The Critical Care Obstetrics Podcast
The Critical Care Obstetrics Podcast is a trusted resource for high-risk and critical care obstetrics. An experienced interprofessional team shares insights from years of practice, simulation, and team training, making complex topics simple and easy to understand. Episodes may feature solo discussions, guest interviews, or case reviews, all aimed at helping healthcare providers deliver the best care.
Episodes
OB Triage or ED: Where should the patient go?
# Navigating Patient Care: Where to Send Your OB Cases?> Exploring the challenges of patient placement in critical care obstetrics.In this episode of the Critical Care Obstetrics Podcast, Stephanie Martin, Suzanne Baird, and Julie Arafe discuss a pivotal question that many healthcare professionals encounter: **Where does your patient belong - in the ED or OB triage?** Using fictional yet reali
Willful Blindness: When Hospital Leadership Looks Away
# Confronting the Willful Blind Spot in Maternal Care> A deep dive into the disconnect in hospital leadership and patient care.In this episode of the Critical Care Obstetrics Podcast, Stephanie Martin and Suzanne Baird tackle a crucial yet often overlooked issue in maternal care: the disconnect between hospital leadership and bedside realities. As they discuss the phenomenon they term the "
Case Scenarios: When the Numbers Don’t Match the Patient: Part 1
Recognizing the Unseen: When Vitals Don't Tell the Full Story> Explore the nuances of assessing patient conditions in critical care.In the latest episode of the Critical Care Obstetrics Podcast, Dr. Suzanne McMurtry Baird and Dr. Stephanie Martin delve into a crucial topic that every healthcare professional encounters: the discrepancy between a patient's vital signs and their clinica
Continuous ECG Monitoring in OB
🚨 Are you putting patients at risk by normalizing bad practices? 🚨 Tag a friend who needs to hear this! In our latest podcast episode, we dive deep into the challenges of continuous ECG monitoring in obstetric settings. 🚑✨ Nurses and healthcare teams often lack clarity on monitoring protocols. This can lead to dangerous assumptions and inadequate responses to emergencies. We highlight:
Placenta accreta spectrum disorder: An Interview with Dr Karin Fox
🌟 Ever wondered how a simple oversight could lead to major complications in childbirth? 🤔 Tag someone who needs to hear this! Today, we dive deep into the crucial role of nursing teams in managing high-risk pregnancies, particularly with Placenta Accreta Spectrum (PAS). In the world of maternal-fetal medicine, it’s not just about the doctors or the surgery; it’s about the entire system working
What we wish every new nurse and physician knew
I wish someone had told me this sooner: the respect we give new nurses and physicians shapes our future colleagues. 🤔Tag someone who needs to hear this! As we dive into healthcare, it’s easy to forget that every nurse and physician in training is on a journey, just like we were. They need our support, not just instruction.Remember, the world of medicine is small. The students you teach today could
Silence Kills
In the fast-paced world of healthcare, effective communication can be the difference between life and death. Yet, many healthcare professionals find themselves in environments where speaking up feels risky. In this post, we will explore the findings from the article "Silence Kills 2.0" and why it’s crucial for healthcare professionals to engage in open dialogue. We’ll also discuss action
Experiences in the ED: Our Stories
In this episode, Dr. Stephanie Martin, Julie Arafeh, and Suzanne McMurtry Baird share their recent healthcare experiences, insights into emergency department chaos, and the importance of system improvements. They also introduce their fun segment of two truths and a lie, and discuss the challenges faced by healthcare professionals and patients alike. This episode features a detailed discussion on c
The Talk Tool
*** Learn how the TALK tool enhances team communication in critical care settings. Discover its benefits, implementation strategies, and key takeaways for healthcare professionals.Article referenced: Iago Enjo-Perez, Cristina Diaz-Navarro, Esther Leon-Castelao, Miquel Sanz-Moncusí, Inma Carmona-Delgado, Javier Pérez-Dueñas, Rocío Ponce-Muñoz, Sara Fernandez-Mendez, Jose-Ramón Alonso-Viladot, Jose
AFE & AOK an update
# Understanding Amniotic Fluid Embolism: Key Insights and Management StrategiesLearn about amniotic fluid embolism (AFE), its diagnosis, and management strategies. Essential for healthcare providers dealing with maternal emergencies.In this blog post, we delve into the complexities of amniotic fluid embolism (AFE), a rare but critical condition that can occur during or after labor. As healthcare p
The Chart Will Be Read in Court
In the world of healthcare, documentation is more than just a routine task—it's a crucial aspect of patient care that can have significant legal implications. Have you ever considered how your notes could be interpreted in a court of law? In this post, we’ll explore essential tips for effective medical documentation and why it matters for both patient care and legal protection.The experts at
Why OB belongs in OB emergencies in the ED: our review of "The Pitt"
Navigating the Challenges of Free Birth: Insights from the Critical Care Obstetrics Podcast** Discover the complexities of free birth and the challenges faced in emergency settings. Learn from experts in maternal-fetal medicine about patient care without medical intervention.OpeningMany expectant mothers are opting for free birth—a choice that has gained traction despite the risks involved. In thi
OB Patients in an Adult ED: Interview with Jen Hamilton
In today’s episode, we dive into the world of birth plans with Jen Hamilton, an OB nurse and soon-to-be author of *Birth Vibes*. She shares her journey from the ED to OB, revealing the challenges of navigating patients’ expectations in labor and delivery.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenge
Policies vs Practice: Why They Don't Match (and Why That Matters)
### Key Takeaways- Policies must be easily accessible to all healthcare providers. - Understanding the difference between policies, guidelines, and protocols is crucial for effective patient care. - Ongoing training and communication are necessary for ensuring that clinical staff can effectively implement policies.#Nursing #Healthcare #ClinicalGuidelines #PatientCare #ObstetricsThe experts at Cl
Minor Trauma in the ED
Having a pregnant patient arrive to an adult ED after minor trauma presents several challenges for care teams. Maternal and fetal assessment with communication between the adult ED and OB teams is needed. In this episode, Dr. Stephanie Martin and Dr. Suzanne McMurtry Baird discuss these issues.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill
Recognizing Green Flags in Obstetrics
Did you know that the presence of a stethoscope on every caregiver is a huge green flag? 🎧 In our latest episode, we discuss how visible engagement in patient care can transform outcomes!When every team member prioritizes assessment, we create a culture of safety and awareness. How can we encourage more hands-on assessments in your workplace? Let’s chat! 💬#NursingAssessment #GreenFlags #PatientSaf
Recognizing Red Flags in Healthcare
The insights shared in this podcast episode underscore the importance of vigilance in healthcare settings. Recognizing red flags—whether they pertain to patient care, workplace culture, or system processes—can significantly enhance patient safety and care quality. By fostering a culture of awareness and prioritizing structured training methods like simulation, healthcare professionals can work tow
What "Can Do" Culture Can Do in Healthcare, Part 2
Summary:In this episode of the Critical Care Obstetrics podcast, the hosts discuss the implications of a 'can-do' culture in healthcare, particularly in obstetrics. They explore how this attitude can lead to workarounds that, while initially well-intentioned, can negatively impact patient safety and staff well-being. The conversation delves into the importance of leadership in addressing
What "Can Do" can do to your unit
In this episode of the Critical Care Obstetrics podcast, Dr. Stephanie Martin and her colleagues discuss the concept of 'Can-Do Culture' in healthcare, particularly in obstetrics. They explore personal stories that illustrate the challenges and consequences of this mindset, especially regarding patient safety and staffing issues. The conversation emphasizes the importance of understandin
When a Mother Dies Pt. 2
The conversation also addresses the moral distress clinicians experience when a mother dies.This episode is for anyone who cares for pregnant or postpartum patients and wants to be better prepared—not just clinically, but emotionally and ethically—when the unthinkable happens. It is a reminder that even when we cannot save a life, how we care still matters profoundly.#MaternalMortality #MaternalHe
When a Mother Dies Pt.1
In this episode of the Critical Care Obstetrics podcast, Dr. Stephanie Martin and Suzanne Baird discuss the sensitive and critical topic of maternal mortality. They share a case study of a young mother with chronic hypertension, exploring the clinical challenges and management decisions that led to her tragic outcome. The conversation delves into the importance of communication, support for famili
Resuscitative Cesarean Case Review
In this episode of the Critical Care Obstetrics podcast, Dr. Stephanie Martin and Julie Arafey discuss a complex case involving a pregnant patient who experiences respiratory compromise leading to cardiac arrest. They explore the challenges in assessment, admission, and management of high-risk obstetric patients, emphasizing the importance of communication, monitoring, and emergency protocols. The
Inter-professional Practice
In this episode of the Critical Care Obstetrics podcast, Julie Arafeh discusses the significance of interprofessional training in simulation sessions for healthcare teams, particularly in obstetrics. She emphasizes the necessity of including all team members in training to enhance collaboration and patient care. The conversation covers barriers to participation, incentives for physicians, the impo
Interview with Hospitalist Courtney Martin
In this episode of the Critical Care Obstetrics podcast, Dr. Courtney Martin discusses her role as an OB hospitalist and the evolving landscape of obstetric care. She emphasizes the importance of proactive measures in maternal safety, the impact of wellness bias on patient care, and the need for strong team dynamics in healthcare settings. Dr. Martin also addresses the challenges posed by COVID-19
Using Deliberate Practice to Develop Team Skills
In this episode of the Critical Care Obstetrics podcast, Julie Arafeh discusses the significance of deliberate practice and team skills in managing high-risk obstetric emergencies. She emphasizes the importance of simulation training to enhance team performance, communication, and role delegation, ultimately aiming to reduce preventable maternal mortality. The conversation explores how to effectiv
Pet Peeves in Healthcare: Stephanie's Perspective (Austin: 3rd release)
Summary:In this episode of the Critical Care Obstetrics Podcast, hosts Stephanie Martin, Julie Arafey, and Suzanne McMurtry Baird discuss their pet peeves in obstetrics. The conversation covers issues related to documentation, unnecessary interventions on low-risk patients, and the unrealistic expectations placed on nurses to make medical diagnoses. The hosts share their frustrations with electron
Pet Peeves in Healthcare: Suzanne's Perspective
In this episode of the Critical Care Obstetrics Podcast, hosts Stephanie Martin, Julie Arafeh, and Suzanne McMurtry Baird discuss Suzanne's pet peeves in obstetrics. The conversation covers issues related to documentation, unnecessary interventions on low-risk patients, and the unrealistic expectations placed on nurses to make medical diagnoses. Suzanne shares her frustrations with electronic
Pet Peeves in Healthcare: Julie's Perspective
In this episode of the Critical Care Obstetrics podcast, hosts Stephanie Martin, Julie Arafeh, and Suzanne McMurtry Baird discuss their pet peeves related to healthcare and critical care obstetrics. They emphasize the importance of accurate vital signs, the challenges posed by technology in simulation training, and the need for effective communication in emergency situations. The conversation also
From Nurse to Patient: A Unique Perspective
In this episode, Stephanie Martin and Suzanne McMurtry Baird speak with Nicolette Lewis, a labor and delivery nurse who shares her harrowing experience of nearly dying during childbirth due to a ruptured splenic artery aneurysm. Nicolette discusses the critical moments leading up to her emergency C-section, the challenges she faced during recovery, and how this experience has transformed her appro
Lessons Learned from a Sepsis Case: Conflict Resolution
In this episode of the Critical Care Obstetrics podcast, hosts Stephanie Martin, Suzanne Baird, and Julie Arafeh discuss a complex case involving a postpartum patient experiencing sepsis. They emphasize the importance of clear communication, adherence to sepsis protocols, and the critical role of nurses in monitoring patient conditions. The conversation highlights the challenges of conflict resolu
Cesarean Section is Major Abdominal Surgery
Cesarean Delivery: Major Abdominal SurgeryWelcome back to The Critical Care Obstetrics Podcast with hosts Suzanne McMurtry Baird (Nursing Director) and Stephanie Martin (Medical Director) of Clinical Concepts in Obstetrics.In this episode, we explore why cesarean delivery is not just another routine procedure—but truly a major abdominal surgery. While C-section is the most common surgical procedur
Rural Care, Real Challenges: Telehealth & Critical Obstetrics
In this episode of The Critical Care Obstetrics Podcast, Dr. Stephanie Martin sits down with Dr. Lexi Hill, an MFM specialist delivering high-risk pregnancy care via Telehealth to rural communities across the country.They discuss:✅ The realities of practicing MFM remotely✅ Gaps in rural obstetric care✅ What every clinician should know about managing high-risk pregnancies when specialists aren’t on
Acute Anxiety in Obstetrics
In this episode Stephanie and Suzanne discuss acute onset of anxiety in an OB patient. They will also talk about possible pathology of anxiety and the possibility as a warning sign of compromise. The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Steph
Listener Q&A Part 4: ARDS and Cardiomyopathy
In this episode, Julie, Suzanne, and Stephanie answer the listeners' questions regarding acute respiratory distress syndrome (ARDS) and Cardiomyopathy. These 2 diagnoses can appear with similar symptoms. The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable w
Listener Questions Part 3: AFE versus Pulmonary Embolus
In this episode, Julie, Stephanie, and Suzanne answer the listeners question of how to differentiate between signs, symptoms, and diagnosis of an AFE v. a PEThe experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for
Communication in Obstetric Emergencies
Julie Arafeh and Dr. Stephanie Martin discuss 3 commonly encountered issues with communication during obstetric emergencies.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics
Role of Doula in High-Risk Pregnancies: Interview with HeHe Stewart
In this episode Stephanie talks with HeHe Stewart, a Birth Doula aiming to help women avoid birth trauma & prepare for a confident and informed hospital birth. She has her own podcast The Birth Lounge and an active social media presence educating women about all things birth related. We talk about what it takes to become a Doula and the role a Doula can play in high-risk or critical illness si
Listener Q and A: Hypertensive Disorders
Julie, Stephanie and Suzanne address listener questions posted about hypertensive disorders. We address questions about treatment of refractory severe hypertension, medication protocols, use of magnesium and delivery timing questions.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in cari
Listener Q and A: Obstetric Hemorrhage
Julie, Stephanie and Suzanne address listener questions posted about obstetric hemorrhage. We talk about transfusion thresholds, vital signs in hemorrhage, QBL, postpartum monitoring and many other aspects of hemorrhage management and recognition.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encoun
Debrief: Peripartum Cardiomyopathy or Preeclampsia with Severe Features
The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the N
Diagnostic Dilemma: Peripartum Cardiomyopathy or Preeclampsia with Severe Features
https://professional.heart.org/en/education/role-of-cardiovascular-health-in-maternal-health/#preeclampsiaThe experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fet
Obstetrics Scope of Service
In this episode, Julie Arafeh and Suzanne McMurtry Baird discuss scope of services for obstetrics. A scope of services outlines the patients you will care for and those who would be transferred or transported to a higher level of care. This information also drives your training and education programs. The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critic
Debrief of Sepsis Survivor Interview
The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the N
Eclampsia: What's Your Management Plan?
In this episode, Suzanne and Stephanie talk about how to be prepared and manage an eclamptic patient. We give 3 scenarios of eclampsia to stimulate thought about where and how you would manage.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephani
Would You Have Sent this Patient Home? Interview with a Sepsis Survivor and Advocate.
Dr Stephanie Martin talks with Andrea, a patient, survivor of postpartum septic shock and advocate. Hear her incredible story and decide how you would have handled things differently. https://www.endsepsis.org/about-rory-staunton/https://www.cdc.gov/hearher/maternal-warning-signs/index.htmlhttps://www.mommasvoices.org/The experts at Clinical Concepts in Obstetrics pool their decades of experience
Vital Signs are Vital: Temperature
In the last vital signs are vital series, Dr. Stephanie Martin and Suzanne McMurtry Baird discuss maternal temperature. Understand the WHY and conditions of hypothermia and hyperthermia. The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Mart
Vital Signs are Vital: SpO2
Dr. Stephanie Martin and Suzanne McMurtry Baird discuss the technology of pulse oximetry. Understand the WHY of SpO2 values.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics
Vital Signs are Vital: Respiratory Rate
In this episode, Dr. Stephanie Martin and Dr. Suzanne McMurtry Baird discuss the importance of taking a respiratory rate and understanding the WHY of a low or high rate. The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical
Vital Signs are Vital: Blood Pressure
This is the 2nd podcast in our series on Vital Signs are Vital. Tune in to hear Dr. Stephanie Martin and Dr. Suzanne McMurtry Baird discussing blood pressure. We will go over hypotension, hypertension, and understanding the WHY.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for
Vital Signs are Vital: Heart Rate
This is the first episode in our series "Vital Signs are Vital". In this episode we discuss the significance of heart rate in the assessment of vital signs. The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical D
The Critical Care Obstetrics Academy
The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the N
How to do an Effective Recap in Simulation and Actual Emergencies
Julie and Stephanie explain what a recap is and how it can be used to communicate effectively during simulation and during actual emergencies. The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Conc
A Diagnostic Dilemma: Was It Amniotic Fluid Embolism, Sepsis, or Pulmonary Embolism?
Suzanne and Stephanie review another maternal death situation and discuss what they think happened. Listen and decide what you think it was.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concept
Examining the Impact: Insights from a Maternal Mortality Review Committee
In this episode, Dr Stephanie Martin has a discussion with Jamie Agunsday, MA, MSN, RNC-OB, a nurse abstractor for the New Jersey Maternal Mortality Review Committee. We talk about what is an MMRC, how maternal deaths are reviewed and the importance of the data that is leaned from an MMRC. She also outlines what she wants every OB healthcare provider to know about an MMRC.Jamie Agunsday is a maste
Professional Behavior: You Know It When You See It
Stephanie and Julie talk about a key team skill - professional behavior. We discuss why it matters, how it can show up in emergencies and impact patient care, morale and even ability to hire and retain staff. We also talk about how to use simulation to improve behaviors. Julie presents a real life situation of unprofessional behavior and how she addressed it successfully.The experts at Clinical Co
Maintaining Situation Awareness During an Emergency
Stephanie and Julie discuss the importance of situation awareness during emergencies. Julie talks about what situation awareness means, the key components of patient, team and environment and how to address challenges using real life examples.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountere
What is a Maternal-Fetal Medicine Specialist and When do I Need One?
Dr Stephanie Martin explains the specialty of Maternal-Fetal Medicine. She discusses the types of training MFMs get, the conditions they treat and when you might need to consult one.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is
A Case Study of Preeclampsia and Pulmonary Edema: Why Can't We Get This Right?
In this case study, Dr. Stephanie Martin and Dr. Suzanne McMurtry Baird discuss a patient with preeclampsia who develops severe range BPs and pulmonary edema. While you listen, determine which signs and symptoms that indicate pulmonary edema and how you would manage this critically ill patient in your institution. The experts at Clinical Concepts in Obstetrics pool their decades of experience cari
I LOVE URINE - Especially in Patients with Preeclampsia!
In this episode, Dr. Suzanne McMurtry Baird discusses oliguria in patients diagnosed with preeclampsia. She will outline 3 hemodynamic categories that may cause preeclampsia in this patient population and the rationale for use of a Foley catheter to evaluate urine output.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to disc
Recording actual patient care for Quality Improvement: Coming to a hospital near you?
Hospitals have been recording actual patient events for quality improvement in some departments for years and the practice is spreading to other departments. What is involved with recording actual events and what effect might it have on patient care? Julie Arafeh interviews Dr Lou Halamek on a program he is involved with in a busy NICU.The experts at Clinical Concepts in Obstetrics pool their d
Informed Consent is More Than a Piece of Paper
Dr Stephanie Martin discusses the key components of informed consent with an emphasis of shifting beyond the concept of informed consent solely as a signature on a form.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical
Practical Tips for Conducting and Participating in Real Clinical Event Debriefings
Join Julie Arafeh as she shares practical tips for conducting AND participating in debriefing after real clinical events. Gain insight into how debriefing can be linked with quality improvement to address issues on the unit and can foster team building to enhance team performance.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant wome
Is Obstetric Hemorrhage Different from Trauma? An Interview with Dr Alan Frankfurt
Julie Arafeh discusses the administration of whole blood in obstetric massive hemorrhage emergencies with Dr. Alan Frankfurt, an OB Anesthesiologist.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinica
The WAR on Invasive Group A Strep
Suzanne and Stephanie discuss a case of peripartum invasive Group A Strep and highlight management opportunities. Listeners will also learn about the WAR on invasive Group A strep: W: Weird, wild painA: Aggressive interventionR: Rapid progressionThe experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encount
A-OK for AFE is not AOK
Amniotic Fluid Embolism is a devastating and rare complication of pregnancy. The A-OK protocol is commonly advocated for as a life saving therapy in this scenario.Dr Stephanie Martin reviews the case reports and discusses her opinions on the role of A-OK in AFE management.Go to www.amnioticfluidembolism.org for access to a free educational program on AFE.Case reports referenced:Wothe JK, Elfstrand
Family Presence During Maternal Resuscitation
Family presence during resuscitation is becoming more accepted in ICUs and Emergency Departments. What about obstetric resuscitations? Dr Suzanne Baird and Julie Arafeh discuss family presence during maternal cardiac arrest and other obstetric emergencies. The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the chal
Resuscitation from (massive) obstetric hemorrhage: Who, What, When and How
Adequate volume replacement is a key patient management goal of many severe illnesses during pregnancy particularly hemorrhage. Often patients are not adequately volume resuscitated with disastrous outcomes. Listen to Julie Arafeh talk with Dr Alan Frankfurt, OB Anesthesiologist on volume replacement during pregnancy.The experts at Clinical Concepts in Obstetrics pool their decades of experience
Diabetic Ketoacidosis: Do you have a management plan and protocol?
In this episode, Stephanie and Suzanne discuss DKA pathophysiology, causes, signs and symptoms, diagnosis, and management. The critical care management aspects outlined include:1. Replace fluids2. Supply insulin3. Replace potassium4. Supply glucoseThe experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges enc
Would You Recognize Pulmonary Edema in Pregnancy?
Suzanne and Stephanie discuss the clinical presentation and diagnosis of pulmonary edema, including how to differentiate between cardiogenic and noncardiogenic pulmonary edema. They also address assessment of the pregnant patient with hypoxemia and management of both types of pulmonary edema.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill p
Rethinking The Response To Maternal Early Warning Criteria
In this podcast Julie Arafeh discusses rethinking the response to maternal early warning criteria to be better prepared for obstetric emergencies.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical C
Another Obstetric Hemorrhage Case and Preventable Outcome
Dr. Stephanie Martin and Julie Arafeh discuss another hemorrhage case and how the outcome could have been prevented. Communication plays such a huge part in this case.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical D
How to Use the Chain of Command
Dr. Stephanie Martin and Julie Arafeh discuss when and how to use the chain of command to ensure patient safety and maintain trust between members of the healthcare team.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical
Debriefing to improve team performance: A discussion with Dr Lou Halamek
Dr Lou Halamek joins Julie Arafeh in a discussion on the use of debriefing to improve team performance, including strategies and tactics for more effective and efficient debriefings.Here are some useful references to review:Halamek LP, Cady R, Sterling MR. Using briefing, simulation and debriefing to improve human and system performance. Semin Perinatol 2019;43(8):151178. Epub 2019 Aug 10. PM
Postpartum Hemorrhage: An Unusual Case Study Part 2
In this podcast episode, Dr. Stephanie Martin and Dr. Suzanne McMurtry Baird will discuss the 2nd portion of an unusual postpartum hemorrhage case study. As you follow along, ask yourself if you are confident in how your hospital would respond to this patient presentation. Where would this patient be managed? Who would manage this patient?The experts at Clinical Concepts in Obstetrics pool their
Postpartum Hemorrhage: An Unusual Case Study Part 1
To prevent maternal morbidity and mortality, it is essential that postpartum hemorrhage is recognized and managed according to the etiology. In this podcast episode, Dr. Stephanie Martin and Dr. Suzanne McMurtry Baird will present part 1 of a postpartum hemorrhage case study. During the case presentation, think about these questions:- In the absence of external bleeding, how is hemorrhage recogni
Human Factors: What is it and what role does it have in healthcare?
Julie Arafeh has a conversation with Dr Nicole Yamada, neonatologist, and humanfactors enthusiast. They discuss human factors in healthcare, what it is and how it canimpact clinical practice.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie
Case Study: A low-risk patient becomes high-risk and critically ill.
Not all obstetric patients who have complications during pregnancy, labor, birth, or postpartum have known risk factors. This case study will follow a patient who enters the hospital for an induction of labor at term gestation with no identified risk factors. During labor, she becomes critically ill. Ask yourself several questions as you listen:1. What signs and symptoms would concern you?2.
Thoughts on Preparing OB Units for a Disaster: A Discussion with Dr Kay Daniels
Thoughts on Preparing OB Units for a Disaster: A Discussion with Dr Kay DanielsDr Kay Daniels, OB/GYN physician and simulation expert joins Julie Arafeh to talk about disaster preparedness for OB units. They discuss what prompted Dr Daniels interest in disaster planning, who was involved in the planning and tips for OB units on disaster planning.www.clinicalconceptsinob.comTwitter: @OBCriticalCare
Anemia in Pregnancy is Not Normal: Part 2
Dr. Stephanie Martin discusses everything you need to know about recognizing and diagnosing iron deficiency anemia in pregnancy, in this part two of a two part series.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.www.clinicalconceptsinob.comTwitter: @OBCriticalCareInstagram: @criti
Anemia in Pregnancy is Not Normal: Part 1
Dr. Stephanie Martin discusses everything you need to know about recognizing and diagnosing iron deficiency anemia in pregnancy, in this first episode of a two part series.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.www.clinicalconceptsinob.comTwitter: @OBCriticalCareInstagram: @
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