Medical Interactive Community

EFM Case Study #16: Equipment Interpretation Failure

Perinatal clinicians are frequently unaware of the equipment limitations they use routinely. Non-invasive blood pressure machines, pulse oximeters, and electronic fetal monitors have an average failure rate of 2-3%. Machines, and the human that use them, are fallible. Understanding how a piece of equipment works, anticipating limitations under certain clinical conditions, and then modifying care is necessary for a patient’s safety. Over reliance on equipment breeds errors and increases malpractice risk.

EFM Case Study #17: Oxytocin-Myths & Truths

This monograph evaluates the serious implications of Pitocin misuse by busting oxytocin myths with current scientific facts. The truth about how to properly administer Pitocin safely and effectively is evaluated with support from evidence-based resources.

EFM Case Study #18: Hypertensive Crisis & Stroke

Preeclampsia and any other form of hypertension make a stroke six- to nine-times more likely to happen. Stroke and the hypertensive crisis that may precede it are medical emergencies requiring treatment within 30-60 minutes of onset yet proper management is delayed or lacking; this increases medical-malpractice risk. This case study examines the current recommendations for the management of acute-onset severe hypertension in pregnancy.

EFM Case Study #19: Substance and Opioid Use Disorders in Pregnancy

Chronic untreated substance and opioid use disorders (SUD/OUD) are associated with lack of prenatal care, preterm birth, fetal death, and other pregnancy complications. This activity will present an overview of the maternal and fetal effects of SUD and OUD in pregnancy and highlights 3 primary factors in the management of this specialty population.

EFM Case Study #20: Postpartum Opioid Use Disorder & Neonatal Abstinence Syndrome

As many as 94% of drug dependent mother’s birth drug dependent newborns. Postpartum is a stressful time for this high-risk population as relapse rates are high and pain tolerance is low. This course outlines the special needs of women and their newborns during postpartum (pain control, sedation and fall risk, breastfeeding, contraception, safe transition of the newborn to extrauterine life, and neonatal abstinence syndrome assessment and management).

EFM Case Study #20: Postpartum Opioid Use Disorder and Neonatal Abstinence Syndrome

As many as 94% of drug dependent mother’s birth drug dependent newborns. Postpartum is a stressful time for this high-risk population as relapse rates are high and pain tolerance is low. This course outlines the special needs of women and their newborns during postpartum (pain control, sedation and fall risk, breastfeeding, contraception, safe transition of the newborn to extrauterine life, and neonatal abstinence syndrome assessment and management).

EFM Case Study #21: Failure to Monitor

Failing to maintain a continuous EFM strip can imply that the perinatal team was inattentive to the mother, fetus, or both. This course discusses how failing to monitor the FHR/UC data violates the standard of care for the reasonably prudent obstetrical caregiver and offers solutions to prevent it.

EFM Case Study #22: Intermittent Auscultation Risks

There is a current disconnect between scientific evidence that supports the use of intermittent auscultation (IA) in low-risk pregnant patients and the use of IA in clinical practice. This case study outlines strategies to providers and hospitals on how to safely adopt IA into clinical practice.

EFM Fundamentals in Practice

Attainment and ongoing maintenance of electronic fetal monitoring (EFM) skills is a requirement of all perinatal practitioners who actively participate in the care of pregnant patients. This video series is divided into six, 30 minute, modules that include didactic discussions on key topics and critical thinking drills that assess the novice learner’s understanding of fundamental EFM skills.

EFM-Advanced Lesson 1: Interpretation-Terms & Guidelines

EFM diagnostic error and miscommunication are major causes of perinatal morbidity and mortality, as well as, malpractice claims. Use of the 2008 NICHD terms and guidelines creates a standardized framework for interpretation while reducing errors and omissions. This course is the first lesson of a 3 part series that applies NICHD principles into critical thinking activities to improve retention of key concepts in EFM interpretation.

EFM-Advanced Lesson 2: Physiology & Pathophysiology

This video improves identification and diagnosis of fetal acid-base imbalance via electronic fetal monitoring (EFM). This course is the second lesson of a 3 part series that applies NICHD principles into critical thinking activities to improve retention of key concepts in EFM interpretation and management.

EFM-Advanced Lesson 3: Interventions & Management

Mismanagement of electronic fetal monitoring (EFM) data may result in permanent neurologic injury and malpractice claims. This course is the third lesson of a 3 part series that evaluates the benefits and risks of individual interventions, applies ACOG intrapartum management algorithms to various case studies, and examines risks associated with EFM mismanagement.

We found 27 results for EFM