Komasawa Nobuyasu
Community Medicine Education Promotion Office Faculty of Medicine, Kagawa University Miki-cho Japan.
Department of Medical Education, Faculty of Medicine Kagawa University Miki-cho Japan.
Acute Med Surg. 2024 May 7;11(1):e962. doi: 10.1002/ams2.962. eCollection 2024 Jan-Dec.
This review underscores the crucial role of interdisciplinary collaboration in managing obstetric emergencies such as crisis bleeding. Prompt clinical judgment and coordinated interventions involving various departments are emphasized for the well-being of both the mother and newborn. The review explores the importance of emergency response infrastructure in obstetric facilities and delves into the 2022 Obstetric Crisis Bleeding Guidelines, emphasizing the relevance of a DIC score for severity assessment. The collaborative efforts within the operating room, involving different healthcare professionals, are detailed, stressing meticulous coordination during emergencies like massive bleeding. The necessity of interprofessional collaboration for building a responsive perioperative management team is discussed, with a focus on leadership, followership, and effective communication. The abstract also proposes simulation-based education for inter-departmental training, emphasizing a modified non-technical skill evaluation tool tailored to the unique characteristics of obstetric crisis management in the operating room. Continuous formative assessment of these factors is deemed essential for effective training in various obstetric emergency situations.
本综述强调了跨学科协作在处理产科紧急情况(如危机出血)中的关键作用。为了母亲和新生儿的健康,强调了及时的临床判断和涉及各个部门的协调干预。该综述探讨了产科设施中应急响应基础设施的重要性,并深入研究了《2022年产科危机出血指南》,强调了弥散性血管内凝血(DIC)评分在严重程度评估中的相关性。详细介绍了手术室中不同医疗专业人员的协作努力,强调了在大出血等紧急情况下的细致协调。讨论了建立一个反应迅速的围手术期管理团队所需的跨专业协作,重点是领导力、追随者能力和有效沟通。摘要还提议开展基于模拟的部门间培训教育,强调针对手术室产科危机管理独特特点的改良非技术技能评估工具。对这些因素进行持续的形成性评估被认为对于在各种产科紧急情况下进行有效培训至关重要。