Lesson 1Point-of-care tests and interpretation: bedside FBC, bedside ultrasound (FAST/obstetric), blood gas, lactateThis lesson covers choosing and reading point-of-care tests at bedside for maternal emergencies, like full blood count, clotting checks, blood gas, lactate levels, and quick scans for bleeding, ectopic pregnancy, or free fluid in Kenyan clinics.
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 resuscitation, cut errors, ease mental load, and standardise talk among teams in Kenyan hospitals.
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 explains fast, safe giving of uterotonics, tranexamic acid, and shock drugs like noradrenaline or epinephrine in obstetric emergencies, with doses, timing, warnings, monitoring, and fitting into other life-saving steps across Kenyan 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 clinicians to spot and classify blood loss shock and other shocks in pregnancy using patient history, checks, vital signs, and basic tests, to start right treatment early and call for help on time in Kenyan settings.
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 shows how to set up big IV lines or intraosseous access in unstable pregnant women, choose fluids and amounts, compare crystalloids and colloids, and match resuscitation to bleeding, infection, heart, or mixed shocks.
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 sharing, clear feedback loops, and live notes in the first ten minutes of maternal resuscitation to boost coordination, safety, and legal cover in Kenyan maternity units.
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 the ABCDE method for obstetric bleeding, noting pregnancy body changes, airway and breathing first, circulation control, disability check, full exposure, and linking to final bleeding stop.
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 covers stopping infections, active warming, and body heat control for shocked pregnant or new mothers, stressing avoiding low body heat, available tools, and fitting into resuscitation in Kenyan wards.
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 smart use of blood products when stocks are low, with transfusion levels, massive bleed rules, O-negative and O-positive use, group and screen options, and priorities during shortages in Kenya.
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 invasive and non-invasive monitoring in pregnancy like blood pressure, pulse, oxygen levels, urine, arterial lines, and pitfalls from normal pregnancy changes in Kenyan practice.
Normal pregnancy vital sign rangesNoninvasive monitoring strengths and limitsIndications for invasive arterial linesUrine output and organ perfusionEarly warning scores for obstetrics
