Help a mother out: The impact of acute care surgeon response in postpartum hemorrhage

Help a mother out: The impact of acute care surgeon response in postpartum hemorrhage

A Code White (CW) activation is a hospital-wide alert for postpartum hemorrhage (PPH) and acute care surgeons (ACS) were added to the response team to assist in resuscitation. A multidisciplinary training program was also implemented. This study aimed to evaluate the impact of ACS involvement and tr...

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Veröffentlicht in:The American journal of surgery 2023-12, Vol.226 (6), p.882-885
Hauptverfasser: Lee, Janet S., Day, Gregory, Valentino, Daniel, Hedges, Caroline, Decker, Cassie, Booth, Jessica, Lockey, Renee, Schroeppel, Thomas J.
Format: Artikel
Sprache:eng
Schlagworte:
Blood
Blood platelets
Case reports
Cesarean section
Hemoglobin
Hemorrhage
Hemorrhagic shock
Hospitals
Hysterectomy
Intensive care
Maternal mortality
Medical records
Mortality
Obstetrics
Patients
Placenta
Placental abruption
Postpartum
Statistical analysis
Surgeons
Training
Trauma centers
Workshops
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Zusammenfassung:A Code White (CW) activation is a hospital-wide alert for postpartum hemorrhage (PPH) and acute care surgeons (ACS) were added to the response team to assist in resuscitation. A multidisciplinary training program was also implemented. This study aimed to evaluate the impact of ACS involvement and training on maternal outcomes. A retrospective review was performed on all CW activations from 1/1/2015–8/31/2022. Three groups—pre-ACS response, ACS response, and ACS response + training (R&T)—were compared. 218 patients had CW activations. ACS response increased MTP activations (50.0%vs76.5%vs76.2%, p = 0.014) and TXA administration (50.0%vs96.5%vs93.3%, p 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2023.07.032