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Thursday, August 25, 2016

Peri-Mortem C-Section

emDocs - August 24, 2016 - Originally published at CoreEM.net -  By Swaminathan A
Written by: Boyd A - Edited By: Bhandari S
Definition: A cesarean section preformed either during maternal cardiac arrest or during impending maternal cardiac arrest the primary goal of which is to increase the chance of successfully resuscitating the mother and, potentially, improving fetal survival.
Take home points:
  • Think of PCS as a resuscitative hysterotomy primarily aimed at saving the life of the mother
  • If you think PCS will improve maternal resuscitation, act quickly to start and complete the procedure
  • The optimal surgical approach for a PCS is via a large vertical incision.