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ForwardFundamentals of Critical Care Support - Obstetrics March 24 and 25, 2025
This is an in-person educational activity. Fundamentals of Critical Care Support Obstetrics provides training specific to treating the critically ill or injured pregnant patient. The course is recommended for healthcare professionals who may provide maternal/fetal critical care and for clinicians in obstetrics seeking critical care training.
Target Audience
This activity is designed for all healthcare providers who participated in patient care at all levels where there is a possibility of patient’s clinical status worsening acutely of presenting with serious illness. Other learner groups such as Paramedics and or prehospital responders would also benefit from this education.
Learning Objectives
At the completion of this course, the participant should be able to:
- recognize the physiologic changes during pregnancy that can make the diagnosis of thromboembolic disease more challenging
- describe diagnosis criteria for preeclampsia/eclampsia
- recognize the role of multidisciplinary management in surgical emergencies
- recognize the physiological changes during pregnancy that can make the diagnosis of thromboembolic disease more challenging
- manage neurologic complications of preeclampsia
DAY 1 SIMULATION LAB | ||
7:00 am – 7:30 am
7:30 am – 7:35 am | Registration/Continental Breakfast
Welcome and Course Introduction |
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7:35 am – 8:15 am | Physiologic Changes During Pregnancy Describes physiology of normal pregnancy and how it differs from the nonpregnant state. Addresses how this may affect recognition and management of critical illness.
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Hemodynamic Monitoring Discern risks and benefits of various means of hemodynamic Monitoring. Identify situations where advanced monitoring techniques are Indicated.
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9:00 am – 9:30 am | Airway Management in the Pregnant Patient Alterations in the airway during normal pregnancy and pathologic conditions such as preeclampsia; risk of, and approach to, the difficult airway in pregnancy; management of mechanical ventilation during pregnancy |
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9:30 am – 9:45 am | BREAK |
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9:45 am – 10:30 am | Preeclampsia/Eclampsia Describe the hypertensive diseases of pregnancy, the underpinning causes, and management, including both medical/pharmacologic and obstetric management.
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10:30 am – 11:15 am | Mechanical Ventilation Etiologies for respiratory failure in pregnancy will be addressed along with mechanical ventilation techniques in pregnancy and management of ARDS in pregnancy |
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11:15 am – 12:00 pm | Sepsis in Pregnancy Sepsis, increasingly a factor in severe acute maternal morbidity and maternal mortality, may arise from obstetric or nonobstetric sources. Definitions, risk factors, and management are described |
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12:00 pm – 12:30 pm | LUNCH |
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12:30 pm – 1:15 pm | Maternal Mortality and Cardiac Arrest Cardiorespiratory arrest in pregnancy requires consideration of not only the fetus but the role the gravid uterus plays in impeding CPR. Emergent cesarean delivery is a component of resuscitation for both mother and fetus.
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1:15 pm – 1:45 pm | Cardiac Conditions in Pregnancy
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1:45 pm – 2:00 pm | BREAK |
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2:00 pm – 2:45 pm 2:45 pm – 3:30 pm 3:30 pm – 4:15 pm | Skill Station: Mech Vent |
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| Skill Station: Cardiac Arrest in the Pregnant Patient (Mid Fidelity) Cardiac arrest in pregnancy requires some modification of CPR and may involve hysterotomy.
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| Skill station: Management of Severe Preeclampsia and Eclampsia Preeclampsia can manifest as severe hypertension or hypertension associated with end-organ disturbances. Untreated, it can progress to eclamptic seizures. Recognition and treatment are the focus of this skill station.
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5:00 pm | Day 1 Wrap-up - Adjourn |
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Day 2 SIMULATION LAB | ||
7:00 am – 7:30 am | Registration/Continental Breakfast |
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7:30 am – 8:15 am | Pregnancy-related Acute Kidney Injury - Acute renal failure can be a consequence of a number of obstetric conditions. The precipitants, classification, diagnosis and management are reviewed.
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8:15 am – 8:45 am | Neurocritical Care in Pregnancy |
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8:45 am – 9:15 am | Antepartum and, especially, postpartum hemorrhage contribute significantly to maternal mortality figures. This lecture reviews risk factors, preparations if hemorrhage is anticipated, and treatment modalities, including pharmacologic, mechanical, and surgical approaches.
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9:15 am – 9:30 am | BREAK |
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9:30 am – 10:00 am | Management of Delivery and Newborn Delivery in the ICU, while not common, may occur. Management of delivery and the immediate steps of newborn assessment and care are discussed. |
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10:00 am – 10:30 am | Fetal Evaluation and Fetal Concerns in the Seriously Ill Pregnant Patient The fetus may be a bystander when the mother is critically ill; concerns about fetal safety and well-being should not be allowed to delay care. Issues of fetal circulation, placental function, pharmacology, diagnostic imaging, and stages of fetal development are discussed.
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10:30 am – 11:15 am | Transport of the Critically Ill Pregnant Patient Transport of a critically ill pregnant patient, by ground or air, with attention paid to team selection and to equity of maternal and critical care concerns.
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11:15 am – 11:45 am | Trauma in Pregnancy - |
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11:45 am – 12:15 pm | Nonobstetrical Surgical Diseases in the Pregnant Patient Surgical conditions may be encountered during pregnancy, such as trauma, acute appendicitis, pancreatitis, cholecystitis, bowel obstruction. Identification and management of these conditions may be hampered by the fact of pregnancy.
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12:15 pm – 12:45 pm | LUNCH |
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12:45 pm – 1:30 pm | Thromboembolism Disease and Pregnancy Deep venous thrombosis, including lower extremity and pelvis, and pulmonary embolus, is a well-appreciated complication of pregnancy. Diagnosis, implications, and management are reviewed.
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1:30 pm – 1:45 pm | BREAK |
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1:45 pm – 2:30 pm | Skill Station: Trauma
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2:30 pm – 3:15 pm | Skill Station: Postpartum Hemorrhage(Mid Fidelity) This skill station will review basic management of postpartum hemorrhage that can be used in resource-limited venues and also review more advanced resuscitation of a woman with postpartum bleeding in venues where resources are more readily available.
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Skill Station: Delivery and Neonatal Resuscitation (High fidelity) Interpretation of fetal heart rate tracing, management of delivery, and resuscitation of the newborn.
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4:00 pm – 5:00 pm | Course Wrap Up and Post Test |
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The GEMS Center in located on the west end of the Geisinger Medical Center campus in Danville, Pa., and is housed in two separate buildings:
The GEMS Simulation Center is in the former Interim Lab Building (ILB). It is a small yellow brick building directly to the left of the annex. It contains three high-fidelity simulation rooms with attached control/observation rooms and a combination thirty-person classroom/task training room.
Accreditation
In support of improving patient care, Geisinger College of Health Sciences is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Designation
Geisinger College of Health Sciences designates this live activity for a maximum of 14 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the educational activity.
Geisinger College of Health Sciences designates this live activity for 14 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the educational activity.
Geisinger College of Health Sciences has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 14 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
This activity was planned by and for the healthcare team, and learners will receive 14 Interprofessional Continuing Education (IPCE) credits for learning and change.
Disclosure Policy
Faculty and all others who have the ability to control the content of continuing education activity sponsored by Geisinger College of Health Sciences must disclose to the program audience whether they do or do not have any real or apparent conflict(s) of interest or other relationships related to the content of their presentation(s).
Commercial Support
None
Available Credit
- 14.00 AAPA Category I CME
- 14.00 AMA PRA Category 1 Credit™
- 14.00 ANCC
- 14.00 Participation Credit