Precipitous Delivery

This episode of the Pediatric Emergency Playbook focuses on precipitous deliveries and immediate care in the emergency department. The host uses the analogy of the grasshopper and the ants to emphasize the importance of being prepared. The episode covers the stages of labor, essential steps for managing postpartum hemorrhage such as uterine massage, cord traction using the Brandt-Andrews maneuver, and the administration of uterotonic medications like oxytocin. It also addresses potential complications like nuchal cords, prolapsed cords, shoulder dystocia, and breech deliveries, providing detailed instructions and maneuvers for managing each scenario, including a description of the symphysiotomy procedure as a last resort. The host stresses the importance of readiness and teamwork in handling these high-pressure situations.