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Obstetric Emergencies : Shoulder Dystocia and Postpartum Hemorrhage
Shoulder dystocia and postpartum hemorrhage represent two of the most common emergencies faced in obstetric clinical practice, both requiring prompt recognition and management in order to avoid significant morbidity or mortality. Although certain risks for shoulder dystocia and postpartum hemorrhage exist, many cases occur in the absence of these factors. Early identification, communication, an…
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Reopening K-12 Schools in the Era of Coronavirus Disease 2019: Review of Stat…
Wide variability exists in state-level guidance to help K-12 schools develop reopening plans that protect those who are most vulnerable to learning loss or reduced access to basic needs. Interpretation and implementation by local educational agencies will need to be assessed
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Viral exanthems: An update on laboratory testing of the adult patient
Although classic viral exanthems of childhood are well described, they are rarely differentiated in adults. Laboratory techniques for viral identification have advanced without substantial literature to suggest how a dermatologist ought to conduct a cost-effective and diagnostic viral panel. Certain clinical features such as petechiae, vesicles, and dusky macular or morbilliform exanthems point…
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A burst in the incidence of viral exanthems
Vaccines have a major role in eradication programs of viral diseases. Vaccines against measles, rubella, and varicella are included in the vaccination schedules for children in most countries
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Viral exanthema as manifestation of SARS-CoV-2 infection: A case report
The clinical manifestations of the SARS-CoV-2 infection are mainly respiratory but the virus can cause a variety of symptoms. Dermatological findings are less well-characterized. Data is scarce on their timing, type and correlation with the immune response.
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Transfusion Management of Obstetric Hemorrhage
The importance of transfusion medicine in the management of postpartum hemorrhage (PPH) cannot be overstated and is reflected in the historical record with the first series of successful human-to-human transfusions being performed by James Blundell in 1818, a London obstetrician treating patients with PPH
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Developing a Systematic Approach to Obstetric Emergencies
Comparison of pre- and postassessments revealed improvements in perceived confidence and competence when managing obstetric emergencies. Nurse confidence increased by 35% and nurse competence increased by 32%. The 2-day educational program also realized significant cost savings. Overall costs for the educational program decreased from $94849 to $42974.
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Postpartum Hemorrhage: Management of Massive Transfusion
In women with postpartumhemorrhage, the need to transfuse a large amount of blood products is frequent. The ABCD ofmassive transfusions—Assessment/Activation, Blood products, Complications, and Drugs—can helpmanage this complex situation. There needs to be a definedmethod to activate themassive transfusion protocol and a well-defined means to assess the coagulation status of the patient …
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Variceal bleeding in cirrhotic patients
Variceal bleeding is one of the major causes of death in cirrhotic patients. The management during the acute phase and the secondary prophylaxis is well defined. Recent recommendations (2015 Baveno VI expert consensus) are available and should be followed for an optimal management, which must be performed as an emergency in a liver or general intensive-care unit. It is based on the early admini…
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Teamwork Assessment Tools in Obstetric Emergencies: A Systematic Review
Team-based training and simulation can improve patient safety, by improving communication, decision making, and performance of team members. Currently, there is no general consensus on whether or not a specific assessment tool is better adapted to evaluate teamwork in obstetric emergencies. The purpose of this qualitative systematic review was to find the tools available to assess team effectiv…
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