Postpartum Magnesium Sulfate Overdose: A Multidisciplinary and Interprofessional Simulation Scenario

Area of Science:

• Medical Education
• Simulation Training
• Obstetrics and Gynecology

Background:

• Multidisciplinary teams in obstetrics face high-stakes emergencies.
• Effective crisis resource management is crucial for patient safety.
• Existing training may not cover rare but critical obstetric events.

Purpose of the Study:

• To describe an eight-case multidisciplinary simulation curriculum for OB/GYN and anesthesiology residents and nurses.
• To enhance crisis resource management and recognition/management of rare obstetric emergencies.
• To provide a safe environment for practicing team-based emergency management.

Main Methods:

• Developed an eight-case simulation curriculum over eight years.
• Implemented scenarios in couplets within a four-year cycle for resident exposure.
• Utilized mannequins capable of displaying vital signs for realistic scenarios.

Main Results:

• Over 90% of participants rated simulations as highly effective (5/5) for educational time and future practice.
• Prospective evaluative data indicates positive participant feedback.
• The curriculum successfully trains teams to manage specific critical events, such as magnesium sulfate toxicity.

Conclusions:

• This simulation curriculum effectively enhances team-based management of critical obstetric events.
• The program demonstrates high participant satisfaction and perceived impact on future practice.
• Simulation provides a valuable tool for training multidisciplinary obstetric teams in emergency management.