AirCare Series: Resuscitative Hysterotomy

AirCare Series: Resuscitative Hysterotomy

Air Care Series is back!  This time with one of the most feared procedures in pre-hospital medicine: the Resuscitative Hysterotomy (aka peri-mortem c-section).  Pregnant patients scare us, but coding pregnant patients scare us even more.  Read on to learn not only when to perform this procedure, but how to perform it properly and safely.  

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Grand Rounds Recap 7.12.17

Grand Rounds Recap 7.12.17

In this week's Grand Rounds, Dr. McDonough spearheaded a discussion of the art of breaking bad news in the Emergency Department. Drs Dang, Renne and Teuber led us through a focused management of obstetric emergencies: placental abruption, difficult deliveries and the pregnant traumatic arrest patient.

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Grand Rounds Recap 10/21

Grand Rounds Recap 10/21

Morbidity and Mortality Conference with Dr. Curry

Acute Coronary Syndrome in Pregnancy

Epidemiology

  • Incidence reported at about 6/100,000 deliveries
  • Maternal mortality is between 5-9%
  • 75% are STEMI
  • 2/3rds are anterior wall MI (LAD or LM as the culprit vessel)

Risk Factors

Many of these are typical ACS risk factors but are less prevalent in the pregnant population

  • Older age (>35 years old for pregnancy is considered older age....yikes)
  • Hypertension
  • Diabetes
  • Obesity
  • Smoking
  • Dyslipidemia
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