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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 2 of 2 Research Studies DisplayedShields AD, Vidosh J, Thomson BA
Validation of a simulation-based resuscitation curriculum for maternal cardiac arrest.
The purpose of this study was to evaluate the knowledge, skills, and self-efficacy of health care participants completing a simulation-based blended learning training curriculum on managing maternal medical emergencies and maternal cardiac arrest. The study included a formative assessment of the Obstetric Life Support curriculum. The training consisted of self-guided pre-course work and an instructor-led simulation course using a customized low-fidelity simulator. Eighty-five participants consented to participation in the training (out of 88 invited); 77 participants completed the training over eight sessions. The study found that at baseline, less than 50% of participants were able to achieve a passing score on the cognitive assessment. After the course, mean cognitive assessment scores improved by 13 points, from 69.4% at baseline to 82.4% after the course. The researchers observed significant improvements in participant self-efficacy, and 92.6% of participants agreed or strongly agreed that the course met its educational objectives.
AHRQ-funded; HS026169.
Citation: Shields AD, Vidosh J, Thomson BA .
Validation of a simulation-based resuscitation curriculum for maternal cardiac arrest.
Obstet Gynecol 2023 Nov 1; 142(5):1189-98. doi: 10.1097/aog.0000000000005349..
Keywords: Heart Disease and Health, Cardiovascular Conditions, Maternal Care, Simulation, Training, Education: Continuing Medical Education, Women
de Assis V, Shields AD, Johansson A
Resuscitation of traumatic maternal cardiac arrest: a case report and summary of recommendations from Obstetric Life Support.
The authors in this report highlight critical techniques in the resuscitation of reproductive-age women with traumatic cardiac arrest using recommendations from Obstetric Life Support™ (OBLS™). In this report they examined a case of a morbidly obese female presenting to the Emergency Department (ED) with ongoing CPR and massive hemorrhage from two gunshot wounds to the chest. The report summarizes critical techniques addressing Maternal Cardiac Arrest recommended in OBLS™ courses. Including 1) expanding the FAST exam to assess for pregnancy status, 2) estimating gestational age by fundal height or point-of-care ultrasound, 3) performing a RCD via midline vertical incision at 4 min if pregnancy is suspected to be ≥20 weeks' gestation (fundal height at or above the umbilicus, femoral length of ≥30 mm or biparietal diameter of ≥45 mm), and 4) execution of ECPR for refractory cardiac arrest.
AHRQ-funded; HS026169.
Citation: de Assis V, Shields AD, Johansson A .
Resuscitation of traumatic maternal cardiac arrest: a case report and summary of recommendations from Obstetric Life Support.
Trauma Case Rep 2023 Apr; 44:100800. doi: 10.1016/j.tcr.2023.100800..
Keywords: Maternal Care, Cardiovascular Conditions, Women, Guidelines