Maternal Collapse Checklist

Action Time called or performedTime of arrest/collapse or impending

arrest

Press Emergency Call Button

Dial 8000 Time called Time arrived

Arrest team

Obstetrician/registrar

Paediatrician if >24/40

Anaesthetist

(or call specialists by cell phone)

Assign roles/call for further help Name/time called Time arrived Leader (senior MW, O&G or

ED SMO) Airway + Breathing (A + B) Chest compressions (C) Check List Speaker / Scribe. Communications Logistics (DNM) *9070 Midwife/LMC IV access etc Send for 2 units O neg blood Crash Trolley/ Defibrillator Lab: 6 units RBC 6 units FFP 1 unit platelets Theatre Peri-mortem C-section pack

Action Name Time called or performed

Lay bed flat/move away from wallLeft lateral tilt if gravidOpen Airway.

Assess responsiveness and 1

breathing If not breathing start CPR 30:2 Action Name Time called or

performed

Attach defibrillator shock if neededRecommence CPR. Change person doing compressions.Large bore IV access x 2:Cross matchFBCLFT & renal functionCoagulationAdrenaline 1mg IV:

1st dose 2nd dose

Reassess @ 2 minutesAdminister shock if VF/VTRecommence CPR. Change person doing compressionsAt 4 minutes post arrest commence caesarian.

Start:

Delivered:

Continue CPR, defibrillation, adrenaline, check for output/rhythm every 3 minutes during and after caesarian unless 2 consultants declare patient dead

Consider reversible causes of:

Hypoxia

Hypovolaemia - haemorrhage or sepsis

(See APH/PPH algorithm)

Pulmonary embolism

Amniotic fluid embolism

Toxins:

Magnesium Sulphate - give calcium gluconate (arrest trolley) 1 ampule

Local anaesthetic - give intralipid (after hours drug cupboard) 50ml

Tamponade

Tension pneumothorax

2

Hyper/hypothermia

Hyper/hypoglycaemia

3