Lesson 1Point-of-care tests and interpretation: bedside FBC, bedside ultrasound (FAST/obstetric), blood gas, lactateThis section covers choosing and reading point-of-care tests at bedside for maternal emergencies, including FBC, coagulation checks, blood gas, lactate, and focused ultrasound for bleeding, ectopic pregnancy, and free fluid.
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 section brings structured checklists, mnemonics, and handover tools to guide the first ten minutes of maternal resuscitation, cut down mistakes, ease thinking load, and standardise talk across different 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 section details quick, safe use of uterotonics, tranexamic acid, and vasopressors in obstetric shock, stressing doses, timing, things not to use, monitoring, and mixing with other resuscitation steps in different clinic places.
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 section trains clinicians to spot and classify hypovolemic and other shock states in pregnancy using history, exam, vital signs, and simple tests, guiding early targeted treatment and timely step-up of care.
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 section explains setting up large-bore IV and IO access in unstable obstetric patients, fluid choice and amounts, crystalloids versus colloids, and tailoring resuscitation to bleeding, sepsis, and heart or mixed shock states.
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 section focuses on structured team talk, quick role assignment, closed-loop interactions, and real-time documentation during the first ten minutes of maternal resuscitation to better coordination, safety, and legal protection.
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 section applies the ABCDE framework to obstetric hemorrhage, highlighting pregnancy body changes, airway and breathing priorities, circulation control, disability check, exposure, and mixing with final hemorrhage control.
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 section outlines infection prevention, active warming, and thermal management for shocked pregnant and postpartum women, stressing stopping low body temperature, equipment choices, and mixing with resuscitation 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 section addresses wise blood product use when supply short, including transfusion levels, massive transfusion rules, O-negative and O-positive use, group and screen ways, and prioritising during high demand.
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 section reviews invasive and noninvasive monitoring options in pregnancy, including blood pressure, heart rate, oxygen saturation, urine output, and arterial lines, and explains reading pitfalls due to normal pregnancy changes.
Normal pregnancy vital sign rangesNoninvasive monitoring strengths and limitsIndications for invasive arterial linesUrine output and organ perfusionEarly warning scores for obstetrics
