The Case for Standardized Maternal Cardiac Arrest Simulation Training in Prehospital and Hospital-Based Settings

Area of Science:

• Obstetrics and Gynecology
• Cardiology
• Medical Education

Background:

• Maternal mortality and severe morbidity in the US are high, with cardiovascular disease as a leading cause of death.
• Maternal cardiac arrest is a critical indicator of obstetric emergency preparedness.
• Current maternal cardiac arrest management lacks standardized training, unlike pediatric and adult protocols.

Purpose of the Study:

• To advocate for a standardized, multidisciplinary training program for maternal cardiac arrest and emergencies.
• To propose a model for training based on Advanced Cardiac Life Support (ACLS).

Main Methods:

• The perspective highlights evidence supporting team-based simulation for improving resuscitation performance.
• It calls for standardized simulation, credentialing, and policy mandates.

Main Results:

• Structured, team-based simulation enhances knowledge, response times, coordination, and resuscitation metrics.
• Standardization can reduce care delays and preventable maternal deaths.

Conclusions:

• A comprehensive, standardized maternal emergency and cardiac arrest training program is essential.
• Such a program can improve equity and foster a national maternal safety culture.