The Critical Care Obstetrics Podcast Clinical Concepts in Obstetrics

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 pain
A: Aggressive intervention
R: Rapid progression





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.

Follow us:
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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: https://www.facebook.com/clinicalconceptsinobstetrics
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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 E, Mooney MR, Wothe DD. Rotational Thromboelastometry-Guided Venoarterial Extracorporeal Membrane Oxygenation in the Treatment of Amniotic Fluid Embolism. Case Rep Obstet Gynecol. 2022 May 18;2022:9658708. doi: 10.1155/2022/9658708. PMID: 35646404; PMCID: PMC9132692.

Long M, Martin J, Biggio J. Atropine, Ondansetron, and Ketorolac: Supplemental Management of Amniotic Fluid Embolism. Ochsner J. 2022 Fall;22(3):253-257. doi: 10.31486/toj.21.0107. PMID: 36189093; PMCID: PMC9477128.

Berry A, Salcedo A, Riba C. Atypical amniotic fluid embolism successfully treated with a novel protocol: A case report. J Case Rep Images Obstet Gynecol 2022;8:100109Z08AB2022.

Rezai S, Hughes AC, Larsen TB, Fuller PN, Henderson CE. Atypical Amniotic Fluid Embolism Managed with a Novel Therapeutic Regimen. Case Rep Obstet Gynecol. 2017;2017:8458375. doi: 10.1155/2017/8458375. Epub 2017 Dec 21. PMID: 29430313; PMCID: PMC5753013.
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.

Follow us:
Instagram: https://www.instagram.com
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: https://www.facebook.com/clinicalconceptsinobstetrics
Dr Martin's Facebook: https://www.facebook.com/profile.php?id=100024366859192

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 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.

Follow us:
Instagram: https://www.instagram.com
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: https://www.facebook.com/clinicalconceptsinobstetrics
Dr Martin's Facebook: https://www.facebook.com/profile.php?id=100024366859192

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 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.

Follow us:
Instagram: https://www.instagram.com
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: https://www.facebook.com/clinicalconceptsinobstetrics
Dr Martin's Facebook: https://www.facebook.com/profile.php?id=100024366859192

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 fluids
2. Supply insulin
3. Replace potassium
4. Supply glucose
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.

Follow us:
Instagram: https://www.instagram.com
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: https://www.facebook.com/clinicalconceptsinobstetrics
Dr Martin's Facebook: https://www.facebook.com/profile.php?id=100024366859192

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 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.

Follow us:
Instagram: https://www.instagram.com
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: https://www.facebook.com/clinicalconceptsinobstetrics
Dr Martin's Facebook: https://www.facebook.com/profile.php?id=100024366859192