Could you cut into a patient suffering from maternal arrest and remove the fetus to save them? The chances of survival in maternal arrest are abysmal due to how blood is redirected to fetal circulation. Compressions simply aren't able to overcome that. Resuscitative Hysterotomy is a salvage operation that allows restoration of blood to maternal circulation by removing the fetus. And to be clear, while survival is actually decent for the baby once removed, this is not a delivery and the goal is t
1:46
Could you cut into a patient suffering from maternal arrest and remove the fetus to save them? The chances of survival in maternal arrest are abysmal due to how blood is redirected to fetal circulation. Compressions simply aren't able to overcome that. Resuscitative Hysterotomy is a salvage operation that allows restoration of blood to maternal circulation by removing the fetus. And to be clear, while survival is actually decent for the baby once removed, this is not a delivery and the goal is t
8.2K views4 months ago
FacebookEMS Avenger
🔹 AHA 2025 Update - Resuscitative Hysterotomy for Cardiac Arrest in Pregnant Patients 🫀The updated AHA guidelines reaffirm the recommendation for resuscitative hysterotomy if there is no ROSC by 4 minutes during a maternal cardiac arrest in hospital. 🫀Perform at the bedside, do not delay for transfer to the operating room. 🫀The primary goal is maternal resuscitation, not delivery for fetal survival. 🫀Mechanism: removal of the gravid uterus relieves aortocaval compression, improving: • Venou
0:46
🔹 AHA 2025 Update - Resuscitative Hysterotomy for Cardiac Arrest in Pregnant Patients 🫀The updated AHA guidelines reaffirm the recommendation for resuscitative hysterotomy if there is no ROSC by 4 minutes during a maternal cardiac arrest in hospital. 🫀Perform at the bedside, do not delay for transfer to the operating room. 🫀The primary goal is maternal resuscitation, not delivery for fetal survival. 🫀Mechanism: removal of the gravid uterus relieves aortocaval compression, improving: • Venou
1.4K views6 months ago
FacebookThe Birth Trauma Mama
Resuscitative Hysterotomy is not a procedure many EMS services in the US are performing. But in many instances in maternal cardiac arrest between 22-24 weeks of gestation it is the only procedure that may offer a chance at survival. The procedure involves the removal of the fetus and fetal circulatory system in order to tighten down maternal circulation. While there should not be an expectation of fetal survival, there are instances of survival recorded. #Paramedicbook #paramedicsoffacebook #med
2:00
Resuscitative Hysterotomy is not a procedure many EMS services in the US are performing. But in many instances in maternal cardiac arrest between 22-24 weeks of gestation it is the only procedure that may offer a chance at survival. The procedure involves the removal of the fetus and fetal circulatory system in order to tighten down maternal circulation. While there should not be an expectation of fetal survival, there are instances of survival recorded. #Paramedicbook #paramedicsoffacebook #med
3.8K views9 months ago
FacebookEMS Avenger
HINDS: Crack the Chest. Get Crucified. | SMACC Sydney
HINDS: Crack the Chest. Get Crucified. | SMACC Sydney
Apr 26, 2019
smacc.net.au
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MedPod Learn on Instagram: "We’ve been taught the four-minute rule for resuscitative hysterotomy. It may be wrong. This episode challenges fixed time cut-offs and reframes the decision around physiology, context, and purpose. In-hospital assumptions do not always translate to pre-hospital reality. Caroline Leach discusses what the evidence actually shows, why delays happen, and how this procedure is about maternal resuscitation first — not a stopwatch. Listen on St Emlyn’s. Structured learning a
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Could you cut into a patient suffering from maternal arrest and remove the fetus to save them? The chances of survival in maternal arrest are abysmal due to how blood is redirected to fetal circulation. Compressions simply aren't able to overcome that. Resuscitative Hysterotomy is a salvage operation that allows restoration of blood to maternal circulation by removing the fetus. And to be clear, while survival is actually decent for the baby once removed, this is not a delivery and the goal is t
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