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External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
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Crashing eclamptic patient and a resulting peri-mortem C-section.
Sean Hickey1, Marti Soffer2, David Cherkas3
1Resident, Icahn School of Medicine at the Mount Sinai Hospital, Department of Emergency Medicine, 1 Gustave Levy Place, New York, NY, USA.
The American Journal of Emergency Medicine
|February 3, 2020
Summary
Sudden cardiac arrest during pregnancy, often due to eclampsia, requires rapid multidisciplinary care for both mother and baby. Prompt perimortem Cesarean delivery is a critical intervention for these rare, high-acuity events.
Area of Science:
- Emergency Medicine
- Obstetrics & Gynecology
- Critical Care Medicine
Background:
- Cardiac arrest in pregnancy presents unique challenges due to physiological changes and unfamiliarity for providers.
- This event demands intricate coordination among multiple medical teams caring for two patients.
Observation:
- A case report details a patient experiencing sudden eclampsia leading to cardiac arrest.
- The report highlights the rapid deterioration and the subsequent multi-disciplinary team's response.
Findings:
- Management of cardiac arrest in pregnancy is complex, influenced by maternal physiology and provider emotional factors.
- Perimortem Cesarean delivery is a crucial resuscitation technique in these scenarios.
Implications:
- Emergency physicians and Ob/Gyn clinicians must be aware of and prepared for pregnant cardiac arrest.
- Regular review of pregnant cardiac arrest management protocols is essential for optimal patient outcomes.
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