Management of pregnancy and obstetric complications in prehospital trauma care: prehospital resuscitative hysterotomy/perimortem caesarean section

Battaloglu, Emir; Porter, Keith

doi:10.1136/emermed-2016-205979

Cited by 8 publications

(9 citation statements)

References 17 publications

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“…This is a specific group, and emergency resuscitative hysterotomy is the only chance for mother and child. [18][19][20] Considering the low incidence, performing a resuscitative hysterotomy is restricted to HEMS in our country.…”

Section: Discussionmentioning

confidence: 99%

Prehospital Management of Peripartum Neonatal Complications by Helicopter Emergency Medical Service in the South West of the Netherlands: An Observational Study

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Moors

Jonge

et al. 2020

Air Medical Journal

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Emergency medical service (EMS) is responsible for prehospital care encompassing all ages, irrespective of injury cause or medical condition, which includes peripartum emergencies. When patients require care more advanced than the level provided by the national EMS protocol, an EMS physician-staffed Dutch helicopter emergency medical service (HEMS) may be dispatched. In the Netherlands in 2016, there were 21.434 planned home births guided by midwives alone without further obstetric assistance, accounting for 12.7% of all births that year. However, there are no clear data available thus far regarding neonates requiring emergency care with or without HEMS assistance. This article reviews neonates during our study period who received medical care after birth by HEMS. Methods: A retrospective chart review was performed including neonates born on the day of the dispatch between January 2012 and December 2017 who received additional medical care from the Rotterdam HEMS. Results: Fifty-two neonates received medical care by HEMS. The majority (73.1%) were full-term (Gestational age > 37 weeks). Home delivery was intended in 63.5%, 20% of whom experienced an uncomplicated delivery but had a poor start of life. The majority of unplanned deliveries (n = 17) were preterm (70.6%). Two were born by resuscitative hysterotomy; 1 survived in good neurologic condition, and the other died at the scene. Fifteen neonates (28.9%) required cardiopulmonary resuscitation; in 2 cases, no resuscitation was started on medical grounds, and 12 of the other 13 resuscitated neonates regained return of spontaneous circulation. In 33 (63.5%) of the neonates, respiratory interventions were required; 8 (15.4%) were intubated before transport. Death was confirmed in 5 (9.6%) neonates, all preterm. Conclusion: During the study period, 52 neonates required medical assistance by HEMS. The 5 infants who died were all preterm. In this cohort, adequate basic life support was implemented immediately after birth either by the attending midwife, EMS, or HEMS on arrival. This suggests that prehospital first responders know the basic skills of neonatal life support.

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Section: Discussionmentioning

confidence: 99%

Prehospital Management of Peripartum Neonatal Complications by Helicopter Emergency Medical Service in the South West of the Netherlands: An Observational Study

Alink

Moors

Jonge

et al. 2020

Air Medical Journal

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“…Before channeling an intraosseous route, we must pay attention to the age of the patient and the pathology, always remembering the contraindications. The patient has the right to know what we are going to do and what to expect, in relation to pain, noise caused by the devices, or other sensations [ 10 , 11 , 12 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…Recent studies reveal that with this location, we can achieve higher infusion rates, less pain on insertion, and greater drug bioavailability. We can achieve flows of up to 5 L/h, since medications and fluids reach the right atrium in just 3 s [ 10 , 11 , 12 , 13 , 14 ]. In the proximal tibia, we can achieve fluid volumes of 1 L/h under pressure.…”

Section: Introductionmentioning

confidence: 99%

“…The EZ IO T.A.L.O.N device is designed to be placed on the sternum. It is not indicated if the patient requires CPR, since cardiac massage cannot be performed [ 10 , 11 , 12 , 13 , 14 ]. For insertion in the iliac crest, we will place the patient in lateral decubitus to achieve better access.…”

Section: Introductionmentioning

confidence: 99%

“…The main advantages are the ease of learning the technique, the speed in channeling a vascular access (less than 1 min), the high success rate (>90%) in trained personnel, the guarantee it offers for the administration of fluids and drugs, and the safety it shows as it is a non-collapsible route, especially in situations of cardiorespiratory arrest or shock [ 11 , 13 ]. Furthermore, there is the possibility of obtaining a blood sample through the IO and the ease in recognizing the anatomical landmarks that serve as a guide to locate the puncture site [ 14 , 15 ]. Any drug or solution that can be administered intravenously can be administered intraosseously in the same dose or quantity [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical Management of Intraosseous Access in Adults in Critical Situations for Health Professionals

et al. 2022

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There are health professionals who are unaware of the ideal management of the intraosseous route, despite the fact that it has been scientifically considered an alternative to the peripheral venous route when the patient is in critical condition. Thanks to continuous development, there has been a need to provide emergency services with materials that manage to provide satisfactory care, despite the difficulties faced by health personnel. Objectives: The objective of this systematic bibliographic review is to update the theoretical and practical knowledge and strategies for the insertion and proper management of the intraosseous route as an emergency vascular access for nursing professionals. Data sources, study eligibility criteria: The search for the articles was carried out in various scientific databases with the help of a search string (January 2015 and May 2021), which combined the keywords and Boolean operators. Study appraisal and synthesis methods: Eighteen articles were chosen after a review of 1920 database articles, following the application of the inclusion and exclusion criteria. Results: Intraosseous infusion is an effective and safe technique, which increases patient survival. Therefore, it is of crucial importance that all nursing professionals know how to handle the different intraosseous devices in situations in which it is not possible to achieve immediate peripheral venous access. Conclusions and implications of key findings: It is of great need to have devices or fast and effective alternatives that allow us to develop safe interventions by health professionals.

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Advanced Diagnostic Topic for Austere Providers: Obstetric

Crockett

Soucy

2021

Manual of Austere and Prehospital Ultrasound

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Management of pregnancy and obstetric complications in prehospital trauma care: prehospital resuscitative hysterotomy/perimortem caesarean section

Cited by 8 publications

References 17 publications

Prehospital Management of Peripartum Neonatal Complications by Helicopter Emergency Medical Service in the South West of the Netherlands: An Observational Study

Prehospital Management of Peripartum Neonatal Complications by Helicopter Emergency Medical Service in the South West of the Netherlands: An Observational Study

Clinical Management of Intraosseous Access in Adults in Critical Situations for Health Professionals

Advanced Diagnostic Topic for Austere Providers: Obstetric

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