Pre-hospital Obstetric Emergency 2009 PDF Free Download

Pre-hospital Obstetric Emergency 2009 PDF Free Download
by Advanced Life Support Group (Author)

Pre-hospital obstetric incidents make up a significant proportion of the more costly litigation claims against UK ambulance services.These claims are based either on an alleged failure to identify and manage a problem or lack of appropriate equipment for the treatment of a preterm baby. For a number of years after the UK national paramedic curriculum was introduced in the UK, it included no specific training on the management of obstetric emergencies at an ‘advanced life support’ level. Most staff received only a half-day of lectures during their initial ambulance technician training at the beginning of their career. Since 1999, advanced obstetrics and gynaecology became a mandatory part of the paramedic course for new entrants but with the expectation that existing paramedics would receive update training. Our experience has indicated, however, that paramedics in many parts of the UK have not had the opportunity to do so.
A confidential enquiry into maternal and child health (CEMACH) report has indicated that many of the pregnant women dying‘had chaotic lifestyles and found it hard to engage with maternity services’. The ambulance service may be the initial contact with the health service for these patients and their peers who become unwell but are fortunate enough to survive. The CEMACH report identifies the need for a widened awareness of the risk factors and early signs and symptoms of potentially serious problems in pregnancy, and makes a number of key recommendations that could be addressed in part by appropriately trained pre-hospital practitioners. For example, it states: All clinical staff must undertake regular, written, documented
and audited training for:
The identification, initial management and referral for serious medical and mental health conditions which, although unrelated to pregnancy, may affect pregnant women or recently delivered mothers The early recognition and management of severely ill pregnant women and impending maternal collapse

The Pre–hospital Obstetric Emergency Training (POET) programme provides an introduction to the obstetric patient and the anatomical and physiological changes that occur during pregnancy (including interpretation of patient–held records and rapid assessment of the obstetric patient). It includes clear definitions and describes risk factors, diagnosis and pre–hospital management of significant problems that occur in both early and late pregnancy and the immediate postnatal period. These are all situations that the pre–hospital practitioner may attend.
This text and the accompanying integrated on–line and ‘hands on’ course will help practitioners identify and manage a range of time–critical obstetric emergencies specifically in the pre–hospital setting, and provides a structured examination and assessment technique as an aid to determining what treatment should be provided before transport, as well as when and how urgently transport should be initiated.

POET is of relevance to paramedics, ambulance staff, doctors, and nurses working in the emergency pre–hospital setting and to midwives facilitating home births. It will also be of considerable value to medical and nursing practitioners working in Emergency Departments and unscheduled care settings where immediate access to skilled obstetric assistance is not available

Pre-hospital Obstetric Emergency 2009 PDF Free Download

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