Managing Medical and Obstetric Emergencies and Trauma

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MANAGING MEDICAL AND OBSTETRIC EMERGENCIES AND TRAUMA
MANAGING MEDICAL AND OBSTETRIC EMERGENCIES AND TRAUMA A PRACTICAL APPROACH
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
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)

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13 Chapter 14Algorithm 14.1 Newborn resuscitation algorithmFigure 14.1 Heart rates for babies who received immediate umbilical cord cla...Figure 14.2 Response of a mammalian fetus to total, sustained asphyxia start...Figure 14.3 Effects of lung inflation and a brief period of ventilation on a...Figure 14.4 Response of a neonate born in terminal apnoea. In this case lung...Figure 14.5 Neutral position in neonatesFigure 14.6 Two‐person jaw thrustFigure 14.7 Bag–mask ventilation with a one‐handed chin liftFigure 14.8 Hand‐encircling technique for chest compressions

14 Chapter 15Algorithm 15.1 Modified trauma call timelineFigure 15.1 TRAUMATIC mnemonic

15 Chapter 17Figure 17A.1 Chest drain kit

16 Chapter 18Figure 18.1 Correct seatbelt wearing

17 Chapter 20Figure 20.1 High‐ and low‐risk factor decision process for cervical spine mo...Figure 20.2 Immobilisation of the cervical spine using blocks, tape and head...Figure 20.3 Myotomes/dermatomes used for sensory and motor testing

18 Chapter 22 Algorithm 22.1 BurnsFigure 22.1 Percentage burn by body area

19 Chapter 23 Algorithm 23.1 Abdominal emergencies

20 Chapter 25 Algorithm 25.1 Neurological emergenciesFigure 25.1 (a) Fundoscopy examination showing papilloedema. (b) Normal reti...Figure 25.2 MRI images demonstrating posterior reversible encephalopathy syn...Figure 25.3 Magnetic resonance venography of a filling defect showing extens...Figure 25.4 Computed tomography scan of the head showing blood in the subara...

21 Chapter 27 Algorithm 27.1 Pre-eclampsia and eclampsia

22 Chapter 28 Algorithm 28.1 Major obstetric haemorrhageFigure 28.1 B‐Lynch brace suture

23 Chapter 33Figure 33.1 Ventouse delivery. (a) Note how far back the posterior fontanell...Figure 33.2 Forceps delivery. (a) Forceps blades correctly applied – lying a...Figure 33.3 Pajot’s manoeuvre. (a) Incorrect interpretation – the forceps ha...Figure 33.4 Kielland’s forceps showing: (a) correct grip (10 cm diameter) an...

24 Chapter 34Figure 34.1 (a) McRoberts’ manoeuvre. (b) McRoberts’ manoeuvre with suprapub...

25 Chapter 37Figure 37.1 Disimpaction of the fetal breechFigure 37.2 Flexion of the fetal headFigure 37.3 The pelvic grasp or gripFigure 37.4 Mauriceau–Smellie–Veit manoeuvreFigure 37.5 Application of non‐rotational forceps to the aftercoming head (K...Figure 37.6 Placement of the hands for delivery using Bracht’s technique...Figure 37.7 Delivery of the head using Bracht’s technique (an assistant shou...

26 Chapter 39Figure 39.1 Third degree tear (grade 3b) with the external anal sphincter (E...Figure 39.2 ’Buttonhole’ tear (arrow) in the rectum with an intact anal sphi...Figure 39.3 Instruments specifically used for repair of anal sphincter traum...Figure 39.4 Third degree tear (grade 3b) demonstrating an intact internal an...Figure 39.5 Model representation of an end‐to‐end repair with figure of eigh...Figure 39.6 Model representation of an overlap repair of full thickness tearFigure 39.7 Purpose‐built teaching model demonstrating anal sphincter anatom...

27 Chapter 40Figure 40.1 Drew–Smythe catheterFigure 40.2 Blond–Heidler wire saw

28 Chapter 41Algorithm 41.1 Master algorithm for obstetric general anaesthesia and failed...Figure 41.1 Safe obstetric general anaethesiaFigure 41.2 The decision whether to proceed with surgeryFigure 41.3 The ALMA Medical company version of the head elevation laryngosc...Figure 41.4 Management after failed tracheal intubationFigure 41.5 Obstetric failed tracheal intubationFigure 41.6 Can’t intubate, can’t oxygenateFigure 41.7 Antidote to local anaestheticFigure 41.8 Management of high and total spine block

29 Chapter 42Figure 42.1 The Modified Physiological Triage Tool 24 (MPTT‐24) triage sieve...

Guide

1 Cover Page

2 Title Page Managing Medical and Obstetric Emergencies and Trauma A Practical Approach FOURTH EDITION Advanced Life Support Group EDITED BY Rosamunde Burns Kara Dent

3 Copyright Page

4 Dedication

5 Working group for fourth edition

6 Contributors to fourth edition

7 Working group for third edition

8 Contributors to previous editions

9 Foreword to fourth edition

10 Preface to fourth edition

11 Acknowledgements

12 Contact details and further information

13 How to use your textbook

14 Abbreviations

15 Table of Contents

16 Begin Reading

17 References and further reading

18 Index

19 WILEY END USER LICENSE AGREEMENT

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