Resuscitative Hysterotomy

Probably the most feared of all resus skills! Cutting a foetus from a mothers abdomen is a difficult scenario to train for procedurally and psychologically. But the potential rewards are great - you might just save two lives.

Key points: 

  • You are doing it to save mum (you might save baby in the process)
  • The earlier it is done the better the chance of a favourable outcome
  • You need three high-functioning (and independent) teams working simultaneously
    • Maternal ALS
    • Hysterotomy
    • Neonatal Resus
  • The procedure itself is fairly unrefined: cut, cut, cut, hand in, baby out.

Hannah Bell