Resuscitative Hysterectomy aka Peripartum C-Section

I hope I never ever have to do this, but these people at the Essentials of EM conference make it look easy. I think this is worth watching.

Some points I took away from the video:

  1. This is a resuscitative delivery. It is meant to save the mother. The fetus and uterus are diverting a lot of blood away from mom.
  2. Chest compressions are going on the entire time.
  3. The immediate next stop if you get ROSC is the OR, so call OB right away.
  4. Don’t forget to deliver the placenta and massage the uterus. Get that thing out and the uterus smaller. Both divert blood away from mom.

 

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