Cardiac Arrest in Pregnancy

Left uterine displacement + PMCS at 4 min

First 30 seconds

  1. 1Standard ALS with modifications
  2. 2Left uterine displacement (manual, hand pressure to left)
  3. 3Higher chest compressions on sternum
  4. 4IV access ABOVE diaphragm
A

Airway

  • Patent? Talking? Stridor?
  • Suction, jaw-thrust, adjuncts, definitive airway if needed
B

Breathing

  • RR, SpO₂, auscultate, percuss
  • O₂ to target sats, NIV / intubate as required
C

Circulation

  • HR, BP, cap refill, JVP
  • 2× large-bore IV, bloods, monitor, ECG
D

Disability

  • AVPU/GCS, pupils, glucose, temp
E

Exposure

  • Full exposure, skin, rash, bleeding, lines, infection source
View flowchart algorithm
WardRound

WardRound

Clinical Decisions in Seconds