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The occasional maternal cardiac arrest

Cardiac arrest can suddenly afflict expectant mothers under the care of any physician and requires immediate, optimal treatment. Faced with this critical event, even experienced clinicians frequently omit or misapply the applicable consensus‐based modifications to Advanced Cardiac Life Support protocols. A practical approach is presented for physicians responding to maternal cardiac arrest, including a discussion of resuscitative caesarean delivery (RCD), also known as perimortem caesarean delivery (PMCD) or resuscitative hysterotomy (RH). Human factors such as hesitation and opposition from other team members must be addressed in improving care delivery, as these can detract from the effective management of maternal cardiac arrest. More broadly, efforts must expand to maintain provider‐ and hospital‐level readiness via a greater emphasis on PMCD in team‐based critical event drills and resuscitation courses. Mothers, babies and families struck by maternal cardiac arrest deserve no less than our best and swiftest responses to this frightening but potentially rectifiable catastrophe. CASE VIGNETTE