Maternal Collapse

🔑 Key Priorities

  • Initiate basic life support and determine cause

  • Expedite delivery if ≥ 20 weeks gestation

🧠 Team Actions

Role

Task

Team Leader

Declare collapse, start CPR, call obstetrics

Airway Manager

Intubate early, 100% O₂

Circulation

Manual LUD, IV access, CPR

🧭 Management Algorithm

  1. Call for help, initiate BLS

  2. Left uterine displacement or manual uterine tilt

  3. Early intubation and 100% O₂

  4. CPR: compressions may be higher on chest wall

  5. Identify reversible causes (bleeding, embolism, MI, etc.)

  6. If ≥ 20 weeks pregnant, consider perimortem C-section within 4 min

  7. Transfer to ICU if ROSC

🔄 Ideal Crisis Flow

            Maternal Collapse
                  ↓
         Call Help + Start BLS + LUD
                  ↓
         Intubate + Identify Cause
                  ↓
        Perimortem C/S if No ROSC @ 4 min
                  ↓
              ICU Transfer / Debrief

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