Motor Vehicle Accidents
Trauma Potpourri
CPR in pregnancy
Perimortem Cesarean Delivery
Radiation in Pregnancy
100
Must have maternal serum labs for anyone in the setting of a motor vehicle accident?
What are Rh status, CBC, coags, fibrinogen? (KB is controversial)
100
Three most frequent causes of maternal trauma in pregnancy
What are MVAs (51%), falls (22%), and assaults (22%)?
100
The D in ABCD of resuscitation
What is leftward Displacement of the uterus?
100
The primary maternal goal of perimortem cesarean delivery
Aiding in maternal resuscitation?
100
Maximal recommended fetal dose of radiation over the course of pregnancy?
What is 5 rads?
200
Key components of physical examination of woman after MVA?
What are ABCs, abdominal exam, SSE (r/o SROM/bleed), SVE?
200
Two maternal positions that provide greatest increase maternal venous return?
What are left lateral decubitus and the squat?
200
Shocks in pregnancy for resuscitation - acceptible yes or no
What is Yes!
200
Factors making perimortem cesarean a consideration
What are GA 24+ weeks or fundal height several cm above the umbilicus?
200
The baseline risk of childhood leukemia in the general population?
What is 1 in 3000?
300
Most sensitive monitoring test for abruption in the setting of fetal trauma
What is fetal monitoring?
300
Type of fractures most frequently associated with neonatal morbidity
What are pelvic fractures?
300
Location of chest compressions in pregnant patient
What is 1-2cm higher?
300
Skin incision used for a perimortem cesarean
What is whatever you can do the fastest?
300
From our discussion, name one imaging study that delivers a dose of fetal radiation that approaches but does not exceed the maximal recommended dose of fetal radiation exposure.
CT pelvis (trauma protocol); CT abdomen (appendicitis protocol)
400
The sensitivity of ultrasound for abruption in the setting of trauma
What is 40%?
400
Differences in intubation for pregnant versus non-pregnant patients
What are rapid sequence intubation, importance of preoxygenation, cricoid pressure?
400
How long do you have after a cardiac arrest to make a decision for delivery?
What is 4 minutes?
400
The time period after maternal cardiac arrest at which point perimortem cesarean delivery is indicated for maternal resuscitative efforts
What is 4 minutes? By when should the fetus be delivered?
400
The relative risk of childhood cancers in a fetus exposed to radiation at a dose above the recommended threshold
1.5-2.0
500
The percent of cases of minor versus severe MVA/traumas that may result in abruption
What is 1% (minor) versus 40-50% (severe)?
500
The proper location of a chest tube placement in a nonpregnant and pregnant patient
What is 5th intercostal space (nonpregnant), and 1-2 intercostal spaces higher (pregnant)
500
Pick a volunteer, have them lie down using items in the room, demonstrate an ideal maternal position for CPR
What is Left lateral tilt? https://www.youtube.com/watch?v=VOVXtilB9cw
500
The recommended time period after a maternal arrest by which a potentially viable fetus should be delivered in order to provide best neurologic neonatal outcome?
What is 5 minutes?
500
Threshold radiation dose at which you begin to worry about malformation risk.
What is 10 rads
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