Cord prolapse at a rural birth centre — emergency drill station

Station brief

Format. Drill-style emergency management station, 12 minutes, run against a clock the assessor calls aloud. You are the only doctor on site. A midwife and an enrolled nurse are with you. There is no theatre, no anaesthetist and no blood bank. The assessor plays the team, the ambulance service and the retrieval coordinator. ^[1][5]

Candidate instruction. Lead the management of a cord prolapse in a setting where you cannot deliver the baby yourself by caesarean. Verbalise every action, delegate by name and role, state volumes and doses, and be explicit about what you can and cannot achieve. You will be asked for your retrieval handover and your documentation. ^[1][3]