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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...

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Enhancing Obstetric Emergency Management Through Simulation-Based Training: A Focus on Shoulder Dystocia.

Dhekra Toumi1, Haifa Bergaoui1, Imen Ben Farhat1

  • 1Obstetrics and gynaecology department of the maternity and neonatology centre of Monastir, Tunisia. University of Monastir, Faculty of Medicine of Monastir, Monastir, Tunisia.

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Simulation training significantly improves shoulder dystocia management for obstetrics-gynecology residents. This approach enhances clinical skills and team coordination, reducing preventable complications in obstetric emergencies.

Keywords:
safety patientshoulder dystociasimulation training

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Area of Science:

  • Medical Education
  • Obstetrics & Gynecology
  • Simulation Technology

Background:

  • Obstetric emergencies like shoulder dystocia require specialized training.
  • Simulation provides a safe, controlled environment for practicing critical obstetric skills.
  • Effective training is crucial for both initial and continuing professional development.

Purpose of the Study:

  • To evaluate the effectiveness of simulation in enhancing practical skills for obstetric emergencies.
  • To assess the impact of simulation on team management during critical obstetric events.
  • To explore simulation's role in improving patient safety in obstetrics.

Main Methods:

  • A structured training program involving 14 obstetrics-gynecology residents.
  • Three monthly simulation sessions utilizing high-fidelity (SimMOM) and low-fidelity mannequins.
  • Supervision by a specialized team and structured three-phase debriefings for shoulder dystocia management.

Main Results:

  • Significant improvements observed in shoulder dystocia management post-simulation training.
  • Positive impacts on clinical outcomes and maternal-fetal safety were noted.
  • Challenges identified include financial costs and the need for expert trainers.

Conclusions:

  • Simulation is a promising method for enhancing clinical skills in obstetrics.
  • Interprofessional coordination during obstetric emergencies can be improved through simulation.
  • Simulation contributes to higher quality care and reduction of preventable complications.