Managing Medical and Obstetric Emergencies and Trauma

Working Group for Fourth Edition x Contributors to Fourth Edition xii Working group for third edition xiv Contributors to previous editions xv Foreword to fourth edition xvii Preface to fourth edition xviii Acknowledgements xix Contact details and further information xxi How to use your textbook xxii Abbreviations xxiii Part 1 Introduction 1 Introduction 3 2 Saving mothers’ lives: lessons from the Confidential Enquiries 5 3 Structured approach to emergencies in the obstetric patient 15 4 Human factors 19 Part 2 Recognition 5 Recognising the seriously sick patient 31 6 Shock 41 7 Sepsis 51 8 Intravenous access and fluid replacement 61 9 Acute cardiac disease in pregnancy 73 Part 3 Resuscitation 10 Airway management and ventilation 87 11 Cardiopulmonary resuscitation in the pregnant patient 103 12 Amniotic fluid embolism 113 13 Venous thromboembolism 121 14 Resuscitation of the neonate at birth 127 Part 4 Trauma 15 Introduction to trauma 147 16 Domestic abuse 153 17 Thoracic emergencies 157 18 Abdominal trauma in pregnancy 165 19 The unconscious patient 171 20 Spine and spinal cord injuries 179 21 Musculoskeletal trauma 185 22 Burns 191 Part 5 Other obstetric medical and surgical emergencies 23 Abdominal emergencies 199 24 Diabetic emergencies 207 25 Neurological emergencies 213 26 Perinatal psychiatric illness 223 Part 6 Obstetric emergencies 27 Pre- eclampsia and eclampsia 231 28 Major obstetric haemorrhage 243 29 Caesarean section 253 30 Abnormally invasive placenta and retained placenta 261 31 Uterine inversion 267 32 Ruptured uterus 271 33 Ventouse and forceps delivery 275 34 Shoulder dystocia 289 35 Umbilical cord prolapse 297 36 Face presentation 301 37 Breech delivery and external cephalic version 305 38 Twin pregnancy 319 39 Complex perineal and anal sphincter trauma 323 40 Symphysiotomy and destructive procedures 331 41 Anaesthetic complications in obstetrics 339 42 Triage 355 43 Transfer 361 44 Consent matters 373 References and further reading 381 Index 393