further reading

CHAPTER 13: Venous thromboembolism

13.1 Introduction

13.2 Pathophysiology of thromboembolism

13.3 Clinical presentation of pulmonary embolism

13.4 Management of thromboembolism

13.5 Investigations for patients with a possible pulmonary embolism

13.6 Treatment of thromboembolism

13.7 Summary

13.8 Further reading

CHAPTER 14: Resuscitation of the neonate at birth

14.1 Introduction

14.2 Normal physiology

14.3 Pathophysiology

14.4 Equipment for newborn resuscitation

14.5 Strategy for assessing and resuscitating a neonate at birth

14.6 Laryngeal masks

14.7 Tracheal intubation

14.8 Preterm neonates

14.9 Actions in the event of poor initial response to resuscitation

14.10 Birth outside the delivery room

14.11 Communication with the parents

14.12 Summary

PART 4: Trauma

CHAPTER 15: Introduction to trauma

15.1 Introduction

15.2 Aetiology and epidemiology

15.3 Obstetric complications of trauma

15.4 Organisation of trauma care

15.5 Trauma call timeline for a pregnant trauma patient

15.6 Damage control resusucitation

15.7 Interventional radiology

15.8 Summary

15.9 Further reading

CHAPTER 16: Domestic abuse

16.1 Introduction

16.2 Domestic abuse and pregnancy

16.3 Summary

16.4 Useful contacts

16.5 Further reading

CHAPTER 17: Thoracic emergencies

17.1 Introduction

17.2 Initial assessment and management of thoracic emergencies

17.3 Life‐threatening chest injuries

17.4 Potentially life‐threatening chest injuries

17.5 Summary

17.6 Further reading

Appendix 17.1 Practical procedures

CHAPTER 18: Abdominal trauma in pregnancy

18.1 Introduction

18.2 Trauma to the uterus

18.3 Primary survey and resuscitation

18.4 Secondary survey

18.5 Summary

18.6 Further reading

CHAPTER 19: The unconscious patient

19.1 Introduction

19.2 Principles of treatment of the unconscious patient

19.3 Primary survey and resuscitation

19.4 Assessment of fetal well‐being and viability

19.5 Secondary survey

19.6 Types of head injury

19.7 Summary

19.8 Further reading

CHAPTER 20: Spine and spinal cord injuries

20.1 Introduction

20.2 Immobilisation and motion restriction techniques

20.3 Evaluation of a patient with a suspected spinal injury

20.4 Principles of treatment in spinal injuries

20.5 Summary

20.6 Further reading

CHAPTER 21: Musculoskeletal trauma

21.1 Introduction

21.2 Primary survey

21.3 Secondary survey

21.4 Summary

21.5 Further reading

CHAPTER 22: Burns

22.1 Introduction

22.2 Pathophysiology of burns

22.3 Primary survey and resuscitation

22.4 Secondary survey

22.5 Definitive care

22.6 Summary

22.7 Further reading

PART 5: Other obstetric medical and surgical emergencies

CHAPTER 23: Abdominal emergencies

23.1 Introduction

23.2 Pathophysiology of abdominal pain in pregnancy

23.3 Clinical approach to diagnosis: history, examination and investigations

23.4 Clinical management of abdominal emergencies

23.5 Summary

23.6 Further reading

CHAPTER 24: Diabetic emergencies

24.1 Introduction

24.2 Pathophysiology of DKA

24.3 Presentation of DKA

24.4 Treatment of DKA

24.5 Hypoglycaemia in pregnancy

24.6 Summary

24.7 Further reading

CHAPTER 25: Neurological emergencies

25.1 Introduction

25.2 Headache

25.3 Primary headache

25.4 Secondary headache

25.5 Differential diagnosis of seizures in pregnancy

25.6 Acute management of a seizure

25.7 Summary

25.8 Further reading

CHAPTER 26: Perinatal psychiatric illness

26.1 Introduction

26.2 Mental health problems in pregnancy

26.3 Mental health problems after delivery

26.4 Confidential Enquiries into Maternal Deaths (CEMD)

26.5 Management of mental health problems

26.6 Labour ward crises

26.7 Neonatal paediatricians

26.8 Summary

26.9 Further reading

PART 6: Obstetric emergencies

CHAPTER 27: Pre‐eclampsia and eclampsia

27.1 Introduction

27.2 Pre‐eclampsia

27.3 Management of severe pre‐eclampsia

27.4 Management of eclampsia

27.5 HELLP syndrome

27.6 Summary

27.7 Further reading

CHAPTER 28: Major obstetric haemorrhage

28.1 Introduction

28.2 Major obstetric haemorrhage (MOH)

28.3 Maternal signs of shock

28.4 Management of major obstetric haemorrhage

28.5 Patients declining blood and blood products

28.6 Summary

28.7 Further reading

CHAPTER 29: Caesarean section

29.1 Introduction

29.2 Surgical technique for caesarean section

29.3 Specific difficulties encountered at caesarean section

29.4 Audit standards

29.5 Summary

29.6 Further reading

CHAPTER 30: Abnormally invasive placenta and retained placenta

30.1 Introduction

30.2 Abnormally invasive placenta

30.3 Retained placenta

30.4 Summary

30.5 Further reading

CHAPTER 31: Uterine inversion

31.1 Introduction

31.2 Recognition of uterine inversion

31.3 Management of uterine inversion

31.4 Summary

31.5 Further reading

CHAPTER 32: Ruptured uterus

32.1 Introduction

32.2 Incidence and predisposing factors

32.3 Management of ruptured uterus

32.4 Summary

32.5 Further reading

CHAPTER 33: Ventouse and forceps delivery

33.1 Introduction

33.2 Training and simulation in obstetrics

33.3 Indications for operative vaginal delivery

33.4 Ventouse/vacuum cup

33.5 Forceps

33.6 Following on from any instrumental delivery

33.7 Supervising an instrumental delivery

33.8 Documentation and debriefing

33.9 Summary

33.10 Online resources

33.11 Further reading

CHAPTER 34: Shoulder dystocia

34.1 Introduction

34.2 Clinical risks and outcomes of shoulder dystocia

34.3 Management of shoulder dystocia

34.4 Following delivery

34.5 Medicolegal aspects

34.6 Summary

34.7 Further reading

CHAPTER 35: Umbilical cord prolapse

35.1 Introduction

35.2 Clinical management of umbilical cord prolapse

35.3 Documentation

35.4 Summary

35.5 Further reading

CHAPTER 36: Face presentation

36.1 Introduction

36.2 Clinical approach to face presentation

36.3 Summary

36.4 Further reading

CHAPTER 37: Breech delivery and external cephalic version

37.1 Introduction

37.2 External cephalic version

37.3 Vaginal breech delivery

37.4 Failure to deliver

37.5 Medicolegal matters

37.6 Summary

37.7 Further reading

CHAPTER 38: Twin pregnancy

38.1 Introduction

38.2 Clinical approach to a twin pregnancy

38.3 Intrapartum management of vaginal twin deliveries

38.4 Communication and team working

38.5 Summary

38.6 Further reading

CHAPTER 39: Complex perineal and anal sphincter trauma

39.1 Introduction

39.2 Assessment of perineal trauma

39.3 Repair of trauma

39.4 Training

39.5 Summary

39.6 Further reading

CHAPTER 40: Symphysiotomy and destructive procedures

40.1 Introduction

40.2 Symphysiotomy

40.3 Destructive procedures

40.4 Summary

40.5 Further reading

CHAPTER 41: Anaesthetic complications in obstetrics

41.1 Introduction

41.2 Difficult intubation

41.3 Regional blocks (epidural and spinal anaesthesia and analgesia)

41.4 Complications of regional anaesthesia

41.5 Complications due to local anaesthetic drugs

41.6 Serious immediate complications of local anaesthetic drugs

41.7 Complications of opioids

41.8 Complications of technique

41.9 Neurological damage

41.10 Effects of complications on the fetus

41.11 Summary

41.12 Further reading

CHAPTER 42: Triage

42.1 Introduction

42.2 Assessment of the pregnant woman

42.3 Scenarios

42.4 Summary

42.5 Further reading

CHAPTER 43: Transfer

43.1 Introduction

43.2 ACCEPT approach

43.3 Common coordination problems

43.4 Summary

43.5 Further reading

CHAPTER 44: Consent matters

44.1 Introduction

44.2 Sufficient information

44.3 Capacity

44.4 Voluntarily given consent

44.5 Who can obtain consent?

44.6 Summary

44.7 Further reading

References and further reading

Index

End User License Agreement

 

An aparitie	7 July 2022
Autor	Advanced Life Support Grou, Rosamunde Burns , Kara Dent
Dimensiuni	221 x 283 x 20 mm
Editura	Wiley
Format	Paperback
ISBN	9781119645740
Limba	Engleza
Nr pag	432