Managing maternal cardiac arrest in Canada: – we’re doing OK, but we can do better

Preston, Roanne; Campbell, David

doi:10.1007/s12630-013-0027-3

Cited by 1 publication

(3 citation statements)

References 26 publications

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“…However, opportunities for PMCS exposure, practice, and skills maintenance for resident physicians are limited. To optimize the efficiency of residents' critical decision-making and the level of procedural skill in such rare but "must-know" clinical encounters, simulation-based medical education (SBME) can be employed [1].…”

Section: Introductionmentioning

confidence: 99%

“…According to clinical guidelines published by the Society of Obstetricians and Gynaecologists of Canada, PMCS is recommended no later than four minutes following maternal cardiac arrest to aid in maternal resuscitation and fetal salvage [4]. However, this narrow time frame is often missed by even senior physicians due to the acute and complex competing demands in maternal resuscitation efforts [1].…”

Section: Introductionmentioning

confidence: 99%

“…Thus, without immersive learning and practice in the high-stress clinical encounter of maternal arrest, Postgraduate Year One (PGY1) residents are unlikely to possess the necessary knowledge or skills to recognize the potential opportunity for PMCS, to make the clinical decision within the critical time frame, and to perform the uncommon procedure competently [1].…”

Section: Introductionmentioning

confidence: 99%

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Optimizing Perimortem Cesarean Section Outcomes Using Simulation: A Technical Report

O'Dea¹,

Murphy²,

Dubrowski³

et al. 2020

Cureus

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Simulation-based medical education (SBME) is an educational technique that enables participants to experience an immersive representation of a clinical event for the purpose of practice, learning, and evaluation. This experience is intended to improve trainees' competency and confidence in both procedural tasks, as well as team-based and interpersonal skills when responding to real-world clinical encounters. Moreover, SBME improves procedural exposure and competency in low-frequency, high-stakes clinical procedures without the risk of adverse consequences, error, or patient harm-a priority for physician training at all levels. This technical report describes a novel bi-phasic maternal cardiac arrest simulation that can be used to teach and train postgraduate year one (PGY1) emergency medicine and obstetrics and gynecology trainees in the use of perimortem cesarean sections (PMCS) prior to in-situ exposure. Using a high-fidelity simulation protocol employing training manikins and 3-D printed models of gravid uteri, this bi-phasic simulation, completed over two sessions, six months apart, will equip trainees with the knowledge, skills, and professionalism behaviors necessary for difficult clinical decisions and time-critical procedures.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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