Lesson 1Point-of-care tests and interpretation: bedside FBC, bedside ultrasound (FAST/obstetric), blood gas, lactateThis lesson teaches choosing and reading point-of-care tests at bedside for maternal emergencies in Eritrean clinics, covering full blood count, clotting checks, blood gas, lactate levels, and quick ultrasound for bleeding, ectopic pregnancy, and fluid buildup.
Bedside FBC and platelet interpretationPOC coagulation surrogates and limitsArterial and venous blood gas analysisLactate trends and prognostic valueFAST and basic obstetric ultrasound useLesson 2Practical checklists and cognitive aids for first-10-minute stabilization (mnemonics, handover templates)This lesson shares simple checklists, memory aids, and handover forms to manage the first ten minutes of maternal revival in Eritrea, cutting errors, easing mental strain, and standardizing talk among diverse teams.
Designing a maternal emergency checklistABCDE and obstetric-specific mnemonicsUsing cognitive aids during simulationsStandardized handover templates (SBAR)Integrating checklists into local protocolsLesson 3Rapid drug administration: uterotonics, tranexamic acid dosing and timing, vasopressors (noradrenaline/epinephrine) in obstetric shockThis lesson covers fast, safe giving of womb-tightening drugs, tranexamic acid, and blood pressure boosters in birth-related shock, stressing amounts, timing, risks to avoid, watching effects, and fitting with other revival steps in Eritrean facilities.
First-line uterotonics and dosingTranexamic acid timing and regimensVasopressor choice in pregnancy shockTitration, monitoring, and side effectsDrug safety in breastfeeding and neonateLesson 4Rapid clinical recognition and classification of hypovolemic and shock statesThis lesson trains Eritrean clinicians to spot and sort low blood volume and shock in pregnancy via patient story, checks, vital signs, and basic tests, leading to quick targeted treatment and timely call for higher help.
Stages of hypovolemic shock in obstetricsDifferentiating septic and cardiogenic shockKey history and examination red flagsShock indices and bedside scoring toolsTriggers for escalation and transferLesson 5Establishing large-bore IV/IO access, fluid resuscitation strategies and crystalloids vs colloidsThis lesson explains setting up wide IV lines or bone access in shaky birth patients, picking fluids and amounts, comparing salt solutions to colloids, and matching revival to bleeding, infection, heart, or mixed shocks in Eritrea.
Selecting IV sites in pregnancyTechniques for rapid large-bore cannulationIndications and steps for IO accessCrystalloids vs colloids in obstetricsFluid responsiveness and overload signsLesson 6Immediate team communication, role assignment, and documentation in the first 10 minutesThis lesson stresses team talk, quick role giving, loop-back checks, and live noting in first ten minutes of maternal revival to boost coordination, safety, and legal cover in Eritrean emergency care.
Pre-arrival brief and role allocationClosed-loop and graded assertivenessRunning updates and shared mental modelReal-time charting and time stampingDebriefing and learning after eventsLesson 7Systematic ABCDE approach in obstetric hemorrhageThis lesson uses ABCDE steps for birth bleeding, noting pregnancy body changes, airway and breath focus, blood flow control, brain checks, full exposure, and linking to final bleed stop in Eritrea.
Airway risks in late pregnancyBreathing assessment and oxygen targetsCirculation, bleeding control, and shockNeurologic status and glucose checksExposure, hypothermia, and hidden bleedingLesson 8Infection control, warming, and thermal management in shocked parturientsThis lesson outlines germ prevention, active warming, and heat control for shocked birthing women in Eritrea, stressing avoiding low body heat, gear choices, and weaving into revival steps.
Hand hygiene and barrier precautionsAseptic technique for lines and proceduresActive and passive patient warmingMonitoring temperature and avoiding burnsEnvironmental control in emergency baysLesson 9Blood product management when supply is limited: transfusion thresholds, O-negative use, group & cross alternativesThis lesson tackles wise blood use in short supply, covering give levels, big bleed rules, O-negative and positive use, group-check plans, and priority in crises at Eritrean hospitals.
Transfusion thresholds in obstetricsMassive transfusion ratios and triggersSafe use of uncrossmatched O bloodGroup, screen, and crossmatch optionsPrioritizing products during shortagesLesson 10Vital signs monitoring: invasive and noninvasive options and interpretation in pregnancyThis lesson reviews line and no-line monitoring in pregnancy, like blood pressure, pulse, oxygen levels, urine, artery lines, and pitfalls from normal pregnancy shifts in Eritrea.
Normal pregnancy vital sign rangesNoninvasive monitoring strengths and limitsIndications for invasive arterial linesUrine output and organ perfusionEarly warning scores for obstetrics
