Amniotic fluid embolism algorithm

Suspect Call for help Air way Breathing Circulation Treat hypotention Assess central venous pressure Request CXR V/Q scan Peep
Assess for signs of circulation CPR TILT to the left ECG, Treat arrhythmias Secure two large IV cannula Send FBC COAP , cross match 6 u of PRBCs , run IV infusion

Assess Maintain patency Apply oxygen 15L/min Via tight fitting mask with reservoir bag Attach SPO2 Consider early tracheal Intubation if cardiovascular Collapse or Respiratory distress

replace intravascular volume with synastic colloids -bloodincremental doses of epinephrine titrated against blood pressure

this reveal an initial rise due to acute pulmonary hypertension and eventually decrease due to hemorrhage

With advice treat DIC with whole blood -FFPplateletcryoprecipetate

Consult hematologist

Discuss heparin therapy with hematologist If undelivered deliver immediately Control uterine hemorrhage Consider deferential diagnosis For controlled supportive therapy Transfer to ICU surgical delivery if necessary
Pulmonary Embolism Venous Air Embolism Myocardial Infarction Eclampsia Anaphylaxis Local Anesthetic Toxicity

If delivered uterine massaged IV oxytocineergometrine ,tranexemic acid

Consider use of keep a record Document in note

Salbutamol, aminophylline
dopamine dopotamine hydrocortisne diuretics