The Pre-hospital Obstetric Emergency Training (POET)programme provides an introduction to the obstetric patient and theanatomical and physiological changes that occur during pregnancy(including interpretation of patient-held records and rapidassessment of the obstetric patient). It includes clear definitionsand describes risk factors, diagnosis and pre-hospital managementof significant problems that occur in both early and late pregnancyand the immediate postnatal period. These are all situations thatthe pre-hospital practitioner may attend.
This text and the accompanying integrated on-line and‘hands on’ course will help practitioners identify andmanage a range of time-critical obstetric emergencies specificallyin the pre-hospital setting, and provides a structured examinationand assessment technique as an aid to determining what treatmentshould be provided before transport, as well as when and howurgently transport should be initiated.
POET is of relevance to paramedics, ambulance staff, doctors,and nurses working in the emergency pre-hospital setting and tomidwives facilitating home births. It will also be of considerablevalue to medical and nursing practitioners working in EmergencyDepartments and unscheduled care settings where immediate access toskilled obstetric assistance is not available.
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Alleged mismanagement of obstetric emergencies is the leading causeof litigation in pre-hospital practice. This text and theaccompanying course are designed to prepare practitioners toidentify and manage a range of time-critical obstetric emergenciesspecifically in the pre-hospital setting. It emphasises astructured examination and assessment technique as an aid todetermining what treatment should be provided before transport aswell as when and how urgently transport should be initiated.
POET aims to provide an introduction to the obstetric patient andthe anatomical and physiological changes that occur duringpregnancy (including interpretation of patient-held records andassessment of the obstetric patient). It describes the definitions,risk factors, diagnosis and pre-hospital management of problemsthat might occur throughout the different stages pregnancy andwhich the pre-hospital practitioner may be required to attend. Itaddresses emergencies in early pregnancy (including miscarriage andectopic pregnancy); emergencies in late pregnancy and delivery(including eclampsia, ante-partum haemorrhage, shoulder dystociaand umbilical cord problems); post-delivery emergencies (includingpost-partum haemorrhage and uterine inversion); and management ofnon-obstetric emergencies in the pregnant patient (includingtrauma, cardiac and respiratory disease, the management of cardiacarrest and shock during pregnancy, acute psychiatric illness inpregnancy).
This text and accompanying course have been authored bypractitioners from the obstetric, paramedic, and midwiferyprofessions.
Advanced Life Support Group, Manchester, UK
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