Multidisciplinary Team Training in a Simulation Setting for Acute Obstetric Emergencies

Merién, Ashley; Ven, Jean-Pierre van de; Mol, Ben Willem J.; Houterman, Saskia; Oei, S.G.

doi:10.1097/aog.0b013e3181d9f4cd

Cited by 286 publications

(108 citation statements)

References 21 publications

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“…Several elements differentiate the CSP training process used in the present study: (1) all maternity staff from a facility were invited to participate; (2) the participants worked in teams of doctors and midwives; (3) they reacted to realistic scenarios; (4) mannequins and basic supplies were used to simulate the hospital environment; and (5) structured supportive follow-up visits were made to each hospital to answer questions and practice skills. Team training using simulation exercises can lead to improved emergency obstetric skills [15,20,21,25]. Interactive training in teams allows participants to learn from each other and improves communication and team performance [15,21].…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

An innovative approach to in‐service training of maternal health staff in Cambodian hospitals

Woods¹,

Gagliardi

S³

et al. 2015

International Journal of Gynecology & Obstetrics

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Section: Discussionmentioning

confidence: 98%

“…Instead, CME should be competency-based [3], use practice-based small group work and interdisciplinary teamwork, and involve multiple exposures to improve competence and performance [15][16][17][18][19]. However, there is little evidence from such CME programs in low-and middle-income countries [15,18,20,21].…”

Section: Introductionmentioning

confidence: 99%

An innovative approach to in‐service training of maternal health staff in Cambodian hospitals

Woods¹,

Gagliardi

S³

et al. 2015

International Journal of Gynecology & Obstetrics

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“…In letzter Zeit durchgeführte Studien zeigen hier auch auf der Ebene klinischer Outcomes (Level 4) positive Ergebnisse. So konnte durch ein Teamtraining in der Geburtshilfe mit dem Fokus auf geburtshilfliche Notfälle die Anzahl der Kinder, die mit einem AP-GAR-Score von 6 oder niedriger geboren wurden, signifikant und nachhaltig reduziert werden [24].…”

Section: Trainingsprogramme In Der äRztlichen Aus-und Weiterbildungunclassified

Wie lernen wir, Patienten sicher zu versorgen? Patientensicherheit in der Ausbildung der Gesundheitsberufe

Hoffmann

Siebert

Euteneier

2014

Bundesgesundheitsbl.

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In order to improve patient safety, healthcare professionals who care for patients directly or indirectly are required to possess specific knowledge and skills. Patient safety education is not or only poorly represented in education and examination regulations of healthcare professionals in Germany; therefore, it is only practiced rarely and on a voluntary basis. Meanwhile, several training curricula and concepts have been developed in the past 10 years internationally and recently in Germany, too. Based on these concepts the German Coalition for Patient Safety developed a catalogue of core competencies required for safety in patient care. This catalogue will serve as an important orientation when patient safety is to be implemented as a subject of professional education in Germany in the future. Moreover, teaching staff has to be trained and educational and training activities have to be evaluated. Patient safety education and training for (undergraduate) healthcare professional will require capital investment.

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“…L'European Resuscitation Council comme l'American Heart Association ont récemment rappelé l'importance de la formation spéci-fique dans ce domaine [8,9]. L'utilisation de simulateurs, qui ont déjà montré leur intérêt à la fois dans l'enseignement des urgences obstétricales [28] et dans la formation à la prise en charge des AC [29], trouverait ici une place de choix.…”

Section: Formation Des éQuipesunclassified

Initial management of cardiac arrest in pregnant women

Daniel¹,

Lemoine

Travers

2011

Ann. Fr. Med. Urgence

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La confrontation à un arrêt cardiaque (AC) chez une femme enceinte est toujours une situation délicate pour les praticiens, du fait des implications foetales et de la rareté de l'événement. Une conduite à tenir spécifique est néces-saire, particulièrement après le début du deuxième trimestre, compte tenu des modifications anatomiques, hormonales et métaboliques induites par la grossesse. Lors de la réanima-tion cardiopulmonaire (RCP) de base, les secouristes doivent récliner l'utérus vers la gauche, pour éviter la compression aortocave par l'utérus gravide, et masser en plaçant les mains assez haut sur le sternum. Le défibrillateur automatisé externe (DAE) doit bien sûr être utilisé, mais nous conseillons un placement des électrodes en position antéro-postérieure. Les modifications de la RCP médicalisée concernent essentiellement la protection des voies aériennes, qui doit être précoce et réalisée en utilisant une sonde d'intubation d'un calibre inférieur de 0,5 à 1 mm, à celui qui serait utilisé pour une femme non enceinte de même corpulence. Les indications médicamenteuses et l'algorithme général restent les mêmes que dans la population générale. La césarienne perimortem, bien qu'il semble qu'elle augmente la survie maternelle et foetale, est une option réservée au milieu spécialisé. Pour être efficace, elle doit, en effet, être réalisée dans les cinq minutes suivant l'AC maternel. En post-AC immédiat, les indications thérapeutiques sont les mêmes que dans la population générale, y compris en ce qui concerne l'hypothermie thérapeutique. Pour citer cette revue : Ann. Fr. Med. Urgence 1 (2011). Mots clés Arrêt cardiaque · Grossesse · Réanimation cardiopulmonaire · Premiers soins · Hypothermie provoquéeAbstract A cardiac arrest associated with pregnancy is a complex event for physicians, because of the foetal implications and its rare occurrence. Specific medical care is required, particularly after the start of the second quarter, because of anatomical, hormonal or metabolic disorders induced by pregnancy. During basic life support, physicians must displace the uterus to the left manually, to avoid aortocaval compression by the gravid uterus. They have to perform chest compressions higher on the sternum than the usual position. Automated external defibrillator must be used, but we recommend placing the electrode pads in an anterior-posterior position. During advanced life support, modifications in the airway management are essential. The tracheal intubation must be early, using a tube 0.5 or 1 mm smaller than the one used for a non-pregnant woman of the same body size. The use of drugs and the general algorithm do not change. Perimortem caesarean section, although it seems to improve both maternal and neonatal survival, is reserved for specialized care settings. To be effective, it requires that the delivery of the infant is achieved within 5 minutes after the mother's cardiac arrest. Post-resuscitation care follows standard guidelines, including therapeutic hypothermia. To cite this journal: Ann. Fr. Med. Urgenc...

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Multidisciplinary Team Training in a Simulation Setting for Acute Obstetric Emergencies

Cited by 286 publications

References 21 publications

An innovative approach to in‐service training of maternal health staff in Cambodian hospitals

An innovative approach to in‐service training of maternal health staff in Cambodian hospitals

Wie lernen wir, Patienten sicher zu versorgen? Patientensicherheit in der Ausbildung der Gesundheitsberufe

Initial management of cardiac arrest in pregnant women

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