EMCrit Conference Blast Winner: Peri-Mortem C-Section


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At the EMCrit 2013 Conference we had a Blast Competition. The BLAST rules are easy:



The winner this year was Salil Bhandari with an incredible presentation on peri-mortem caesarean section.
Here is an article:
Eur J Emerg Med. 2011 Aug;18(4):241-2. doi: 10.1097/MEJ.0b013e328344f2c5. Prehospital resuscitative hysterotomy.
Want to know more about peri-mortem c-section? Check out these insanely good posts:

* The post Perimortem C-section at St.Emlyn’s appeared first on St Emlyns.
* A personal take from a doc, Greg Press, who has performed two of these (2 more than me)

Update
Neonatal outcome: mean times from arrest to delivery were 14±11 min and 22±13 min in survivors and non-survivors respectively (Resuscitation. 2012 Oct;83(10):1191-200.)
And here is a simulator video:
Video on Vimeo
And the best video on the procedure I have seen on life-identical model
https://www.youtube.com/watch?v=1v9x4jPQwE8
Update:
In one case series, 12 of 20 women had return of spontaneous circulation immediately after delivery (EMCNA, Vol. 30, pg. 949). HT to emedhome.

Rob Bryant has another great video on resuscitative hysterotomy
Now on to the Wee...