Leading the team through postpartum hemorrhage at cesarean
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Team scenario (illustrative). The ABA has announced a team-based scenario as an unscored 2027 pilot station but has not published its format, timing or scoring.5
Ms. Ortiz, a 31-year-old G3P2, 82 kg, is having a scheduled repeat cesarean delivery under spinal anesthesia. She has mild asthma treated with an albuterol inhaler. Her blood pressure was normal throughout pregnancy. The baby was delivered 10 minutes ago and is well. Since the placenta was delivered the uterus has been boggy despite an oxytocin infusion. Quantified blood loss is 1,500 mL and rising. Blood pressure is 88/50, heart rate 128, SpO2 98%. She is awake. She has one 18-gauge IV.
In the room are the obstetrician, the circulating nurse, an anesthesiology resident and a scrub technician.
Your task: you are the attending anesthesiologist. Lead the team.