Management of Maternal Cardiac Arrest in the Third Trimester of Pregnancy: A Simulation-Based Pilot Study.

摘要: Objective. To evaluate confidence, knowledge, and competence after a simulation-based curriculum on maternal cardiac arrest in an Obstetrics & Gynecologic (OBGYN) residency program. Methods. Four simulations with structured debriefing focusing high yield causes management of were executed. Pre- post-individual knowledge tests (KT) confidence surveys (CS) collected along group scores critical performance steps evaluated by content experts for the first final simulations. Results. Significant differences noted individual KT (pre: 58.9 ± 8.9 versus post: 72.8 6.1, p = 0.01) CS total 22.2 6.4 29.9 3.4, 0.007). airway management, 0.008; appropriate cycles drug/shock-CPR, left uterine displacement, identifying arrest, 0.008. Nonsignificant administration drugs/doses, 0.074; chest compressions, bag-mask ventilation before intubation, return spontaneous circulation identification, 0.074. Groups remained noncompetent team leader tasks considering therapeutic hypothermia. Conclusion. This study demonstrated improved OBGYN resident third trimester arrest. Several skills, however, will likely require more longitudinal curricular exposure training to develop maintain proficiency.