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Re: STAT Breech! How simulation can train, and refresh, physicians From: emilio porro (sanbonav@hotmail.com) Mon Jan 26 13:00:16 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: STAT Breech!" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: STAT Breech!" In reply to: Andrew Folley: "Re: STAT Breech!" Next in thread: Joanne Bulley, MD: "Re: STAT Breech!" I suggest to read this article :http://www.obgmanagement.com/article_pages.asp?AIDf50 How simulation can train, and refresh, physicians for critical OB eventsAnd if one collegue want to learn quickly can go as voluntary unpaied for one or two months in an african or asian ( for example Bangladesh) hospital and he or she will see and learn what probably will not see in ten or more years of practice in U.S.A.(without lawyers) Obviously under more experienced doctor surveillance and with the objective to help less lucky people. That is what happens also in my hospital. It would be interesting that a big hospital in U.S.A. and everywhere in rich countries would adopt an hospital in poor countries where send his doctors ,nurses and midwives with a limited absence (place of work manteined when coming back)with two big results:helping poor people and sanitary personal in U.S.A. with a big clinical experience . Yours faithfully Emilio Porro M.D. http://www.sanbonaventura.com Date: Mon, 26 Jan 2009 11:12:25 -0600 From: agfolley@hotmail.com To: ob-gyn-l@mail.obgyn.net Subject: Re: STAT Breech! Scenario is not uncommon. the last generation of OBs (>65 yo) would simply have delivered vaginal. Our generation (35-65) would at seriously consider delivering vaginal. The "present generation" (new grads to 35) perhaps have seen one vaginal breech in 4 years of residency and are left with no option other than emergency c-section. agf > Date: Sun, 25 Jan 2009 22:53:36 -0600 > From: el@lisse.na > To: ob-gyn-l@mail.obgyn.net > Subject: Re: STAT Breech! > > So, she arrived unbooked, fully dilated and buttocks on perineum and > they > phoned you within seconds of her arrival in Maternity? > > Tell us more :-)-O > > el > > On 26 Jan 2009, at 05:50 , ND84MD@aol.com wrote: > > > Got this stat page this morning, 0400. G5P4 with prior largest baby > > 9lbs, > > presented with buttocks at the introitus. nurse told me they were > > getting ready > > for a stat c/s and I needed to get there ASAP. > > I told them that as long as no one touched, pulled, manipulated or > > in any way > > harassed this patient she would deliver just fine and likely prior > > to my > > arrival. > > on my way in i get another page; this time from the nursing supervisor > > wanting to know why i wasn't taking this "emergency" more seriously. > > amazing. we deliver an average of 2800 babies a year and the only > > person on > > the labor floor who has seen a term breach was one of the midwives > > from > > Scotland. > > i guess the breech delivery truly is a lost art. > > baby delivered just fine within ten minutes of the first page; 8lbs > > 12 oz. > > > > CJ Stanley, MD, > > Ormond Beach, FL > Windows Live™: E-mail. Chat. Share. Get more ways to connect. See how it works. Next message: R. Daniel Braun: "Re: STAT Breech!" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: STAT Breech!" In reply to: Andrew Folley: "Re: STAT Breech!" Next in thread: Joanne Bulley, MD: "Re: STAT Breech!"

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