O&G Cases · Critical care — escalation and safety-net
Triggered obstetric early warning score — bedside response and escalation station
Team-based resuscitation station: triggered obstetric early warning score in a postpartum woman with evolving haemorrhagic and septic compromise. Tests parallel ABCDE with obstetric modification, the SBAR escalation call, the four-domain response bundle, and the disposition decision. Includes assessor key and marking domains.
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Study tools
Target exams
Station brief
Format. Bedside response and escalation station, approximately 12 minutes. You are the obstetric registrar. A midwife and a junior doctor are with you; the consultant is 15 minutes away and has been called. The assessor will run the clock and feed you new observations. [3]
Candidate instruction. Lead the bedside response to a triggered obstetric early warning score. Verbalise your ABCDE, your focused investigations by domain, your SBAR escalation call to the consultant, and your disposition decision. Name the four killer domains of obstetric morbidity and the response to each. [1][3]
References4ShowHide
- [1]Shields LE, Wiesner S, Klein C, Pelletreau B, Hedriana HL Use of Maternal Early Warning Trigger tool reduces maternal morbidity Am J Obstet Gynecol, 2016.PMID 26924745
- [2]Hedriana HL, Wiesner S, Downs BG, Pelletreau B, Shields LE Baseline assessment of a hospital-specific early warning trigger system for reducing maternal morbidity Int J Gynaecol Obstet, 2016.PMID 26797195
- [3]Friedman AM, Campbell ML, Kline CR, Wiesner S, D'Alton M, Shields LE Implementing Obstetric Early Warning Systems AJP Rep, 2018.PMID 29686937
- [4]Chu J, Johnston TA, Geoghegan J Maternal Collapse in Pregnancy and the Puerperium: Green-top Guideline No. 56 BJOG, 2020.PMID 31845507