Massive obstetric haemorrhage — emergency management station

Station brief

Format. Emergency management station, approximately 12 minutes. You are the obstetric registrar on the labour ward. The midwife has called you for ongoing bleeding after a precipitate vaginal birth. The patient is atonic, the calibrated drape holds 1500 mL, and the bleeding continues. The consultant is 20 minutes away. The assessor will run the clock and feed you new observations.^[3]

Candidate instruction. Lead the management of massive obstetric haemorrhage. Verbalise your actions, your drug orders with doses, your transfusion ratios, and your communication with the team, the consultant, and the patient.^[1][3]