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In maternal cardiac arrest, resuscitative hysterotomy is not improvised.
It's not enough to know that the “4th minute” exists.
The real question is different:
Does your hospital know how to activate the correct team, bring the correct kit, maintain quality CPR, prepare the hysterotomy, and receive the newborn without relying on a heroic individual?
Because when someone asks “who brings the kit?”, the problem didn't start there.
It started much earlier, when the scenario was never trained.
Better to discover it in simulation than tomorrow during a maternal arrest.
Read the full analysis here: