Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Obstetric Emergencies

Video Transcription

Video Summary

This talk reviews key physiologic changes and obstetric emergencies in pregnancy. Physiologic changes include increased blood volume and cardiac output, decreased blood pressure, and increased respiratory minute ventilation. Hypertensive disorders discussed are gestational hypertension, preeclampsia, and eclampsia, with emphasis on the importance of blood pressure control and seizure prophylaxis using magnesium. HELP syndrome (hemolysis, elevated liver enzymes, low platelet count) management includes monitoring and possible plasmapheresis. Hemorrhage, often resulting from placental issues or trauma, is managed with resuscitation protocols. Guidance is provided for asthma and respiratory conditions, emphasizing appropriate use of bronchodilators and steroids. Trauma management highlights positioning to alleviate vena cava compression. Advanced life support and emergency cesarean delivery are covered for critical cases. Common embolic events include amniotic fluid embolism and venous thromboembolic disease, stressing the need for prompt diagnostic imaging and treatment. Lastly, sepsis management involves broad-spectrum antibiotics and careful use of imaging.

Keywords

obstetric emergencies

hypertensive disorders

hemorrhage management

respiratory conditions

sepsis treatment

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