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Civilian Emergency Platform
DEVELOPMENT FIXTURE — Head delivered but anterior shoulder stuck behind pubic bone — neonatal emergency.
DEVELOPMENT FIXTURE — NOT EXPERT REVIEWED — NOT FOR PUBLIC DISTRIBUTION
DEVELOPMENT FIXTURE — Head out with body not following after gentle traction fails.
DEVELOPMENT FIXTURE — "Turtling" of fetal chin against mother.
Scene hazards: Brachial plexus injury, Hypoxia
DEVELOPMENT FIXTURE — Shout for help second pair hands.
DEVELOPMENT FIXTURE — McRoberts position both legs hyperflexed to abdomen.
DEVELOPMENT FIXTURE — Suprapubic pressure by assistant downward diagonal on stuck shoulder.
DEVELOPMENT FIXTURE — Time from head delivery — call out minutes to team.
DEVELOPMENT FIXTURE — 112 if home birth — shoulder dystocia manoeuvres ongoing.
DEVELOPMENT FIXTURE — Neonatal team for possible depressed baby.
DEVELOPMENT FIXTURE — Document manoeuvres brachial plexus exam post delivery.
DEVELOPMENT FIXTURE — Postpartum hemorrhage risk increased — monitor mother.
DEVELOPMENT FIXTURE — Do NOT fundal pressure — worsens impaction.
DEVELOPMENT FIXTURE — Do NOT pull head downward excessively — brachial injury.
MYTH: DEVELOPMENT FIXTURE — Pull harder on head when body stuck
REALITY: DEVELOPMENT FIXTURE — Excessive traction causes Erb palsy. McRoberts and suprapubic pressure first.
DANGER: DEVELOPMENT FIXTURE — Permanent arm paralysis from traction.
DEVELOPMENT FIXTURE — Turtle sign — head delivers then retracts against perineum.
DEVELOPMENT FIXTURE — Cord compression while stuck causes rapid hypoxia.