1. Maternal Collapse Checklist
Action Time called or performed
Time of arrest/collapse or impending arrest
Press Emergency Call Button
Dial 8000 Time called Time arrived
• Arrest team
• Obstetrician/registrar
• Paediatrician if >24/40
• Anaesthetist
(or call specialists by cell phone)
Assign roles/call for further
help Name/time called Time arrived
• Leader (senior MW, O&G or ED
SMO)
• Airway + Breathing (A + B)
• Chest compressions (C)
• Check List Speaker / Scribe.
• Communications
• Logistics (DNM) *9070
• Midwife/LMC
• IV access etc
• Send for 2 units O neg blood
• Crash Trolley/ Defibrillator
• Lab: 6 units RBC
6 units FFP
1 unit platelets
• Theatre
• Peri-mortem C-section pack
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2. Action Name Time called or
performed
Lay bed flat/move away from wall
Left lateral tilt if gravid
Open Airway.
Assess responsiveness and breathing
If not breathing start CPR 30:2
Action Name Time called or
performed
Attach defibrillator shock if needed
Recommence CPR. Change
person doing compressions.
Large bore IV access x 2 :
Cross match
FBC
LFT & renal function
Coagulation
Adrenaline 1mg IV:
st
• 1 dose
nd
• 2 dose
Reassess @ 2 minutes
Administer shock if VF/VT
Recommence CPR. Change
person doing compressions
At 4 minutes post arrest commence Start:
caesarian.
Delivered:
Continue CPR, defibrillation,
adrenaline, check for output/rhythm
every 3 minutes during and after
caesarian unless 2 consultants
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3. declare patient dead
Consider reversible causes of:
Hypoxia
Hypovolaemia - haemorrhage or sepsis
(See APH/PPH algorithm)
Pulmonary embolism
Amniotic fluid embolism
Toxins:
Magnesium Sulphate - give calcium gluconate (arrest trolley) 1 ampule
Local anaesthetic - give intralipid (after hours drug cupboard) 50ml
Tamponade
Tension pneumothorax
Hyper/hypothermia
Hyper/hypoglycaemia
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