Anticipation and preparation for delivery room emergencies

Catherine Chang; Jeffrey Perlman

doi:10.1016/j.siny.2019.101031

Anticipation and preparation for delivery room emergencies

Semin Fetal Neonatal Med. 2019 Dec;24(6):101031. doi: 10.1016/j.siny.2019.101031. Epub 2019 Sep 23.

Authors

Catherine Chang¹, Jeffrey Perlman²

Affiliations

¹ Weill Cornell Medicine, 525 E. 68th Street, N-506 New York, NY, 10065, USA. Electronic address: cah9061@med.cornell.edu.
² Weill Cornell Medicine, 525 E. 68th Street, N-506 New York, NY, 10065, USA. Electronic address: jmp2007@med.cornell.edu.

PMID: 31594691
DOI: 10.1016/j.siny.2019.101031

Abstract

Effective communication is the keystone in the management of delivery room emergencies. A clearly defined framework and "shared mental model" optimize team collaboration and are essential when anticipating and preparing for high-stakes emergent cases. This review defines a framework to build shared mental models using dialogue, pre-briefing, checklists, simulation, debriefing and structured feedback to maintain a cohesive high functioning team. Strategies to approach different emergency lead-times will be discussed, and case examples will be used to illustrate concepts outlined.

Keywords: Communication; Emergencies; Newborn; Resuscitation; Simulation training.

Publication types

Review

MeSH terms

Delivery Rooms / organization & administration*
Emergencies
Emergency Treatment / methods*
Female
Humans
Interdisciplinary Communication
Models, Organizational
Obstetric Labor Complications / therapy*
Patient Care Team / organization & administration
Patient Care Team / standards
Pregnancy