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management arrest cardiac checklist diagnosis drain emergency evd external hypothermia hypothermic hysterotomy instructions neurosurgery obstetrics perimortem troubleshooting ventricular
External Ventricular Drain (EVD) Troubleshooting for Neurosurgery Residents Low Hanging Fruit • Has the system become disconnected
External Ventricular Drain (EVD) Troubleshooting for Neurosurgery Residents Low Hanging Fruit • Has the system become disconnected accidentally? • Are all EVD stopcocks open? • Is the EVD correctly leveled (tragus)? • Is the setting correct? Andwith the correct (mmHg vs. cmH2O)? • Are there any obvious kinks in the tubing? • Is the EVD at the same location at the scalp? "Two Tests" for Patency: • The Drop Test • The Raise Test Distal Flushing By Kristen Scheitler, MD @k_scheitler #External #Ventricular #Drain #EVD #Troubleshooting #Neurosurgery #diagnosis #management
Perimortem Hysterotomy Instructions Do 4 minutes into arrest if uterus above the umbilicus 1. Manage Arrest • Compressions,
Perimortem Hysterotomy Instructions Do 4 minutes into arrest if uterus above the umbilicus 1. Manage Arrest • Compressions, Secure airway, Defib early • Place IV above diaphragm • Cup uterus up and left to reduce IVC/aorta compression 2. Prepare • Call for help: OB, ICU, Peds • Gather Supplies: Chlorhexidine, Sterile Gloves, • Sterile Towels, Scalpel, Scissors, Umbilical Clamps 3. 4 mins in: Cut • ABDOMEN - Cut midline umbilicus to pubic symphysis with scalpel - Bluntly separate rectus muscles with fingers/scissors - Bluntly open peritoneum with fingers/scissors • UTERUS - Make small incision in lower uterus with scalpel - Lift uterus wall away from infant with fingers - Cut uterus to fundus with scissors 4. Deliver • Push head out, then body, apply fundal pressure PRN • Clamp & cut cord, baby to peds team for NRP • Deliver placenta 5. Continue Maternal Care • Compressions and consider reversible causes of arrest • If ROSC: Resuscitate, Treat PPH, Pack abdomen Dr. Sarah Foohey @SarahFoohey #Perimortem #Hysterotomy #Instructions #Obstetrics #Emergency #management #checklist
Hypothermic Cardiac Arrest Management By Dr. Sarah Foohey @SarahFoohey #Hypothermic #Cardiac #Arrest #Management #Hypothermia
Hypothermic Cardiac Arrest Management By Dr. Sarah Foohey @SarahFoohey #Hypothermic #Cardiac #Arrest #Management #Hypothermia
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