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- W2315410001 abstract "OPEN ACCESSJune 24, 2011Obstetric Bleeding Curriculum Julia Metzner, MD, Jennifer Reid, MD, Christopher Wu, MD, Stefan Lombaard, MB ChB, FANZCA, Michael Fialkow, MD, MPH, Megan Sherman, Sara Kim, PhD Julia Metzner, MD University of Washington School of Medicine Google Scholar More articles by this author , Jennifer Reid, MD University of Washington Google Scholar More articles by this author , Christopher Wu, MD University of Washington Google Scholar More articles by this author , Stefan Lombaard, MB ChB, FANZCA University of Washington Google Scholar More articles by this author , Michael Fialkow, MD, MPH University of Washington Google Scholar More articles by this author , Megan Sherman University of Washington Google Scholar More articles by this author , Sara Kim, PhD University of Washington Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.8305 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractOne out of ten deliveries are complicated by postpartum hemorrhage (PPH) with an associated maternal mortality rate as high as 17%. The most common cause of PPH is uterine atony. Uterine atony, or failure of the myometrial muscle fibers to contract following delivery, can lead to rapid and severe hemorrhage and hypovolemic shock. The effective management of major PPH relies on an organized multidisciplinary approach involving the obstetrician, anesthesiologist, hematologist, nursing staff, laboratory, and blood bank personnel. This simulation was been designed to provide an opportunity for anesthesia and OB/GYN residents to practice the diagnosis and management of an obstetric bleeding emergency in a realistic, but risk-free environment. This simulation scenario has been implemented successfully in our simulation curriculum at University of Washington ISIS Simulation Center. It is best run in a standard simulation center with a high-fidelity mannekin (Laerdal SimMan). The simulation takes two hours to complete and works best with three-to five-learners per session. Participants at the institution, first-, second-, and third-year clinical anesthesia residents, acknowledged the realism and value of the experience in their feedback. Perceived benefits included optimization of clinical performance and decision-making during crisis management, and a sharpening communication skills while interacting with a multidisciplinary team. Educational Objectives By the end of this module, the learner will be able to: Initiate a sequence of medical and resuscitative interventions for control of postpartum hemorrhage, and promptly assess the success and failure of each measure.Understand the concept of crisis resource management.Demonstrate advanced clinical and technical skills in delivering anesthetics for obstetrics and managing major OB bleeding. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: OB Bleeding.pdf To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationMetzner J, Reid J, Wu C, Lombaard S, Fialkow M, Sherman M, Kim S. Obstetric Bleeding Curriculum. MedEdPORTAL. 2011;7:8305. https://doi.org/10.15766/mep_2374-8265.8305 Copyright & Permissions© 2011 Metzner et al. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-No Derivatives license.KeywordsAnesthesiaMassive Intraoperative HemorrhageCrisis ManagementScenario DevelopmentObstetric Bleeding Emergency Disclosures None to report. Funding/Support None to report. tabs.loading" @default.
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- W2315410001 title "Obstetric Bleeding Curriculum" @default.
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