Society of Critical Care Medicine: Fundamental Critical Care Support Obstetrics Course

October 4-5, 2019

8 a.m. - 5 p.m.
Texas Children's Pavilion for Women
4th Floor Conference Rooms

Contact with course questions

At this time our Registration is Closed. We will be hosting the Conference again next October 2020.

NO day of Conference Registration

If you are interested in attending the conference next year, please email contact information to the following email

Course Overview

FCCS: OB is a two-day course that covers physiologic changes during pregnancy, specific obstetric medical conditions and appropriate treatment, maternal cardiovascular resuscitation, and airway management of critically ill pregnant patients, as well as appropriate steps in fetal assessment, delivery, and neonatal management. The course is formatted as a series of presentations and skill stations to provide knowledge, guidance for decision-making, and limited practice in some clinical procedures and scenarios. Participants who successfully complete the course will receive a certificate of completion.

The modular nature of the topics allows the presentations and skill stations to be emphasized and ordered in a variety of ways to best meet audience and facility needs. Learners are provided with the FCCS: Obstetrics textbook to read prior to the course. This enables them to come prepared for the pretest and better equipped to participate in course discussions. A posttest at the end of the course will evaluate their knowledge.

Intended Audience

The course is intended for healthcare providers who provide maternal/fetal critical care.

  • Upon completion of the FCCS: OB course, learners will be able to:
  • Explain physiologic changes during pregnancy
  • Describe specific maternal obstetric and medical conditions and appropriate treatment
  • Demonstrate optimum maternal CPR and airway management in the care of critically ill pregnant patients
  • Describe appropriate steps for fetal assessment, delivery, and neonatal management

Successful course completion includes:

  • Acceptable attendance during both days of the course
  • Satisfactory performance in the skill stations
  • Passing score (≥ 70%) on the posttest for the provider course
  • Completion of the participant CME/CNE evaluation
  • Learners who successfully complete the course will receive an FCCS: OB certificate of completion and provider card.


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  • 7:30 a.m. – 8:00 a.m. Registration
  • 8:00 a.m. – 8:45 a.m. Administer Pretest (participants must hand in pretest in by 8:45a.m.)
  • 8:45 a.m. – 9:00 a.m. Welcome, Course Announcements, and FCCS: OB Overview
    • Presenter: David Muigai M.D., Nan Ybarra, DNP, NBS, RN, NEA-BC and Elizabeth Bolds RN, MBA
  • 9:00 a.m. – 9:35 a.m. Physiologic Changes in Pregnancy
    • Presenter: Michael Belfort, MBChB PhD
    • Objectives:
      • Recognize the physiologic changes of pregnancy and their effect on the diagnosis and management of critically ill pregnant patients
      • Anticipate the effects of pregnancy on a new or underlying medical condition
  • 9:35- a.m. – 10:00 a.m. Coffee Break/Transition to Taussig Auditorium (16th floor Legacy Tower)
    • * Pick up results of pretest
  • 10:00 a.m. – 10:45 a.m. Hemodynamic Monitoring
    • Presenter: Venkata Bandi, M.D.
    • Objectives:
      • Discern risks and benefits of various means of hemodynamic monitoring
      • Identify situations in which advanced monitoring techniques are indicated
  • 10:45 a.m. – 11:30 a.m. Preeclampsia and Eclampsia
    • Presenter: Amir Shamshirsaz M.D.
    • Objectives:
      • Describe how to manage preeclampsia and its main complications
      • Identify the most significant complications of preeclampsia
      • Describe diagnostic criteria for preeclampsia/eclampsia
  • 11:30 a.m. – 11:45 p.m. Transition to PFW 4th
  • 11:45 a.m. – 01:15 p.m. Skill Station: Management of Severe Preeclampsia and Eclampsia
    • Instructors: Amir Shamshirsaz M.D, Dharani Narendra M.D., Venkata Bandi, MD, Ummar Munnur, MD, Julia Lawrence MSHP, RRT-NPS , Tara Barrick MSN, RNC-OB, Melinda Trussell BSN RNC-OB 
  • 11:45 a.m. – 01:15 p.m. Lunch (PFW 4th Floor) Will depend on Group 1 or 2 (lunch 45 min for each group)
  • 01:15 p.m. – 01:30 p.m. Transition to Taussig Auditorium (16th floor Legacy Tower)
  • 01:30 p.m. – 2:15 p.m. Airway Management in Pregnancy
    • Presenter: Shobana Murugan, M.D.
    • Objectives:
      • Understand airway modifications in the pregnant patient
      • Describe factors that cause airway difficulties in the pregnant patient
      • Outline interventions to manage airway difficulties
  • 2:15 p.m. – 3:00 p.m. Sepsis in Pregnancy
  • Presenter: Dharani Narendra, M.D.
    • Objectives:
      • Identify causes of serious infections in the pregnant and postpartum patient
      • Recognize early manifestations of sepsis in pregnancy
      • Outline initial strategies for management of maternal sepsis, including resuscitation and
      • source control
  • 3:00 p.m. – 3:45 p.m. Maternal Mortality and Cardiac Arrest
    • Presenter: David Muigai M.D.
    • Objectives:
      • Review the incidence and etiology of maternal mortality and cardiac arrest during pregnancy
      • Outline the physiologic changes of pregnancy that must be considered in resuscitation
      • Recognize the fundamental principles of basic and advanced cardiovascular life support in resuscitation of the pregnant patient
  • 3:45 p.m. – 4:00 p.m. Coffee Break/ Transition to PFW 4th
  • 4:00 p.m. – 5:15p.m. Skill Station: Urosepsis complicated by Acute Respiratory Distress Syndrome/Cardiopulmonary Arrest in Pregnancy
    • Instructors: Shobana Murugan M.D., Uma Munnur M.D., David Muigai, M.D., Venkata Bandi M.D., Thomas Monaco M.D., Julia Lawrence MSHP, RRT-NPS, Tara Barrick MSN, RNC-OB, Melinda Trussell BSN RNC-OB
  • 5:15 p.m. – 6:15 p.m. Day 1 Discussion/Q&A Open area PFW 4th Floor
  • 5:15 p.m. – 6:15 p.m. Networking Event PFW 4th Floor


  • 8:00 a.m. – 8:10 a.m. Welcome to Day 2
    • Presenter: David Muigai M.D.
  • 8:10 a.m. – 8:50 a.m. Transport of the Critically Ill Pregnant Patient
    • Presenter: Karin Fox M.D.
    • Objectives:
      • Distinguish intrahospital transfer from intrahospital transfer
      • Review how transporting the critically ill pregnant patient differs from transporting other critically ill patients
      • Identify the three phases of transport
      • Recognize common complications associated with transport
      • Determine the various modes of transport and the relative advantages and disadvantages
      • List the equipment needed for transport
  • 8:50 a.m. – 9:30 a.m. Pregnancy-Related Acute Kidney Injury
    • Presenter: Sujanthy Rajaram M.D.
    • Objectives:
      • Identify the physiologic changes in the renal system of the pregnant patient
      • Review the diagnostic evaluation of pregnancy-related acute kidney injury
      • Recognize the main principles of managing acute kidney injury in the pregnant patient
  • 9:30 a.m. - 10:15 a.m. Obstetric Hemorrhage
    • Presenter: Irene Stafford, M.D.
    • Objectives:
    • Outline diagnostic criteria, evaluation, and differential diagnosis of obstetric hemorrhage
    • Recognize and manage massive obstetric hemorrhage
    • Identify complications of obstetric hemorrhage and transfusion therapy
  • 10:15 a.m. – 10:30 a.m. Coffee Break/ Transition to 4th floor PFW
  • 10:30 a.m. – 11:45 a.m. Skill Station: Postpartum Hemorrhage/Delivery and Neonatal Resuscitation
    • Instructors: Karin Fox M.D., Venkata Bandi M.D., Ummar Munnur, M.D., Manisha Gandhi, M.D., Julia Lawrence MSHP, RRT-NPS, Tara Barrick, MSN,RNC-OB, Melinda Trussell, BSN,RNC-OB 
  • 11:45 a.m. – 12:30 p.m. Lunch on 4th Floor PFW then transition to Taussig Auditorium (16th floor Legacy Tower)
  • 12:30 a.m. – 1:15 p.m. Nonobstetric Surgical Diseases in the Pregnant Patient
    • Presenter: Roopali Donepudi, M.D.
    • Objectives:
      • Review nonobstetric surgical diseases that occur most commonly in pregnant patients
      • Identify the most useful diagnostic methods and those that pose the least risk to the fetus
      • Recognize the role of multidisciplinary management in surgical emergencies
  • 1:15 a.m. – 2:00 p.m. Fetal Evaluation and Fetal Concerns in the Seriously Ill Pregnant Patient
    • Presenter: Manisha Gandhi M.D.
    • Objectives:
      • Review basic principles of placental function and fetal development
      • Describe techniques to ascertain and ensure fetal well-being
      • Review principles of teratology, with specific application to medication and radiation during pregnancy
      • Recognize causes of ICU admission in the obstetric population and fetal implications
      • Outline ICU interventions that may be undertaken specifically for fetal benefit
  • 2:00 p.m.- 2:45 p.m. Thromboembolism Disease and Pregnancy
    • Presenter: David Muigai, M.D.
    • Objectives:
      • Recognize the physiologic changes during pregnancy that can make the diagnosis of thromboembolic disease more challenging
      • Determine the thromboprophylaxis options available during pregnancy
      • Select appropriate tests for confirming or ruling out the diagnosis of thromboembolism in
      • high-risk patients
  • 2:45 p.m. – 3:15 p.m. Test and Coffee Break 
  • 3:15 p.m. – 4:00 p.m. Management of Delivery and the Newborn
    • Presenter: Manisha Gandhi, M.D.
    • Objectives:
      • Outline the physiologic process of labor in the pregnant patient
      • Prepare to manage labor and delivery in the critically ill pregnant patient
      • Outline the principles of evaluation and resuscitation of the neonate
  • 4:00 p.m. – 5:00 p.m. Discussion of posttest/Q&A David Muigai M.D.


  • Physicians: $225.00
  • Physician trainee: $175.00
  • Advanced Practice: $175.00
  • External Nurses: $125.00
  • TCH Nurses: $58.00


The Medical Center

  • Coming from Main Street? Look for TMC parking Garage 21 signs.
  • Coming from Fannin? Look for TMC entrance 9 or Garage 21 signs for parking.
  • From the parking garage, take the elevator to the 4th Floor and follow the directional signage.
  • Valet parking is also available at the main entrance at 6651 Main St. Houston, Texas 77030.
  • Parking: Valet $13, Self $12. Parking will NOT be validated for attendees.


Houston Marriott Medical Center/Museum District
Address: 6580 Fannin St, Houston, TX 77030
Phone: (713) 796-0080

Continuing Education

Texas Children’s Hospital is accredited by Texas Medical Association to provide continuing medical education for physicians.

Texas Children’s Hospital designates this live activity for a maximum of 14.75 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Texas Children's Hospital is an approved provider with commendation of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction, by the American Nurses Credentialing Center’s Commission on Accreditation.  Texas Children's Hospital provides up to 14.75 contact hours for successful completion of this educational activity.

Texas Children’s Hospital (TCH) is an approved provider with commendation of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction, by the American Nurses Credentialing Center’s Commission on Accreditation.

Texas Children’s Hospital (TCH) is accredited by the Texas Medical Association to provide continuing medical education for physicians.

The purpose of this program is to provide helpful information, addressing the latest developments in nursing and medicine. It is not a substitute for experienced medical guidance and does not provide medical advice or attempt to address the numerous factual issues that arise in the practice of medicine.