Rural Emergency Medicine Podcast Episode 1: Shoulder Dystocia
Sep 5, 2017
Dive into the world of rural emergency medicine with a gripping case of shoulder dystocia during delivery. Discover the unique challenges faced by providers in remote areas and their strategies for overcoming them. The discussion highlights effective techniques to manage this critical situation, underscoring the importance of these skills when immediate obstetric care is beyond reach. Tune in for valuable insights into high-stress medical scenarios that require quick thinking and skillful execution.
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Carl's Shoulder Dystocia Story
- Carl Richards shares a stressful delivery where shoulder dystocia occurred without specialists immediately available.
- He used maneuvers like McRoberts and manually delivering the posterior arm to successfully deliver the baby without injury.
Use McRoberts Maneuver First
- Perform the McRoberts maneuver by flexing and abducting the mother's hips to reposition the pelvis.
- This reorients the pelvic outlet, helping rotate the anterior shoulder to facilitate delivery.
HELPER Mnemonic for Shoulder Dystocia
- Always call for help first when shoulder dystocia occurs and prepare the team.
- Use the mnemonic HELPER for maneuvers: Help, Evaluate episiotomy, Legs (McRoberts), Pressure (suprapubic), Enter vagina (rotations), Remove arm, Roll patient.