The Resuscitation Council (UK) recommends modifications to the 2010 ALS guidelines for the management of a pregnant woman in cardiac arrest with a gestation period over 20 weeks. These modifications include manual displacement of the uterus to the left, or a left lateral tilt of 15–300 to reduce caval compression.
Midwives attending their Yorkshire Maternal Emergency Training (YMET) day; cover maternal resuscitation. During this session their skills in CPR are refreshed by demonstration, discussion and practice at delivering CPR to a patient with a gravid uterus.
In order to give meaningful feedback to staff under taking CPR training we have introduced the Wireless SkillReporter. This allows a visual guide to their CPR efficacy i.e. depth/recoil, rate and hand position.
Objective To establish which method of achieving a left lateral tilt to relieve caval compression is suitable for midwives to adopt when performing CPR in clinical practice on a patient with a gravid uterus.
Methodology Manikins were placed on a bed. Left lateral tilt was achieved using three different aids; Pillows, a Wedge and the knees of the rescuer under the right hip. Midwives were asked to perform CPR using all three methods for 2 min, with a 2 min rest period between the three methods.
Using a guided discovery model of learning the students were split into groups to practice, obtaining feedback from the SkillReporterTM. This allowed indentification of the issues associated with a left lateral tilt in resuscitation.
The SkillReporterTM allowed real time feedback to the students of CPR efficacy achieved with the 3 variations used to provide a lateral tilt.
Key message The students commented that the SkillReporterTM gave them the information to and confidence to review and modify their resuscitation techniques and practices within their clinical field.
Soar J, Perkins GD, Abbas G, et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: Electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, pregnancy, electrocution. Resuscitation 2010;81:1400–33
- Category: Course or curriculum evaluation/innovation/integration
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.