[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-370822-105":59,"doc-detail-370822-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","acls-in-pregnancy-be-prepared","ACLS in Pregnancy - BE Prepared","","Training checklist and protocol modifications for Advanced Cardiac Life Support in pregnant patients, emphasizing early shift preparation and rapid recognition of deterioration. Covers emergency equipment readiness, neonatal equipment coordination with PCCU and NICU teams, and clear escalation to CODE OB. Details ACLS modifications for difficult airway and respiratory decline, oxygen early, medication and cardioversion standardization, and perimortem C-section timing when no ROSC occurs. Includes manual left uterine displacement guidance, fetal monitor removal, magnesium sulphate considerations, and neonatal resuscitation steps plus “BEAU CHOPS/BEAUCHOPS” differential causes and postpartum hemorrhage assessment.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/acls-in-pregnancy-be-prepared/370822/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/acls-in-pregnancy-be-prepared/370822.png","ImageObject",300,407,{"name":92,"@type":93},"Sarah ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-24","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What are the key actions at the start of each shift for a pregnant patient requiring ACLS readiness?","Question",{"text":112,"@type":113},"Review the daily checklist, ensure all emergency equipment is available, and review neonatal equipment with PCCU and NICU teams. Also review emergency responses and know when and how to call CODE OB early when indicated.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What ACLS modifications are recommended for pregnant patients during cardiac arrest?",{"text":117,"@type":113},"Anticipate rapid respiratory decline and difficult airway, give 100% oxygen early, and page OB-anesthesia STAT for intubation. Use IV therapy above the diaphragm, keep hand positions the same as for non-pregnant patients, perform manual left uterine displacement, remove internal/external fetal monitoring, and consider stopping MgS04 infusion with calcium chloride if MgS04 is used.",{"name":119,"@type":110,"acceptedAnswer":120},"When should perimortem cesarean delivery be performed if there is no ROSC?",{"text":121,"@type":113},"Perform perimortem C-section at 4 minutes if no ROSC, with the primary goal of maternal survival. Caesarean may be performed using only a scalpel if needed, while a full cesarean tray is kept at the bedside.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},370822,1790531155,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":41},962085320529,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","2018/10/24  \nACLS in Pregnancy  \nBE Prepared!  \nAt the start of every shift when you have a pregnant patient:  \n• Review daily checklist  \n• Ensure all emergency equipment is available  \n• Review neonatal equipment with PCCU and NICU teams (familiarize everyone with environment)  \n• Review emergency responses; ensure all members of you Bay know what to do (MDs, RNs, RRTs, CN, Unit Clerk)  \n• Know how and when a CODE OB to call a CODE OB. When indicated, call early!  \nACLS and Emergency Response in the Pregnant Patient  \nCirculation. 2015; 132:1747-1773 1  \nBE PREPARED  \n• Q SHIFT:  \n– Review daily checklist  \n– Ensure all emergency equipment is available  \n– Review neonatal equipment with PCCU and NICU teams each shift  \n– Review emergency responses (CNs, RRTs, Unit Clerk, all nurses in the same Bay) each shift  \n– Know how and when a CODE OB is indicated  \n2  \n2018/10/24  \nACLS Modifications  \n1. Anticipate rapid respiratory decline and difficult airway  \n2. Provide 100% oxygen early  \n3. Page OB-Anaesthesia STAT; intubation by OB anaesthesia  \n4. IV therapy above the diaphragm  \n5. Hand positions THE SAME AS NON-PREGNANT  \n6. Manual left uterine displacement by assistant  \n7. Remove internal and external fetal monitoring  \n8. Stop Mg S04 infusion and consider calcium chloride administration (if MgS04 used)  \n9. Perimortem C section at 4 minutes if no ROSC (primary goal maternal survival)  \n10. Standard ACLS medication and cardioversion protocols  \n11. Consider “BEAU CHOPS”  \n12. Primary goal is saving mother  \n3  \nHand position the same for nonpregnant. It is no longer recommended to move the hands more cephalic.  \n4  \n2018/10/24  \nRemoval all internal and external fetal monitors  \nat the onset of maternal cardiac arrest  \n5  \nIf uterus is at or above the umbilicus, supine positioning can cause caval and aortic compression with reduced cardiac output. Use one or two handed left manual uterine displacement. Lateral rotation of bed or 30 degree wedge is not recommended for CPR.  \n6  \n2018/10/24  \n1. With patient supine, one healthcare provider standing on the right hand side of the patient applies leftward uterus displacement with ONE hand.  \n7  \n2. With patient supine, one healthcare provider standing on the left hand side of the patient displaces the uterus toward the left usingTWO hands.  \n8  \n2018/10/24  \nIf a patient arrests while receiving magnesium sulphate, calcium chloride administration should be considered.  \n9  \nFollow all other ACLS protocols for cardioversion,  \ndefibrillation and medications. The mother is always the priority.  \n10  \n2018/10/24  \nCaesarean delivery should be performed at 4 minutes if no ROSC for any woman with a visibly pregnant abdomen. The purpose of the emergency delivery is to facilitate CPR; the primary goal is maternal survival.  \nFetal outcomes may be better if Caesarean is performed at the onset of maternal decompensation.  \n11  \nAn emergency Caesarean can be performed if only a scalpel is available, however, a Caesarean tray is maintained at the bedside.  \n12  \n2018/10/24  \nAs soon as a maternal emergency is identified, turn on the infant warmer (manual) . PCCOT and NICU should review the setup at the start of each shift with assigned RN to familiarize themselves with available equipment and expectations.  \nCODE OB brings both PCCU and NICU teams; PCCU arrives first and is relieved by NICU upon their arrival.  \n13  \nNeonatal Resuscitation  \n• Warm:  \n– Turn warmer onto 50% manual as soon as maternal emergency identified  \n– Upon birth, skin probe must be applied to neonate and warmer mode changed to “baby” or“servo”mode. This adjusts warmer temperature to neonate’s skin temperature to prevent neonatal over heating  \n14  \n2018/10/24  \nOxygen and ventilation equipment should be reviewed by the NICU or PCCU RRT.  \n15  \nNeonate \u003C24-28 weeks gestation will be placed WET into food grade plastic bag to maintain heat  \n16  \n2018/10/24  \nNeonatal Resuscitation  \n• Position airway into a sniffing","cbCainFjlprWpLGE","https://ap.wps.com/l/cbCainFjlprWpLGE","pdf",832564,12,"English","# BE PREPARED\n## Q SHIFT preparation\n## ACLS Modifications\n## Removal of fetal monitors\n## Manual left uterine displacement\n## If on magnesium sulphate\n## Emergency Caesarean at 4 minutes\n## Neonatal Resuscitation\n## BEAUCHOPS causes if no ROSC\n## The Five T’s for postpartum hemorrhage\n## Recognition of PPH (SOGC, 2008)","[{\"question\":\"What are the key actions at the start of each shift for a pregnant patient requiring ACLS readiness?\",\"answer\":\"Review the daily checklist, ensure all emergency equipment is available, and review neonatal equipment with PCCU and NICU teams. Also review emergency responses and know when and how to call CODE OB early when indicated.\"},{\"question\":\"What ACLS modifications are recommended for pregnant patients during cardiac arrest?\",\"answer\":\"Anticipate rapid respiratory decline and difficult airway, give 100% oxygen early, and page OB-anesthesia STAT for intubation. Use IV therapy above the diaphragm, keep hand positions the same as for non-pregnant patients, perform manual left uterine displacement, remove internal/external fetal monitoring, and consider stopping MgS04 infusion with calcium chloride if MgS04 is used.\"},{\"question\":\"When should perimortem cesarean delivery be performed if there is no ROSC?\",\"answer\":\"Perform perimortem C-section at 4 minutes if no ROSC, with the primary goal of maternal survival. Caesarean may be performed using only a scalpel if needed, while a full cesarean tray is kept at the bedside.\"}]","ACLS in Pregnancy - BE Prepared | PDF",1790190542]