The Summer I Turned Pulseless
The very first step when encountering a collapsed patient.
What is call for help?
The most common bacterial cause of maternal sepsis worldwide.
What is Group A Streptococcus?
This is the classic triad of symptoms in amniotic fluid embolism.
What are hypoxia, hypotension, and coagulopathy (DIC)?
This complication of preeclampsia can cause maternal seizure and collapse.
What is eclampsia?
If return of spontaneous circulation is not achieved by 4 minutes of resuscitation, this intervention is recommend.
What is resuscitative hysterotomy (perimortem cesarean) delivery?
This is the earliest and most sensitive vital sign abnormality in sepsis.
What is tachycardia?
AFE most often presents during these two critical periods of pregnancy.
What are labor and the immediate postpartum period?
This is the only definitive cure for eclampsia.
What is delivery of the fetus and placenta?
The uterus is manually displaced during CPR to relieve this.
The most common source of sepsis leading to maternal collapse in the post-partum period.
What is endometritis?
AFE is not a true embolism, but this type of reaction.
What is an anaphylactoid or systemic inflammatory reaction?
This medication is the antidote for magnesium toxicity.
What is calcium gluconate?
This is the recommended chest compression rate and depth during CPR in pregnancy.
What is 100-120 compressions/min at 2 inches (5-6cm) depth?
This lab test is recommended to guide sepsis resuscitation and prognosis.
What is serum lactate?
This mode of delivery is associated with increased AFE risk.
What is cesarean section?
The most common symptom that may precede an eclamptic seizure.
What is a headache (or visual disturbance)?
Maternal collapse due to cardiac arrhythmia is often associated with this electrolyte abnormality.
What is hypokalemia?
What is norepinephrine?
This pregnancy complication involving fluid may increase AFE risk.
What is polyhydramnios?
This is the recommended IM magnesium sulfate regimen for the treatment of eclampsia.