Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of severe cardiorespiratory collapse during [labor/delivery/immediate postpartum period]. Symptoms include sudden onset of dyspnea, cyanosis, and profound hypotension. Patient reports [preceding chills/agitation/anxiety]. No history of prior cardiac or pulmonary disease.
Clinical Examination Findings
Vitals: Hypotension (BP <90 mmHg), tachycardia, tachypnea, and oxygen desaturation (SpO2 <90%). Cardiovascular: Signs of right ventricular strain, jugular venous distension. Respiratory: Diffuse crackles or wheezing on auscultation. Neurological: Altered mental status, seizures, or loss of consciousness. Obstetric: Uterine atony with associated hemorrhage.
Treatment Protocol
Immediate stabilization: ABCs (Airway, Breathing, Circulation). Initiate aggressive fluid resuscitation and vasopressor support. Administer high-flow oxygen; prepare for mechanical ventilation. Manage coagulopathy with blood product replacement (PRBCs, FFP, platelets, cryoprecipitate). Consider emergency cesarean delivery if patient is undelivered. Continuous fetal monitoring if applicable.