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Pretest 15: graviditet, frlossning & nyfdd resuscitering
Version 160829
TOC \o "1-2"
DEL I: GRAVIDITET OCH POSTPARTUM PAGEREF _Toc334044560 \h 2
1-Hjrt- lungrddning under graviditet PAGEREF _Toc334044561 \h 2
2-Vitalparametrar PAGEREF _Toc334044562 \h 3
3-Strlning PAGEREF _Toc334044563 \h 4
4-Preeklampsi & eklampsi PAGEREF _Toc334044564 \h 5
5-Brstsmrta och dyspn under graviditet och postpartum PAGEREF _Toc334044565 \h 6
6-Buksmrta under graviditet och postpartum PAGEREF _Toc334044566 \h 7
7-Huvudvrk under graviditet och postpartum PAGEREF _Toc334044567 \h 8
8-Vaginal bldning < v20 PAGEREF _Toc334044568 \h 9
9-Vaginal bldning > v20 PAGEREF _Toc334044569 \h 10
10-Amniotic fluid embolism (AFE) PAGEREF _Toc334044570 \h 11
11-Postpartumendometrit PAGEREF _Toc334044571 \h 12
12-Misshandel PAGEREF _Toc334044572 \h 13
DEL II: FRLOSSNING PAGEREF _Toc334044573 \h 14
1-Normal frlossning PAGEREF _Toc334044574 \h 14
2-Skulderdystoci PAGEREF _Toc334044575 \h 15
3-Stesbjudning PAGEREF _Toc334044576 \h 16
4-Postpartum bldning PAGEREF _Toc334044577 \h 17
DEL III: INITIALT OMHNDERTAGANDE AV NYFDDA PAGEREF _Toc334044578 \h 18
1-versikt PAGEREF _Toc334044579 \h 18
2-Airway PAGEREF _Toc334044580 \h 18
3-Breathing PAGEREF _Toc334044581 \h 19
4-Circulation PAGEREF _Toc334044582 \h 20
REFERENSER PAGEREF _Toc334044583 \h 21
DEL I: GRAVIDITET OCH POSTPARTUM
1-Hjrt- lungrddning under graviditet
a) Vilka tgrder rekommenderas av European Resuscitation Council fr att minimera pverkan av livmodern p IVC vid hjrt- lungrddning hos hggravida? ( HYPERLINK "http://ercguidelines.elsevierresource.com/european-resuscitation-council-guidelines-resuscitation-2015-section-4-cardiac-arrest-special" Truhlr 2015 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_1" \o "Truhlar, 2015 #1504" 1] s185)
b) Nr r akut sectio rekommenderad vid hjrtlungrddning hos gravida: lderna av fetus? tid sedan hjrtstopp? ( HYPERLINK "http://ercguidelines.elsevierresource.com/european-resuscitation-council-guidelines-resuscitation-2015-section-4-cardiac-arrest-special" Truhlr 2015 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_1" \o "Truhlar, 2015 #1504" 1] s186)
2-Vitalparametrar
a) Hur pverkar graviditeten vitalparametrar? (Rosen's 8th ed Chapter 177 ADDIN EN.CITE Morrison2013628[2]6286285Morrison, L.J.Toma, A.Gray, S.H.Marx, J.A.General Approach to the Pregnant PatientRosen's emergency medicine : concepts and clinical practice8th ed2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_2" \o "Morrison, 2013 #628" 2] s2272)
b) Vilken r den femte vitalparametern? (Rosen's 8th ed Chapter 177 ADDIN EN.CITE Morrison2013628[2]6286285Morrison, L.J.Toma, A.Gray, S.H.Marx, J.A.General Approach to the Pregnant PatientRosen's emergency medicine : concepts and clinical practice8th ed2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_2" \o "Morrison, 2013 #628" 2] s2272)
3-Strlning
a) Vad menas med "radiation exposure?" Vilken enhet anvnds? ( HYPERLINK "http://www.radiation-scott.org/radsource/2-0.htm" http://www.radiation-scott.org/radsource/2-0.htm 2.1)
b) Vad menas med "absorbed dose?" Vilken enhet anvnds? ( HYPERLINK "https://hps.org/publicinformation/ate/q10540.html" https://hps.org/publicinformation/ate/q10540.html)
c) Vad menas med "equivalent dose?" Vilken enhet anvnds? ( HYPERLINK "https://hps.org/publicinformation/ate/q10540.html" https://hps.org/publicinformation/ate/q10540.html)
d) Vad menas med "effective dose?" Vilken enhet anvnds?
( HYPERLINK "https://hps.org/publicinformation/ate/q10540.html" https://hps.org/publicinformation/ate/q10540.html)
e) Hur mnga mGy br inte verstigas vid rntgenunderskning av gravida? (Rosen's 8th ed Chapter 177 ADDIN EN.CITE Morrison2013628[2]6286285Morrison, L.J.Toma, A.Gray, S.H.Marx, J.A.General Approach to the Pregnant PatientRosen's emergency medicine : concepts and clinical practice8th ed2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_2" \o "Morrison, 2013 #628" 2] s2276)
f) Fyll i fljande tabell (Rosen's 8th ed Chapter 177 ADDIN EN.CITE Morrison2013628[2]6286285Morrison, L.J.Toma, A.Gray, S.H.Marx, J.A.General Approach to the Pregnant PatientRosen's emergency medicine : concepts and clinical practice8th ed2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_2" \o "Morrison, 2013 #628" 2] s2276)
UnderskningmGyLungrntgen med bukskyddCT thorax med bukskyddCT skalleLungscint (ventilation-perfusion scan)CT buk utan kontrastCT buk med kontrast
g) Hur konverterar man mGy till mrad? Hur mnga r 50 mGy i mrad? (Roberts 6th ed Chapter 72 ADDIN EN.CITE Dollard20131764[3]176417645Dollard, D.J.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Radiation in Pregnancy and Clinical Issues of Radiocontrast AgentsRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_3" \o "Dollard, 2013 #1764" 3] s1461)
h) Nr r fostrets hjrna mest knslig fr strlning? Vad ligger trskeln fr rntgeninducerad pverkan p barnets intelligens? (Roberts 6th ed Chapter 72 ADDIN EN.CITE Dollard20131764[3]176417645Dollard, D.J.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Radiation in Pregnancy and Clinical Issues of Radiocontrast AgentsRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_3" \o "Dollard, 2013 #1764" 3] s1463)
4-Preeklampsi & eklampsi
a) Vad r definitionen av preeklampsi? (HYPERLINK "http://www.lakartidningen.se/Functions/OldArticleView.aspx?articleId=15751"Gidlf 2010 ADDIN EN.CITE Gidlof20101763[4]1763176317Gidlof, S.Nisell, H.sebastian.gidlof@karolinska.seABC om preeklampsiLakartidningenLakartidningenLakartidningenLakartidningenLakartidningenLakartidningen3288-9210751-522011/02/08Antihypertensive Agents/therapeutic useConsensusFemaleFetal Diseases/etiologyHELLP Syndrome/diagnosis/drug therapyHumansHypertension, Pregnancy-Induced/classificationLabor, Induced*Pre-Eclampsia/diagnosis/drug therapy/etiology/prevention & controlPregnancyPregnancy OutcomePrognosisRisk FactorsUterine Artery/ultrasonography2010Dec 22Preeklampsi.0023-7205 (Print)
0023-7205 (Linking)21294352http://www.ncbi.nlm.nih.gov/pubmed/21294352swe[ HYPERLINK \l "_ENREF_4" \o "Gidlof, 2010 #1763" 4] s3288-9)
b) Vilka r riskfaktorer fr preeklampsi? (HYPERLINK "http://www.lakartidningen.se/Functions/OldArticleView.aspx?articleId=15751"Gidlf 2010 ADDIN EN.CITE Gidlof20101763[4]1763176317Gidlof, S.Nisell, H.sebastian.gidlof@karolinska.seABC om preeklampsiLakartidningenLakartidningenLakartidningenLakartidningenLakartidningenLakartidningen3288-9210751-522011/02/08Antihypertensive Agents/therapeutic useConsensusFemaleFetal Diseases/etiologyHELLP Syndrome/diagnosis/drug therapyHumansHypertension, Pregnancy-Induced/classificationLabor, Induced*Pre-Eclampsia/diagnosis/drug therapy/etiology/prevention & controlPregnancyPregnancy OutcomePrognosisRisk FactorsUterine Artery/ultrasonography2010Dec 22Preeklampsi.0023-7205 (Print)
0023-7205 (Linking)21294352http://www.ncbi.nlm.nih.gov/pubmed/21294352swe[ HYPERLINK \l "_ENREF_4" \o "Gidlof, 2010 #1763" 4] s3290)
c) Vilka organ kan pverkas vid svr preeklampsi? (HYPERLINK "http://www.lakartidningen.se/Functions/OldArticleView.aspx?articleId=15751"Gidlf 2010 ADDIN EN.CITE Gidlof20101763[4]1763176317Gidlof, S.Nisell, H.sebastian.gidlof@karolinska.seABC om preeklampsiLakartidningenLakartidningenLakartidningenLakartidningenLakartidningenLakartidningen3288-9210751-522011/02/08Antihypertensive Agents/therapeutic useConsensusFemaleFetal Diseases/etiologyHELLP Syndrome/diagnosis/drug therapyHumansHypertension, Pregnancy-Induced/classificationLabor, Induced*Pre-Eclampsia/diagnosis/drug therapy/etiology/prevention & controlPregnancyPregnancy OutcomePrognosisRisk FactorsUterine Artery/ultrasonography2010Dec 22Preeklampsi.0023-7205 (Print)
0023-7205 (Linking)21294352http://www.ncbi.nlm.nih.gov/pubmed/21294352swe[ HYPERLINK \l "_ENREF_4" \o "Gidlof, 2010 #1763" 4] s3288) Vad str HELLP fr? (HYPERLINK "http://www.lakartidningen.se/Functions/OldArticleView.aspx?articleId=15751"Gidlf 2010 ADDIN EN.CITE Gidlof20101763[4]1763176317Gidlof, S.Nisell, H.sebastian.gidlof@karolinska.seABC om preeklampsiLakartidningenLakartidningenLakartidningenLakartidningenLakartidningenLakartidningen3288-9210751-522011/02/08Antihypertensive Agents/therapeutic useConsensusFemaleFetal Diseases/etiologyHELLP Syndrome/diagnosis/drug therapyHumansHypertension, Pregnancy-Induced/classificationLabor, Induced*Pre-Eclampsia/diagnosis/drug therapy/etiology/prevention & controlPregnancyPregnancy OutcomePrognosisRisk FactorsUterine Artery/ultrasonography2010Dec 22Preeklampsi.0023-7205 (Print)
0023-7205 (Linking)21294352http://www.ncbi.nlm.nih.gov/pubmed/21294352swe[ HYPERLINK \l "_ENREF_4" \o "Gidlof, 2010 #1763" 4] s3289)
d) Nr r det indicerat att akut snka blodtrycket? Vilka lkemedel anvnds i Sverige? (HYPERLINK "http://www.lakartidningen.se/Functions/OldArticleView.aspx?articleId=15751"Gidlf 2010 ADDIN EN.CITE Gidlof20101763[4]1763176317Gidlof, S.Nisell, H.sebastian.gidlof@karolinska.seABC om preeklampsiLakartidningenLakartidningenLakartidningenLakartidningenLakartidningenLakartidningen3288-9210751-522011/02/08Antihypertensive Agents/therapeutic useConsensusFemaleFetal Diseases/etiologyHELLP Syndrome/diagnosis/drug therapyHumansHypertension, Pregnancy-Induced/classificationLabor, Induced*Pre-Eclampsia/diagnosis/drug therapy/etiology/prevention & controlPregnancyPregnancy OutcomePrognosisRisk FactorsUterine Artery/ultrasonography2010Dec 22Preeklampsi.0023-7205 (Print)
0023-7205 (Linking)21294352http://www.ncbi.nlm.nih.gov/pubmed/21294352swe[ HYPERLINK \l "_ENREF_4" \o "Gidlof, 2010 #1763" 4] s3291)
e) Hur behandlas krampanfall vid eklampsi? (Rosen's 8th ed Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2292)
5-Brstsmrta och dyspn under graviditet och postpartum
a) Vilken r huvudorsak till akut hjrtinfarkt peri- postpartum? ( HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=22813362" Sahni 2012 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_6" \o "Sahni, 2012 #950" 6] s345)
b) Vilka r riskfaktorer fr aortadissektion under graviditet? Nr sker aortadissektion hos gravida? ( HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=22813362" Sahni 2012 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_6" \o "Sahni, 2012 #950" 6] s351)
c) Med hur mnga gnger r risken fr vens tromboembolism kad hos gravida jmfrt med icke-gravida? Nr i frhllande till graviditeten frekommer DVT? Nr i frhllande till graviditeten och frlossningen frekommer lungemboli? ( HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=18987370" Marik 2008 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_7" \o "Marik, 2008 #1593" 7] s2025)
d) Vilka symptom kan tala fr trombos i vena iliaca? ( HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=18987370" Marik 2008 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_7" \o "Marik, 2008 #1593" 7] s2025)
e) r det evidensbaserat att anvnda Wells score m e d c u t - o f f d" 4 f r a t t b e d m a s a n n o l i k h e t e n f r l u n g e m b o l i h o s g r a v i d a ? ( H Y P E R L I N K " h t t p : / / w w w . n c b i . n l m . n i h . g o v / p u b m e d / ? t e r m = 1 6 4 0 3 9 2 9 " v a n B e l l e 2 0 0 6 A D D I N E N . C I T E A D D I N E N . C I T E . D A T A [ H Y P E R L I N K \ l " _ E N R E F _ 8 " \ o " v a n B e l l e , 2 0 0 6 # 5 4 0 " 8 ] s174 exclusion criteria)
f) Fr man utesluta lungemboli hos gravida med ett negativt d-dimer enligt ESC? ( HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=25173341" Konstantinides 2014 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_9" \o "Konstantinides, 2014 #456" 9] s34; HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/25326500" Rhead 2014 ADDIN EN.CITE Rhead20141765[10]1765176517Rhead, S.Ferguson, C.Towards evidence based emergency medicine: Best BETs from the Manchester Royal Infirmary. BET 2: Current evidence does support the use of a negative D-dimer to rule out suspected pulmonary embolism in pregnancyEmerg Med JEmergency medicine journal : EMJEmerg Med JEmergency medicine journal : EMJEmerg Med JEmergency medicine journal : EMJ946-731112014/10/19AdultBiomarkers/blood*Evidence-Based Emergency MedicineFemaleFibrin Fibrinogen Degradation Products/*analysisHumansPregnancyPregnancy Complications/*diagnosisPulmonary Embolism/*diagnosis2014Nov1472-0213 (Electronic)
1472-0205 (Linking)25326500Reviewhttp://www.ncbi.nlm.nih.gov/pubmed/2532650010.1136/emermed-2014-204290.2eng[ HYPERLINK \l "_ENREF_10" \o "Rhead, 2014 #1765" 10] abstrakt)
g) Vad rekommenderar ESC som nsta underskning om d-dimer r positiv hos gravida? ( HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=25173341" Konstantinides 2014 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_9" \o "Konstantinides, 2014 #456" 9] s34)
h) Vad rekommenderar Nyman et al som frstavals rntgen underskning fr att utesluta lungemboli hos gravida? ( HYPERLINK "http://www.lakartidningen.se/Functions/OldArticleView.aspx?articleId=14150" Nyman 2010 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_11" \o "Nyman, 2010 #1596" 11] s994)
i) I hur lnge r risken fr vens tromboembolism kad under den postpartum perioden? ( HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=24785851" Tepper 2014 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_12" \o "Tepper, 2014 #1766" 12] abstrakt; HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=24524551" Kamel 2014 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_13" \o "Kamel, 2014 #1767" 13] abstrakt)
j) Frutom lungemboli, vilket graviditetsrelaterat tillstnd br vervgas hos en postpartum kvinna som sker till akuten p grund av dyspn? ( HYPERLINK "http://www.lakartidningen.se/Klinik-och-vetenskap/Klinisk-oversikt/2013/06/Peripartumkardiomyopati-fruktad-diagnos-som-ofta-missas/" Abdon 2013 ADDIN EN.CITE Abdon20131768[14]1768176817Abdon, N.J.Herlitz, J.Andersson, B.Peripartumkardiomyopati: fruktad diagnos som ofta missasLakartidningenLakartidningenLakartidningen1152-411023-242013[ HYPERLINK \l "_ENREF_14" \o "Abdon, 2013 #1768" 14])
6-Buksmrta under graviditet och postpartum
a) Varfr misdiagnostiseras akut appendicit under graviditeten? (Rosen's 8th Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2293-4)
b) Hur utreder man en gravid kvinna dr anamnes-status-basala prov talar fr akut appendicit? (Rosen's 8th Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2294)
c) Varfr r ovarialtorsion mer frekvens hos gravida ( HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=17175876" Martin 2006 ADDIN EN.CITE Martin20061769[15]1769176917Martin, C.Magee, K.Faculty of Medicine, University of Western Ontario, London, Ont.Ovarian torsion in a 20-year-old patientCJEMCjemCJEMCjemCJEMCjem126-9822006/12/21Abdominal Pain/*etiologyAdultDermoid Cyst/*diagnosisFemaleHumansOvarian Neoplasms/*diagnosisTorsion Abnormality/diagnosis/etiology2006Mar1481-8035 (Print)
1481-8035 (Linking)17175876Case Reportshttp://www.ncbi.nlm.nih.gov/pubmed/17175876eng[ HYPERLINK \l "_ENREF_15" \o "Martin, 2006 #1769" 15] s127)?
d) Vad r den klassiska presentationen av ovarialtorsion? Fyll i tabellen nedan ( HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=17175876" Martin 2006 ADDIN EN.CITE Martin20061769[15]1769176917Martin, C.Magee, K.Faculty of Medicine, University of Western Ontario, London, Ont.Ovarian torsion in a 20-year-old patientCJEMCjemCJEMCjemCJEMCjem126-9822006/12/21Abdominal Pain/*etiologyAdultDermoid Cyst/*diagnosisFemaleHumansOvarian Neoplasms/*diagnosisTorsion Abnormality/diagnosis/etiology2006Mar1481-8035 (Print)
1481-8035 (Linking)17175876Case Reportshttp://www.ncbi.nlm.nih.gov/pubmed/17175876eng[ HYPERLINK \l "_ENREF_15" \o "Martin, 2006 #1769" 15] s127-8)
OnsetPosition: locationPosition: radiationQualityRelieving/aggravatingSeverityTime: courseTime: prior episodePOBuk palpation
7-Huvudvrk under graviditet och postpartum
a) Vilka orsaker till huvudvrk kar / minskar i sannolikheten under graviditeten? (Rosen's 8th ed Chapter 177 ADDIN EN.CITE Morrison2013628[2]6286285Morrison, L.J.Toma, A.Gray, S.H.Marx, J.A.General Approach to the Pregnant PatientRosen's emergency medicine : concepts and clinical practice8th ed2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_2" \o "Morrison, 2013 #628" 2] s2276-7)
b) Lim et al rekommenderar minneshjlp PARTUM fr diffdiagnostik av huvudvrk post-partum. Vad str PARTUM fr? ( HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=23986526" Lim 2014 ADDIN EN.CITE Lim20141770[16]1770177017Lim, S. Y.Evangelou, N.Jurgens, S.Department of Clinical Neurology, Queen's Medical Centre, , Nottingham, UK.Postpartum headache: diagnostic considerationsPract NeurolPractical neurologyPract NeurolPractical neurologyPract NeurolPractical neurology92-91422013/08/30FemaleHeadache/classification/*diagnosis/etiologyHumansMagnetic Resonance AngiographyMagnetic Resonance Imaging*Postpartum PeriodPregnancyPregnancy Complications/*diagnosis/*physiopathologyTomography Scanners, X-Ray Computed2014Apr1474-7766 (Electronic)
1474-7758 (Linking)23986526Reviewhttp://www.ncbi.nlm.nih.gov/pubmed/2398652610.1136/practneurol-2013-000664eng[ HYPERLINK \l "_ENREF_16" \o "Lim, 2014 #1770" 16] s1)
8-Vaginal bldning < v20
a) Vad r differentialdiagnostik av vaginalbldning hos en patient med positiv gravtest under tidig graviditet? (Rosen's 8th ed Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2283 Differential Considerations)
b) Vilka r skorsaker hos patienter med ektopisk graviditet? (Rosen's 8th ed Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2285)
c) Vilka r riskfaktorer fr ektopisk graviditet? (Rosen's 8th ed Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2284 Principles of Disease)
d) r anamnes och status tillrckliga fr att diagnostisera eller utesluta ektopisk graviditet? (Rosen's 8th ed Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2285)
e) Hur hjlper kvantitativ plasma hCG vid diagnostik? Vad menas med sonographic discriminatory zone? (Rosen's 8th ed Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2283 + 2286-7)
9-Vaginal bldning > v20
a) Vad r differentialdiagnostik av vaginal bldning under andra hlften av graviditeten? (Rosen's 8th ed Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2288-9)
b) Vilka r riskfaktorer fr abruptio placentae? (Rosen's 8th Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2289)
c) Vilka kliniska fynd kan frekomma vid abruptio placentae? (Rosen's 8th Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2289)
d) Vilka r riskfaktorer fr placenta previa? (Rosen's 8th Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2290)
e) Vilka kliniska fynd kan frekomma vid placenta previa? (Rosen's 8th Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2290)
f) Vad br ing eller inte ing i en gynunderskning vid vaginal bldning v20+? (Rosen's 8th Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2290)
g) Hur hjlper ultraljud vid diagnostik av abruptio placentae alt placenta previa? (Rosen's 8th ed Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2289-90)
10-Amniotic fluid embolism (AFE)
a) I vilka sammanhang frekommer AFE? (Rosen's 8th Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2292)
b) Vilka kliniska fynd kan resultera frn AFE? (Rosen's 8th Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2292)
c) Hur behandlas AFE? (Rosen's 8th Chapter 178 ADDIN EN.CITE Houry20131761[5]176117615Houry, D.E.Salhi, B.A.Marx, J.A.Acute Complications of PregnancyRosen's emergency medicine : concepts and clinical practice2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_5" \o "Houry, 2013 #1761" 5] s2293)
11-Postpartumendometrit
a) Vilka r riskfaktorer fr postpartumendometrit? (Rosen's 8th ed Chapter 181 ADDIN EN.CITE Desai20131760[17]176017605Desai, S.Henderson, S.O.Marx, J.A.Labor and Delivery and Their ComplicationsRosen's emergency medicine : concepts and clinical practice8th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_17" \o "Desai, 2013 #1760" 17] s2350)
b) Vilka kliniska fynd frekommer vid postpartumendometri? (Rosen's 8th ed Chapter 181 ADDIN EN.CITE Desai20131760[17]176017605Desai, S.Henderson, S.O.Marx, J.A.Labor and Delivery and Their ComplicationsRosen's emergency medicine : concepts and clinical practice8th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_17" \o "Desai, 2013 #1760" 17] s2350)
c) Hur behandlas postpartumendometrit? (Rosen's 8th ed Chapter 181 ADDIN EN.CITE Desai20131760[17]176017605Desai, S.Henderson, S.O.Marx, J.A.Labor and Delivery and Their ComplicationsRosen's emergency medicine : concepts and clinical practice8th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_17" \o "Desai, 2013 #1760" 17] s2350)
12-Misshandel
a) Hur prevalent r misshandel under graviditet? (Rosen's 8th ed Chapter 177 ADDIN EN.CITE Morrison2013628[2]6286285Morrison, L.J.Toma, A.Gray, S.H.Marx, J.A.General Approach to the Pregnant PatientRosen's emergency medicine : concepts and clinical practice8th ed2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_2" \o "Morrison, 2013 #628" 2] s2278)
b) Vilka r riskfaktorer fr misshandel under graviditet? (Rosen's 8th ed Chapter 177 ADDIN EN.CITE Morrison2013628[2]6286285Morrison, L.J.Toma, A.Gray, S.H.Marx, J.A.General Approach to the Pregnant PatientRosen's emergency medicine : concepts and clinical practice8th ed2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_2" \o "Morrison, 2013 #628" 2] s2278)
DEL II: FRLOSSNING
1-Normal frlossning
a) Vilka r det fyra stadium (stages) vid en normal frlossning? (Rosen's 8th ed Chapter 181 ADDIN EN.CITE Desai20131760[17]176017605Desai, S.Henderson, S.O.Marx, J.A.Labor and Delivery and Their ComplicationsRosen's emergency medicine : concepts and clinical practice8th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_17" \o "Desai, 2013 #1760" 17] s2332-8)
b) Var stter du dina hnder nr barnets huvud r p vg ut och varfr? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1166; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnoter 3 & 4)
c) Vad gr du nr barnets huvud har kommit ut? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1166; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnot 5)
d) Hur underlttar du frlossningen av den anteriora axeln? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1166; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnot 6)
e) Hur underlttar du frlossningen av den posteriora axeln? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1166; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning)
f) Var klipper man navelstrngen? Finns det ngon brdska att klippa den? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1166; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnot 9)
2-Skulderdystoci
a) Nr br man misstnka skulderdystoci? Vad menas med turtle sign? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Skulderdystoci Introduktion)
b) Varfr r skulderdystoci ett akut tillstnd? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Skulderdystoci Introduktion)
c) Vilken r den frsta och minst invasiva tgrden vid handlggning av skulderdystoci? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1169; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnot 10)
d) Vad kan du och en assistent gra om McRoberts manver inte rcker till? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1169; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnot 11)
e) Vid utebliven effekt r nsta steg r att vrida barnet. Hur gr man det? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1169; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnot 12)
f) Om ven vridningsfrsk misslyckas, vad r nsta steg? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1169; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnot 13)
Fljande video illustrerar en del av momenten: HYPERLINK "http://www.youtube.com/watch?v=j_bibDLPW98" http://www.youtube.com/watch?v=j bibDLPW98
3-Stesbjudning
a) Du arbetar prehospitalt och kallas till en stesbjudning. En fot har kommit ut. Br du dra p den? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnot 18)
b) Vad kan du gra fr att bromsa frlossningen tills ni nr BB? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1162; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnot 17)
c) Barnet har kommit ut spontant upp till navelnivn. Hur hller du bebisen fr att undvika skada bukorgan? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1169; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnot 19)
d) Hur fr du ut den posteriora axeln och armen? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1169 + 1172; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnoter 20 & 21)
e) Vad bestr Mauriceaus manver av och hur fungerar den? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1172; HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Frlossning Fotnoter 24-27)
Fljande video visar en del av dessa moment: HYPERLINK "https://www.youtube.com/watch?v=Z9rDkY2a9ZU" https://www.youtube.com/watch?v=Z9rDkY2a9ZU
4-Postpartum bldning
a) Vilken r den vanligaste orsaken till postpartum bldning som sker direkt efter frlossning? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1174)
b) Vilka icke-invasiva tgrder kan provas frst fr att tgrda bldning frn misstnkt uterusatoni? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1174)
c) Vad gr du om bldningen fortstter trots massage av livmodern genom bukvggen och Syntocinon dropp? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1174-5)
d) Vilka kliniska fynd talar fr inversio uteri? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1175)
e) Hur stller man tillbaka livmodern manuellt? (Roberts 6th ed Chapter 56 ADDIN EN.CITE Lew20131762[18]176217625Lew, G.H.Pulia, M.S.Custalow, Catherine B.Hedges, Jerris R.Roberts, James R.Thomsen, Todd W.Emergency ChildbirthRoberts and Hedges' clinical procedures in emergency medicine6th2013Philadelphia, PAElsevier/Saunders[ HYPERLINK \l "_ENREF_18" \o "Lew, 2013 #1762" 18] s1175)
f) Vid postpartum uterusatoni kan bldningen uppn 3,5 liter ver 5 min. Hur kan man stoppa en katastrofal postpartumbldning? ( HYPERLINK "http://www.lakartidningen.se/Functions/OldArticleView.aspx?articleId=18551" Aronsson 2012 ADDIN EN.CITE Aronsson2012317[19]31731717Aronsson, A.Bergstrm, S.Kvinnokliniken, Karolinska universitetssjukhuset Solna. annette.aronsson@karolinska.seAbdominell kompression av aorta effektiv vid svar postpartumblodning.LakartidningenLakartidningenLakartidningenLakartidningenLakartidningenLakartidningen1478-8010934-352012/09/22Aorta, Abdominal/ultrasonographyFemaleFemoral Artery/ultrasonography*Hemostatic TechniquesHumansPostpartum Hemorrhage/etiology/*therapy/ultrasonographyPregnancyTreatment OutcomeUterine Inertia/therapy2012Aug 22-Sep 4Abdominell kompression av aorta effektiv vid svar postpartumblodning.0023-7205 (Print)
0023-7205 (Linking)22993898http://www.ncbi.nlm.nih.gov/pubmed/22993898swe[ HYPERLINK \l "_ENREF_19" \o "Aronsson, 2012 #317" 19]).
DEL III: INITIALT OMHNDERTAGANDE AV NYFDDA
1-versikt
Vilka bedmningar och tgrder ingr vid versikt i SWESEMs algoritm fr det initiala omhndertagandet av den nyfdda? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initalt omhndertagandet av det nyfdda barnet)
2-Airway
a) Hur positionerar man huvudet av det nyfdda barnet om barnet inte skriker? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initialt omhndertagande av det nyfdda barnet)
b) Nr r det indicerat att suga rent munhlan? Vad r risken med att suga rent munhlan? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initialt omhndertagande av det nyfdda barnet Fotnot 4)
3-Breathing
a) Nr r det aktuellt att ventilera barnet? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initialt omhndertagande av det nyfdda barnet Fotnot 6)
b) Hur skiljs de frsta inblsningarna frn efterfljande inblsningarna? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initialt omhndertagande av det nyfdda barnet Fotnot 6)
c) Hur fort ventilerar du det nyfdda barnet? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initialt omhndertagande av det nyfdda barnet Fotnot 6)
d) Varfr r det vsentligt att bekrfta adekvat ventilation vid resuscitering av det nyfdda? Hur gr man det? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initialt omhndertagande av det nyfdda barnet Fotnot 6)
4-Circulation
a) Hur bedmer du cirkulationen? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initialt omhndertagande av det nyfdda barnet Fotnot 8)
b) Nr r det indicerat att ge brstkompressioner? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initialt omhndertagande av det nyfdda barnet)
c) Var stter du dina hnder? Hur djupt komprimerar du? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initialt omhndertagande av det nyfdda barnet Fotnot 9)
d) Hur snabbt komprimerar du? Vilket r kvotet mellan kompressioner och ventilationer? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initialt omhndertagande av det nyfdda barnet Fotnot 9; HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=19460594" Rigo 2009 ADDIN EN.CITE Rigo20091104[20]1104110417Rigo, V.Rigo, J.Newborns need another tune: "I will survive" sets neonatal resuscitation rhythmAnn Emerg MedAnnals of emergency medicineAnn Emerg MedAnnals of emergency medicineAnn Emerg MedAnnals of emergency medicine8375362009/05/23Cardiopulmonary Resuscitation/methods/*standardsHumansInfant, NewbornMusic*Practice Guidelines as Topic2009Jun1097-6760 (Electronic)
0196-0644 (Linking)19460594Letterhttp://www.ncbi.nlm.nih.gov/pubmed/1946059410.1016/j.annemergmed.2008.11.029eng[ HYPERLINK \l "_ENREF_20" \o "Rigo, 2009 #1104" 20])
e) Vilka val har du gllande intravensa infarter? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initialt omhndertagande av det nyfdda barnet)
f) Du har inte mjligheten att stta en intraosses nl och vljer att stta en kateter i navelvenet. Du tittar p navelstrngen och ser tre krl. Vilket r venet? ( HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=18843120" Anderson 2008 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_21" \o "Anderson, 2008 #1771" 21] 2:20) Hur djupt stter du in navelvenskatetern vid en akut situation? ( HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=18843120" Anderson 2008 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_21" \o "Anderson, 2008 #1771" 21] 11:40)
g) Hur resonerar du kring vtsketillfrsel? ( HYPERLINK "http://ercguidelines.elsevierresource.com/european-resuscitation-council-guidelines-resuscitation-2015-section-7-resuscitation-and-support" Wyllie 2015 ADDIN EN.CITE ADDIN EN.CITE.DATA [ HYPERLINK \l "_ENREF_22" \o "Wyllie, 2015 #1657" 22] s257)
h) Nr r adrenalin aktuell? Hur mycket? ( HYPERLINK "http://swesem.org/category/Utbildning/SWESEMs-utbildningsmaterial" SWESEMs kompetensdokument Initialt omhndertagande av det nyfdda barnet Fotnot 12)
REFERENSER
ADDIN EN.REFLIST 1. Truhlar, A., et al., European Resuscitation Council Guidelines for Resuscitation 2015: Section 4. Cardiac arrest in special circumstances. Resuscitation, 2015. 95: p. 148-201.
2. Morrison, L.J., A. Toma, and S.H. Gray, General Approach to the Pregnant Patient, in Rosen's emergency medicine : concepts and clinical practice, J.A. Marx, Editor 2013, Elsevier/Saunders: Philadelphia, PA.
3. Dollard, D.J., Radiation in Pregnancy and Clinical Issues of Radiocontrast Agents, in Roberts and Hedges' clinical procedures in emergency medicine, C.B. Custalow, et al., Editors. 2013, Elsevier/Saunders: Philadelphia, PA.
4. Gidlof, S. and H. Nisell, ABC om preeklampsi. Lakartidningen, 2010. 107(51-52): p. 3288-92.
5. Houry, D.E. and B.A. Salhi, Acute Complications of Pregnancy, in Rosen's emergency medicine : concepts and clinical practice, J.A. Marx, Editor 2013, Elsevier/Saunders: Philadelphia, PA.
6. Sahni, G., Chest pain syndromes in pregnancy. Cardiol Clin, 2012. 30(3): p. 343-67.
7. Marik, P.E. and L.A. Plante, Venous thromboembolic disease and pregnancy. N Engl J Med, 2008. 359(19): p. 2025-33.
8. van Belle, A., et al., Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography. JAMA, 2006. 295(2): p. 172-9.
9. Konstantinides, S.V., et al., 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism: The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC) Endorsed by the European Respiratory Society (ERS). Eur Heart J, 2014.
10. Rhead, S. and C. Ferguson, Towards evidence based emergency medicine: Best BETs from the Manchester Royal Infirmary. BET 2: Current evidence does support the use of a negative D-dimer to rule out suspected pulmonary embolism in pregnancy. Emerg Med J, 2014. 31(11): p. 946-7.
11. Nyman, U., et al., Diagnostik av lungemboli hos gravida skintigrafi eller datortomografi? Lakartidningen, 2010. 107(15): p. 989-94.
12. Tepper, N.K., et al., Postpartum venous thromboembolism: incidence and risk factors. Obstet Gynecol, 2014. 123(5): p. 987-96.
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