Add-on Course

A07 - Emergency Vaginal Delivery: Are You Prepared?

Monday, April 7, 2025

10:00am – 12:00pm ET

Location: Dupont - Lobby Level

CE: 2

Add-on Course Director(s)

Joelle Borhart, MD, FAAEM (she/her/hers)

Program Director, Associate Professor of Emergency Medicine
MedStar Health - Georgetown University
McLean, Virginia

Add-On Course Faculty(s)

David Carlberg, MD, FAAEM

Associate Program Director
Georgetown EM
Washington, District of Columbia
Samuel Shulimson, DO

Simulation Fellow
Georgetown University
Washington DC, District of Columbia
Diana Ladkany, MD, FAAEM

Associate Program Director, Georgetown Emergency Medicine Residency
Georgetown University
Silver Spring, Maryland
Marysia Lawrynowicz, MD

Assistant Program Director
Georgetown/Medstar Washington Hospital Center
Washington, District of Columbia
JP

Jessica Palmer, MD (she/her/hers)

Core Simulation Faculty, Assistant Professor of Emergency Medicine
Department of Emergency Medicine
MedStar Georgetown University Hospital & Washington Hospital Center
Washington, District of Columbia

Disclosure(s):

Joelle C. Borhart, MD, FAAEM: No financial relationships to disclose

Room: Dupont - Lobby Level

Precipitous deliveries are one of the most stressful events an emergency physician will encounter. Fortunately, most deliveries will be normal, uncomplicated vaginal deliveries, but what if it's not? Complications such as shoulder dystocia and breech presentation have the potential to be true catastrophes for the patient, the baby, and the physician. In this session the speaker will review the management of normal vaginal delivery, nuchal cord, breech presentation, and shoulder dystocia so you are ready the next time there is a baby coming in your ED!

Course Fees
Early Bird Rates (on or before March 6):
$300 Member
$200 Resident Member
$550 Non-member
$350 Resident Non-member

Regular Rates (after March 6):
$400 Member
$300 Resident Member
$600 Non-member
$450 Resident Non-member

Tentative Agenda
10:00am – 10:20am Overview of Maneuvers and Skills

10:20am – 12:00pm Rotate through Skills Stations

Station 1: Normal vaginal delivery + management of nuchal cord
Station 2: Breech presentation
Station 3: Shoulder dystocia
Station 4: Postpartum hemorrhage

Learning Objectives:

Review the management of normal uncomplicated delivery
Describe the management of nuchal cords
Describe the "rules" of breech vaginal delivery Describe the various maneuvers to relieve shoulder dystocia

Presentations:

10:00am – 12:00pm ET

Emergency Vaginal Delivery: Are You Prepared?
Add-on Course Director: Joelle C. Borhart, MD, FAAEM (she/her/hers) – MedStar Health - Georgetown University
Add-On Course Faculty: David J. Carlberg, MD, FAAEM – Georgetown EM
Add-On Course Faculty: Samuel A. Shulimson, DO – Georgetown University
Add-On Course Faculty: Diana Ladkany, MD, FAAEM – Georgetown University
Add-On Course Faculty: Marysia Lawrynowicz, MD – Georgetown/Medstar Washington Hospital Center
Add-On Course Faculty: Jessica Palmer, MD (she/her/hers) – MedStar Georgetown University Hospital & Washington Hospital Center
10:00am – 12:00pm ET

Emergency Vaginal Delivery Lab
Add-On Course Faculty: Joelle C. Borhart, MD, FAAEM (she/her/hers) – MedStar Health - Georgetown University
Add-On Course Faculty: David J. Carlberg, MD, FAAEM – Georgetown EM
Add-On Course Faculty: Samuel A. Shulimson, DO – Georgetown University
Add-On Course Faculty: Diana Ladkany, MD, FAAEM – Georgetown University
Add-On Course Faculty: Marysia Lawrynowicz, MD – Georgetown/Medstar Washington Hospital Center
Add-On Course Faculty: Jessica Palmer, MD (she/her/hers) – MedStar Georgetown University Hospital & Washington Hospital Center