Expecting trouble : early warnings and rapid responses in maternal medical care

"This practical resource has easily accessed emergency management plans to deal with critical conditions in obstetric care, in which maternal health or life is threatened. Decision algorithms and summary boxes are featured throughout for ease of reading."--Provided by publisher. Abstract: "This practical resource has easily accessed emergency management plans to deal with critical conditions in obstetric care, in which maternal health or life is threatened. Decision algorithms and summary boxes are featured throughout for ease of reading."--Provided by publisher Cover -- Half Title -- Title Page -- Copyright Page -- Dedication -- Table of Contents -- Preface -- Contributors -- Chapter 1: Maternal Early Warning Systems in Obstetrics -- Introduction -- What Is an Early Warning System? -- Nonobstetric Early Warning Systems -- Maternal Early Warning Systems -- Clinical Response to Maternal Early Warning Systems -- Implementation of Early Warning Systems -- References -- Chapter 2: Rapid Response Teams -- References -- Chapter 3: Shock -- Background -- Definition -- Cellular Mechanism and Initial Assessment of Shock -- Classes of Shock -- Hypovolemic Shock: Hemorrhagic and Nonhemorrhagic -- Hemorrhagic Shock -- Nonhemorrhagic Shock -- Distributive Shock -- Neurogenic Shock -- Anaphylactic Shock -- Obstructive Shock -- Cardiogenic Shock -- Conclusion -- References -- Chapter 4: Severe Hypertension -- Introduction -- Hypertension: Technical Aspects -- Presentation -- Diagnosis -- Treatment -- Subsequent Management -- Summary -- References -- Chapter 5: Arrhythmia -- Introduction -- Incidence -- Diagnostic Evaluation -- Limitations of Physical Examination in Pregnancy -- Women with Structural Heart Disease -- Management of Arrhythmias -- Antiarrhythmic Drugs -- Direct-Current Cardioversion -- Pacemakers -- Cardiac Ablation -- Implantable Cardioverter Defibrillators -- Specific Arrhythmias -- Premature Atrial Contractions -- Supraventricular Tachycardia -- Atrial Fibrillation and Flutter -- Ventricular Tachycardia -- Bradycardia -- Conduction Disorders -- Cardiac Arrest -- In Summary -- References -- Chapter 6: Chest Pain -- Introduction -- Cardiovascular Physiology of Pregnancy -- Evaluation of Chest Pain in Pregnancy -- Acute Myocardial Infarction -- Pulmonary Embolism -- Aortic Dissection -- Risk Factors -- Conclusions -- References -- Chapter 7: Hypoxemia -- Introduction and Background -- Causes of Hypoxemia Content: Rapid response teams / Gayle Olson-Koutrovelis -- Maternal early warning systems in obstetrics / Nadir El-Sharawi and Jill M Mhyre -- Shock / Arthur Vaught -- Severe hypertension / Daniel W. Skupski and Sandra Asanjarani -- Arrhythmia / Melissa Westermann and Afshan Hameed -- Chest pain / Afshan Hameed -- Hypoxemia / Lauren Plante -- Dyspnea / Brigid McCue -- Oliguria / Jhenette Lauder and Anthony Sciscione -- Seizures / Neil Seligman -- Acute mental status change / Matthew K. Hoffman and Victoria Greenberg -- Fever / Anna Maya Powell -- Obstetric hemorrhage I : a trimester-based approach to antepartum hemorrhage / John C. Smulian, Casey Brown, and Amanda Flicker -- Obstetric haemorrhage II : postpartum hemorrhage / Amanda Flicker, Casey Brown, and John C. Smulian -- Acute abdomen / Ashley Brandt -- Trauma / Hugh H. Ehrenberg -- Maternal resuscitation / Nicole Yonke and Lawrence Leeman -- Perimortem cesarean delivery / Stephanie Martin and Nicole Ruddick Hall. Table of Contents: Rapid response teams / Gayle Olson-Koutrovelis Maternal early warning systems in obstetrics / Nadir El-Sharawi and Jill M Mhyre Shock / Arthur Vaught Severe hypertension / Daniel W. Skupski and Sandra Asanjarani Arrhythmia / Melissa Westermann and Afshan Hameed Chest pain / Afshan Hameed Hypoxemia / Lauren Plante Dyspnea / Brigid McCue Oliguria / Jhenette Lauder and Anthony Sciscione Seizures / Neil Seligman Acute mental status change / Matthew K. Hoffman and Victoria Greenberg Fever / Anna Maya Powell Obstetric hemorrhage I : a trimester-based approach to antepartum hemorrhage / John C. Smulian, Casey Brown, and Amanda Flicker Obstetric haemorrhage II : postpartum hemorrhage / Amanda Flicker, Casey Brown, and John C. Smulian Acute abdomen / Ashley Brandt Trauma / Hugh H. Ehrenberg Maternal resuscitation / Nicole Yonke and Lawrence Leeman Perimortem cesarean delivery / Stephanie Martin and Nicole Ruddick Hall Many institutions have adopted a maternal early warning system in order to identify women at risk of significant morbidity. Once a warning sign is identified, however, a quick response is indicated to keep the patient's condition from deteriorating. This book is a practical resource to help the medical professional address these situations.