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2011, Number 1

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Med Crit 2011; 25 (1)

Successful experience on MATER Code

Briones GJC, Gutiérrez VMC, Esquivel GLJ, Díaz LPM, Briones VCG
Full text How to cite this article

Language: Spanish
References: 5
Page: 43-45
PDF size: 162.96 Kb.


Key words:

Code MATER, obstetric emergency, death materno-perinatal.

ABSTRACT

Headquarters: Hospital General Ixtlahuca-SEM.
Introduction: Code MATER is a rapid response system conceived as a hospital strategy for the emergency multidisciplinary care delivery.
Objective: Show an event successful.
Case report: Incidental delivery 39 patient in his home, unconscious, hipotensa, bradycardia and hypothermia and transvaginal bleeding with retained placenta, active codito MATER and proceeds to intubate, ventilatory mechanical by subclavio catheter resuscitation hemodynamics with crystalloid, Colloid and support blood products, course with hyperglycemia, metabolic acidosis and severe anaemia. Reanimated once proceeded cleaning uterine cavity and sent to third level
Results: Is against-referred to the unit of origin, where in addition practical bilateral tubal occlusion and features twelve days later for improvement.
Discussion: Prevent and/or reduce perinatal and maternal mortality by three actions (to identify, try to B and C, move) on a multidisciplinary team of health professionals whose function is to optimize the care system and hospital resources (gynaecology-obstetrician, nurse, intensivista-internista, pediatrician, anesthesiologist, social work, laboratory and ultrasound), trained in emergency obstetric.


REFERENCES

  1. Briones GJC, Díaz de León PM, Gutiérrez VMC, Rodríguez RM. Los paradigmas en la muerte materna. Rev Asoc Mex Med Crit y Ter Int 2010;24(4):185-189.

  2. Briones GJC, Díaz de León PM, Meneses CJ. Estrategias para reducir la mortalidad materna Hospitalaria en el Estado de México. Rev Asoc Mex Med Crit y Ter Int 2009;23(1):16-24.

  3. Briones GJC, Díaz de León PM. Propuesta urgente. Rev Asoc Mex Med Crit y Ter Int 2009;23(2):62-63.

  4. Briones GJC, Díaz de León PM. MATER Equipo de respuesta rápida en obstetricia crítica. Rev Asoc Mex Med Crit y Ter Int 2010;24(3):108-109.

  5. Carrillo ER, Ramírez RF, Carrillo CJR, Carrillo CLD. Equipo de respuesta rápida. Rev Asoc Mex Med Crit y Ter Int 2009;23(1):38-46.




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C?MO CITAR (Vancouver)

Med Crit. 2011;25