Prehospital OB/GYN

[mikie]

Can paramedics or any prehospital advanced practitioner perform a Caesarean section 'in the field?'

What more advanced procedures in OB/GYN can I/M/CC/+ perform?

Thanks!

 

[Ridryder911]

That is a state dependent answer. Some states say no, while others may permit it under direct order of a physician. The debate entangles not being properly educated to perform it, and the other is some use the "medical practice act" to perform under direct orders of a physician.

Don't know what a I/M/CC is?

R/r 911

 

[mikie]

Don't know what a I/M/CC is?

Sorry! I was trying to abbreviate Intermediates, Paramedics & Critical Care and anything above that.

Thanks!

 

[firecoins]

2 medics in Jersey City got their New Jersey cards revolked after medical control intructed them to perform a C-Section on a dead mother but live child. They saved the child.

 

[reaper]

That's why we're not in NJ!!

 

[mikie]

has anyone preformed one?

 

[Ridryder911]

I have never in the field, but have assisted (helped retract & remove baby) in the Trauma Center setting. One only have 8 minutes from start to finish to do one. All were r/t trauma to mother beyond life capabilities. Both were successful, but one does not usually find physicians that will make that sacrifice and decision.

I was questioned on why I did not perform one on a MCI incident, but personally did not even consider due to the event & extent of injuries. I do not foresee me ever going towards that decision.

R/r 911

 

[Topher38]

Can paramedics or any prehospital advanced practitioner perform a Caesarean section 'in the field?'

What more advanced procedures in OB/GYN can I/M/CC/+ perform?

Thanks!

Watch the 3rd to the last episode of "saved".

The show isn't on anymore but hey did it.

 

[Ridryder911]

Watch the 3rd to the last episode of "saved".

The show isn't on anymore but hey did it.

Now you know why they are no longer on ....



(glad the show sucked)

R/r 911

 

[mikie]

Watch the 3rd to the last episode of "saved".

The show isn't on anymore but hey did it.

Yup, I remember that. Partially what sparked the question, seeing stuff like that prompted my question (not just Saved though).

 

[Ops Paramedic]

Not this side!! The main surgical procedures we roadside is a chest drain, and then the thoracotomy every so often for the very brave (or perhaps stupid??)...

 

[daedalus]

oops, did you just say thoracotomy on the roadside??
In the field?? For cardiac arrest you do open chest massage?

 

[LucidResq]

"Man held after woman killed, baby delivered by c-section"

I immediately thought of this post when I saw this story in the news. It says that EMTs delivered the baby by c-section.

It's kind of nuts to imagine this procedure being performed in the prehospital setting. I can't imagine too many circumstances that would justify it.

 

[mikie]

It's kind of nuts to imagine this procedure being performed in the prehospital setting. I can't imagine too many circumstances that would justify it.

Agreed.

What about the risks to the mother/baby? When in the field (littererly, not in the back of the ambulance). Everything not being sterile, risk of infection...complications (ie - something in her hx that we don't know about).

 

[rmellish]

Well, hopefully no risk of infection to the mother...if anyone's even considering a prehospital c-section, I'd hope she's too far gone to worry about sepsis.

Prehospital c-sections are perfect for overly dramatic TV shows though...