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Special Circumstances Workshop
Pregnancy
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By the end of this session the candidate will:
• Understand the treatment of the pregnant patient with cardiac arrest
• Know the differential diagnosis of the collapsed pregnant patient
• Understand the need for early expert help
• Know the modifications to standard ALS
Learning outcomes
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Case study
Clinical setting and history• A 36-year-old woman who is 34 weeks pregnant develops shortness of
breath and chest pain. She is brought to the ED by ambulance. On arrival she looks cyanosed.
Clinical course• ABCDE
- A : Clear- B : Looks cyanosed, RR 40 min-1, SpO2 85% on 15 l min-1 of oxygen
with reservoir- C : P 140 min-1 sinus tachycardia, BP 70/40 mmHg - D : Anxious and distressed - E : Gravid uterus
What is the differential diagnosis?
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Case study (continued)
Clinical course
• She loses consciousness and becomes apnoeic• The ECG monitor displays wide complexes at 20 min –1
• There are no palpable pulses
What will you do now?
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Any questions?
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Advanced Life Support Course Slide set
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