Advanced Practice: Cardiac Arrest in Pregnancy
- Emphasis on early airway support.
Uterus displacement to the left to increase venous return.
Chest compressions are slightly higher.
DO NOT use Amiodarone → Class D in pregnancy .
If trauma, place chest tube in the 3rd/4th ICS, anterior axillary line.
Epinephrine should not be withheld for theoretical risk of uterine artery vasoconstriction.
Defibrillate per usual → remove fetal heart monitoring because can lead to direct electrical injury.
Therapeutic hypothermia per usual indications.
Peri-mortem C-Section: reviewedhere
Mallemat, H. Supportive Management of Critical Illness in the Pregnant Patient. Emergency Medicine Practice. June 2012; Volume 2, Number 3