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 conversation highlights the need for preparedness in handling obstetric emergencies, including the critical timing of resuscitative cesareans, and the necessity of training healthcare teams to respond effectively in such situations.

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 Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.

Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.

Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/

Follow us:

Patreon: patreon.com/CCOB

YouTube: @CriticalCareOBPodcast

Instagram: https://www.instagram.com/criticalcareob/

Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a

CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/

Twitter/X: https://twitter.com/OBCriticalCare

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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 importance of confidentiality, and strategies for engaging multiple departments in simulation training. Julie provides practical tips for simulation instructors and encourages physicians to voice their needs to improve their training experience.

Takeaways

• Simulation based training is practice.
• You need to practice with the full team to get the complete benefit.
• If the nurses don't have access, the simulation is very nurse-centric.
• Identify what is problematic for people about the topic.
• Let people know what you're going to work on in simulation.
• Time is money for physicians, so scheduling is crucial.
• Physicians may hesitate to attend simulation due to fear of looking bad.
• Confidentiality in simulation allows for mistakes without blame.
• Interprofessional simulation enhances teamwork and patient outcomes.

Engaging multiple departments in simulation is essential for comprehensive training.

Chapters
00:00 The Importance of Interprofessional Training
04:41 Identifying Barriers to Participation
10:32 Incentives for Physician Participation
14:10 Overcoming Reluctance and Building Confidence
19:44 Ensuring Confidentiality in Simulation
25:35 Collaborative Interdepartmental Simulations

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 Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.

Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.

Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/

Follow us:

Patreon: patreon.com/CCOB

YouTube: @CriticalCareOBPodcast

Instagram: https://www.instagram.com/criticalcareob/

Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a

CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/

Twitter/X: https://twitter.com/OBCriticalCare

CCOB Facebook: ...

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 and the necessity for hospitalists to advocate for standardized care while maintaining patient autonomy. The conversation highlights the critical role of OB hospitalists in improving outcomes for mothers and babies alike.

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 Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.

Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.

Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/

Follow us:

Patreon: patreon.com/CCOB

YouTube: @CriticalCareOBPodcast

Instagram: https://www.instagram.com/criticalcareob/

Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a

CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/

Twitter/X: https://twitter.com/OBCriticalCare

CCOB Facebook: ...

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 effectively implement deliberate practice in obstetrics, the role of checklists, and the value of video analysis in improving team dynamics during simulations.

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 Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.

Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.

Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/

Follow us:

Patreon: patreon.com/CCOB

YouTube: @CriticalCareOBPodcast

Instagram: https://www.instagram.com/criticalcareob/

Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a

CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/

Twitter/X: https://twitter.com/OBCriticalCare

CCOB Facebook: ...

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 electronic medical records (EMR) and advocate for a more streamlined approach to patient care that respects the natural processes of labor and the roles of healthcare professionals.

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 Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.

Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.

Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/

Follow us:

Patreon: patreon.com/CCOB

YouTube: @CriticalCareOBPodcast

Instagram: https://www.instagram.com/criticalcareob/

Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a

CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/

Twitter/X: https://twitter.com/OBCriticalCare

CCOB Facebook: ...

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 medical records (EMR) and advocates for a more streamlined approach to patient care that respects the natural processes of labor and the roles of healthcare professionals.

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 Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.

Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.

Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/

Follow us:

Patreon: patreon.com/CCOB

YouTube: @CriticalCareOBPodcast

Instagram: https://www.instagram.com/criticalcareob/

Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a

CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/

Twitter/X: https://twitter.com/OBCriticalCare

CCOB Facebook: ...

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 touches on the role of moulage in enhancing realism during simulations and the significance of engaging physicians in training. Overall, the episode highlights the critical aspects of training and teamwork in obstetric care.

00:00 Introduction to Pet Peeves in Critical Care Obstetrics
02:48 The Importance of Accurate Vital Signs
05:54 Challenges with Technology in Simulation
08:56 The Role of Simulation in Training
11:54 Moulage and Realism in Simulations
14:55 Effective Communication in Emergency Situations
18:03 Understanding Team Dynamics in Critical Care
20:47 Engaging Physicians in Simulation Training
23:56 Conclusion and Future Discussions

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 Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.

Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.

Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/

Follow us:

Patreon: patreon.com/CCOB

YouTube: @CriticalCareOBPodcast

Instagram: https://www.instagram.com/criticalcareob/

Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a

CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/

Twitter/X: https://twitter.com/OBCriticalCare

CCOB Facebook: ...

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 approach to nursing and patient care. The conversation emphasizes the importance of listening to patients, recognizing signs of distress, and the impact of trauma on both patients and healthcare providers.

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 Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.

Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.

Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/

Follow us:

Patreon: patreon.com/CCOB

YouTube: @CriticalCareOBPodcast

Instagram: https://www.instagram.com/criticalcareob/

Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a

CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/

Twitter/X: https://twitter.com/OBCriticalCare

CCOB Facebook: ...

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 resolution in healthcare teams and the need for teamwork and collaboration. The hosts also share valuable insights from listener feedback and discuss the significance of continuous education in sepsis management. Ultimately, the episode serves as a reminder of the impact that knowledge and confidence can have on patient care.


Chapters

00:00 Introduction and New Developments
03:00 Case Overview and Feedback Impact
05:54 Challenges in C-Section Delivery
08:53 Postoperative Monitoring and Communication
11:56 Identifying Red Flags in Patient Condition
14:40 Differential Diagnosis and Sepsis Management
17:28 Nursing Assessment and Data Collection
20:40 Antibiotic Protocols and Patient Response
23:31 Collaboration Between Nurses and Physicians
27:33 Simplifying Sepsis Concepts
29:32 Recognizing Clinical Signs of Sepsis
31:28 Differential Diagnosis in Sepsis
33:24 The Role of Communication in Patient Care
35:07 Simulation Training for Sepsis Management
38:10 Overcoming Barriers in Team Communication
41:19 Managing Fluid Resuscitation in Sepsis
43:12 Lessons Learned from a Sepsis Case
46:59 Improving Sepsis Protocols and Education
48:58 Navigating Conflicting Opinions in Care
51:07 The Importance of Team Collaboration

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 Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.

Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.

Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/

Follow us:

Patreon: patreon.com/CCOB

YouTube: @CriticalCareOBPodcast

Instagram: https://www.instagram.com/criticalcareob/

Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a

CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/

Twitter/X: https://twitter.com/OBCriticalCare

CCOB Facebook: ...

Cesarean Delivery: Major Abdominal Surgery

Welcome 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 procedure performed in U.S. hospitals, its seriousness is often overlooked because of its frequency. We discuss:

• Why 1 in 3 births by cesarean should not normalize the risks
• The role of evidence-based practices: avoiding the first cesarean, neuraxial anesthesia, infection prevention, and family-centered care
• What makes it a major surgery: open abdomen, incision types, considerations in obese patients, and classical cesarean challenges
• Safety for mothers, babies, and support persons in the OR
• Common complications including VTE, infection and sepsis, blood loss, injury to other organs, and the rising risk of placenta accreta spectrum

We also highlight our new lecture in the Postpartum Course covering PACU care and Enhanced Recovery After Cesarean, including RN qualifications, complication management, and communication essentials.

🔗 Learn more about the Critical Care Obstetrics Academy and Clinical Concepts in Obstetrics at www.clinicalconceptsinob.com

Be sure to subscribe, share, and leave a review so more clinicians can join the conversation!

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 Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.

Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.

Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/

Follow us:

Patreon: patreon.com/CCOB

YouTube: @CriticalCareOBPodcast

Instagram: https://www.instagram.com/criticalcareob/

Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a

CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/

Twitter/X: https://twitter.com/OBCriticalCare

CCOB Facebook: ...