Eclampsia on the labour ward — resuscitation station

Station brief

Format. Resuscitation station, 12 minutes, run against a clock. You are the obstetric registrar on the labour ward. The assessor runs the timeline, plays the midwife and the anaesthetist, and challenges your magnesium dosing, your antihypertensive target, and your recognition of toxicity. ^[5][10]

Candidate instruction. Take charge of the resuscitation of a woman in eclampsia with severe-range blood pressure. Verbalise your magnesium regimen with loading, maintenance and antidote, your antihypertensive with dose and target, your refractory-eclampsia escalation, and your handling of postpartum toxicity. You will be challenged on the target and on the sublingual-nifedipine trap; the assessor is testing whether you hold the line on controlled reduction.^[5]