Managing Medical and Obstetric Emergencies and Trauma: A Practical Approach, 4E

Description

MANAGING MEDICAL AND OBSTETRIC EMERGENCIES AND TRAUMA: A PRACTICAL APPROACH

Managing Medical and Obstetric Emergencies and Trauma provides an evidence-based, structured approach to the recognition and treatment of emergencies in pregnancy. This contemporary resource provides step-by-step guidance on the knowledge, practical skills and procedures required to improve outcomes for the mother and fetus.

Now in its fourth edition, the text fully aligns with the mMOET course, and has been extensively reviewed and revised throughout. Lessons learned from mortality reports and national guidelines underpin the new material. This edition includes:

• New chapters on cardiac disease, neurological emergencies and human factors
• An update for obstetric teams treating pregnant trauma patients in line with modern trauma management
• Revised algorithms and new illustrations

Managing Medical and Obstetric Emergencies and Trauma is a vital source of practical information presented as a systematic approach to prepare the obstetric team: obstetricians, midwives, anaesthetists and emergency physicians.

The Advanced Life Support Group (ALSG) improves outcomes for people in life-threatening situations, anywhere along the healthcare pathway, anywhere in the world. ALSG is a leading medical education charity and has delivered advanced life support training to over 225000 clinicians in 44 countries, across 5 continents, for over 25 years.

Contents
 

Working group for fourth edition x
Contributors to fourth edition xii
Working group for third edition xiv
Contributors to previous editions xv
Foreword to fourth edition xvii
Preface to fourth edition xviii
Acknowledgements xix
Contact details and further information xxi
How to use your textbook xxii
Abbreviations xxiii
Part 1 Introduction
1 Introduction 3
2 Saving mothers’ lives: lessons from the Confidential Enquiries 5
3 Structured approach to emergencies in the obstetric patient 15
4 Human factors 19
Part 2 Recognition
5 Recognising the seriously sick patient 31
6 Shock 41
7 Sepsis 51
8 Intravenous access and fluid replacement 61
9 Acute cardiac disease in pregnancy 73
Part 3 Resuscitation
10 Airway management and ventilation 87
11 Cardiopulmonary resuscitation in the pregnant patient 103
12 Amniotic fluid embolism 113
 

COPYRIGHTED MATERIAL

viii / Contents
13 Venous thromboembolism 121
14 Resuscitation of the neonate at birth 127
Part 4 Trauma
15 Introduction to trauma 147
16 Domestic abuse 153
17 Thoracic emergencies 157
18 Abdominal trauma in pregnancy 165
19 The unconscious patient 171
20 Spine and spinal cord injuries 179
21 Musculoskeletal trauma 185
22 Burns 191
Part 5 Other obstetric medical and surgical emergencies
23 Abdominal emergencies 199
24 Diabetic emergencies 207
25 Neurological emergencies 213
26 Perinatal psychiatric illness 223
Part 6 Obstetric emergencies
27 Pre- eclampsia and eclampsia 231
28 Major obstetric haemorrhage 243
29 Caesarean section 253
30 Abnormally invasive placenta and retained placenta 261
31 Uterine inversion 267
32 Ruptured uterus 271
33 Ventouse and forceps delivery 275
34 Shoulder dystocia 289
35 Umbilical cord prolapse 297
36 Face presentation 301
37 Breech delivery and external cephalic version 305
38 Twin pregnancy 319
39 Complex perineal and anal sphincter trauma 323
40 Symphysiotomy and destructive procedures 331Contents / ix
41 Anaesthetic complications in obstetrics 339
42 Triage 355
43 Transfer 361
44 Consent matters 373
References and further reading 381
Index 393