Podcasts · Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers
Maternal Trauma Emergencies: What Changes in the Pregnant Patient
· 19 min · Episode 138 · Explicit
Episode Maternal Trauma Emergencies: What Changes in the Pregnant Patient
Pregnancy can make even experienced clinicians second-guess decisions. Can you image the patient? Can you cardiovert? Should the trauma assessment change? And at what point does the fetus become part of the resuscitation? Will talks with maternal-fetal medicine physician Dr. Johanna Quist-Nelson about what matters when caring for a pregnant trauma patient, where fetal assessment fits into the trauma survey, how pregnancy changes positioning and oxygenation goals, why necessary diagnostic imaging should not be withheld, and what clinicians should understand about maternal cardiac arrest and resuscitative hysterotomy. She also addresses the emotional impact these rare, high-stakes cases can have on families. In this episode, you’ll learn:
• Why bleeding may be an important clue after trauma even when the pregnant patient appears stable • How lateral uterine displacement can improve venous return without compromising chest compressions • Why an unstable arrhythmia in pregnancy should not automatically delay electrical cardioversion • What a low fibrinogen level can signal differently in a pregnant trauma patient
Resources: Want more? Sign up for our weekly newsletter, The Confidence Dispatch. Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship. Just have a question and want some personalized help? Book a free coaching call with us. MomBaby.org UNC Center for Maternal and Infant Health Perinatal Emergency Checklists Guests: Dr. Johanna Quist-Nelson, maternal-fetal medicine physician
Links in the notes 4
- https://emspodcast.com/newsletter/?utm_source=audio_podcast&utm_medium=podcast&utm_campaign=loud_clear_fellowship&utm_content=newsletter_signup
- https://emspodcast.com/program/?utm_source=audio_podcast&utm_medium=podcast&utm_campaign=loud_clear_fellowship&utm_content=program_page
- https://emspodcast.com/free-coaching-call/?utm_source=audio_podcast&utm_medium=podcast&utm_campaign=loud_clear_fellowship&utm_content=free_call_page
- https://www.med.unc.edu/ihqi/perinatal-emergencies/
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