Shoulder Dystocia in a Rural ED

This scenario leads learners through an encounter with a patient in active labor. As the case progresses, learners must recognize that the patient is experiencing shoulder dystocia and is in active labor/imminent delivery. Following successful delivery, the infant will require basic assessment and care, and the mother will require care for postpartum hemorrhage.

Learning Objectives

– Assess an obstetric patient and recognize active labor/imminent delivery

– Identify the signs of shoulder dystocia and deploy the HELPERR mnemonic

– Demonstrate the steps of assisting in a vaginal delivery

– Identify postpartum hemorrhage and treat it according to AMC patient care guidelines