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Staying Current: Developing Just-in-time Evidence-Based Learning Objectives for a Maternal Cardiac Arrest Simulation
Andrea D Shields1, Jacqueline Battistelli1, Laurie Kavanagh1
1University of Connecticut Health, Farmington, Connecticut, USA.
Cardiology and Cardiovascular Medicine
|July 21, 2022
Summary
Experts reached consensus on maternal cardiac arrest (MCA) resuscitation best practices. This evidence-based approach informs a new curriculum for improved maternal survival during cardiac arrest events.
Area of Science:
- Obstetrics and Gynecology
- Emergency Medicine
- Cardiology
Background:
- Maternal cardiac arrest (MCA) requires up-to-date resuscitation guidelines.
- Existing guidelines need regular review to incorporate the latest evidence.
- Developing standardized training is crucial for effective MCA management.
Purpose of the Study:
- To review current evidence on maternal cardiac arrest resuscitation.
- To achieve expert consensus on best practices for maternal resuscitation.
- To inform the development of an evidence-based curriculum for Obstetric Life Support™ (OBLS).
Main Methods:
- A multidisciplinary panel convened to develop OBLS training.
- A three-step consensus process was employed: AGREE II guideline reaffirmation, systematic literature review, and modified RAND technique for emerging topics.
- Systematic review evaluated recent evidence on MCA since the last guideline publication.
Main Results:
- Unanimous consensus supported reaffirming the 2015 American Heart Association (AHA) MCA guideline.
- Systematic review identified and synthesized relevant literature.
- Expert panel affirmed the 2015 AHA statement and nine additional just-in-time best practices via modified RAND technique.
Conclusions:
- A novel three-step process achieved expert consensus on MCA resuscitation.
- Established and new best practices were identified to inform OBLS curriculum learning objectives.
- This consensus ensures an evidence-based curriculum for maternal cardiac arrest management.
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