A-OK for AFE is not AOK

Apr 1, 2024

Dr. Stephanie Martin discusses the A-OK protocol for Amniotic Fluid Embolism management, reviewing case reports and sharing opinions. Topics include healthcare professionals' concerns, collaborations with AFE Foundation, decision-making in difficult cases, and limited scientific evidence for the AOK protocol.

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Exploring the AOK Protocol and Managing AFE

00:00 • 2min

Reflections on Managing Amniotic Fluid Embolism and the AOK Protocol

02:26 • 16min

Amniotic Fluid Embolism is a devastating and rare complication of pregnancy. The A-OK protocol is commonly advocated for as a life saving therapy in this scenario.
Dr Stephanie Martin reviews the case reports and discusses her opinions on the role of A-OK in AFE management.

Go to www.amnioticfluidembolism.org for access to a free educational program on AFE.

Case reports referenced:
Wothe JK, Elfstrand E, Mooney MR, Wothe DD. Rotational Thromboelastometry-Guided Venoarterial Extracorporeal Membrane Oxygenation in the Treatment of Amniotic Fluid Embolism. Case Rep Obstet Gynecol. 2022 May 18;2022:9658708. doi: 10.1155/2022/9658708. PMID: 35646404; PMCID: PMC9132692.

Long M, Martin J, Biggio J. Atropine, Ondansetron, and Ketorolac: Supplemental Management of Amniotic Fluid Embolism. Ochsner J. 2022 Fall;22(3):253-257. doi: 10.31486/toj.21.0107. PMID: 36189093; PMCID: PMC9477128.

Berry A, Salcedo A, Riba C. Atypical amniotic fluid embolism successfully treated with a novel protocol: A case report. J Case Rep Images Obstet Gynecol 2022;8:100109Z08AB2022.

Rezai S, Hughes AC, Larsen TB, Fuller PN, Henderson CE. Atypical Amniotic Fluid Embolism Managed with a Novel Therapeutic Regimen. Case Rep Obstet Gynecol. 2017;2017:8458375. doi: 10.1155/2017/8458375. Epub 2017 Dec 21. PMID: 29430313; PMCID: PMC5753013.

The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.

Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.

Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.

Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.

Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/

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