PPT-Shock in the Obstetric Patient

William Schnettler MD FACOG Wschnettler TrihealthCriticalCareOB Next Events October 16 2017 CCOB Team Meeting 5 pm GSH February 24 2018 CCOB 3 GSH DISCLOSURES. Haemorrhage. . and the NASG. ©Suellen Miller 2013. Obstetric . Haemorrhage. Definition: . obstetric . haemorrhage. . is heavy bleeding during pregnancy, labor or the postpartum. Bleeding in excess of 500mL or in any amount that causes changes in vital signs. Miss Melanie Tipples . Understand the definition and causes of major . haemorrhage. Recognise. and manage a collapse from . haemorrhage. Understand the surgical and pharmacological options for management of . Green-top Guideline No. 43. April 2011. Prof. of Ob, Gyn . Al Azhar University (Domiate). Prof. . Mahmoud. . Midan. . Definition. Obstetric cholestasis is a multifactorial condition of pregnancy characterised by . Douglas Mein. Purpose. to provide collegial support to one another. “This collegial team is especially important for those of us in smaller environments.”. “Despite working in a supportive department, I’m the only one with an interest in this area and it is such a relief to not feel so isolated”. Mary Lawanson-Nichols, MSN, CNS . SM Adult ICU. Yuhan Kao, MSN, CNS . RR MICU . Objectives. Explain the fundamental pathophysiology of severe sepsis and septic shock and how they related to the treatment . after AMI. Early risk stratification for patients with cardiogenic shock (CS) is imperative for guiding treatment course and reducing mortality.. Predictors for 30-day mortality include. : Age . >73 years, prior stroke, glucose at admission >10.6 . “a loss of a sense of security when encountering the unfamiliar at every turn”. What differences do you expect to encounter? . Physical . -. Social . -. Worldview: values, assumptions, goals . Shock may be defined as a condition in which circulation fails to meet the nutritional needs of the cells and at the same time. A final common pathway for many potentially lethal clinical events (hemorrhage,trauma, burns, large MI, massive pulmonary embolism microbial sepsis) fails to remove the metabolic waste products. Obstetric Hemorrhage V3.0. A California Quality Improvement Toolkit.  April 2022. Terminology. Throughout the Presentation. The terms ‘mother’ or ‘maternal’ or ‘she’ or ‘her’ are used in reference to the birthing person. We recognize not all birthing people identify as mothers or women. We believe all birthing people are equally deserving of patient-centered care that helps them attain their full potential and live authentic, healthy lives. . Ref. GL M0005 This document is to be viewed via the CDHB Intranet only.All users must refer to the latest version from the including photocopies, may not reflect the latest version. Page 1 of 5 M Compensated shock. Progressive decompensated shock. Irreversible decompensated shock. Pathophysiology. 1. . Compensated (non-progressive, initial, reversible) shock:. In the early stage of shock, an attempt is made to maintain adequate cerebral and coronary blood supply by: . A.L. Mohammed Kareem . 2. 2020-2021. Definition: . Shock is a life-threatening condition that occurs when the body is not getting enough blood . flow(. hypoprefusion. ). . Lack of blood flow means the cells and organs do not get enough oxygen and nutrients to function properly. Many organs can be damaged as a result. Shock requires immediate treatment and can get worse very rapidly. As many 1 in 5 people who suffer shock will die . Profound hemodyamic and metabolic disturbance characterized by failure of the circulatory system to maintain adequate perfusion of vital organs. Types of Shock. Cardiogenic (intracardiac vs extracardiac). Safety Program for Perinatal Care II Teamwork Toolkit. AHRQ Pub. No. 23-0046. July 2023. Obstetric Hemorrhage. Master Case. 2. Read the master case scenario on the following slides.. Notice where clinician interactions are crucial to keeping patients safe..