Perinatology logo

Postpartum Hemorrhage Simulation

Multi-case browser-based postpartum hemorrhage simulator with contraindication-aware uterotonic decisions, adaptive deterioration, persistent feedback, end-of-case teaching synthesis, and exportable debrief output.
Home > Clinical Tools > PPH Simulation

Scenario setup

Selected case: Primary postpartum hemorrhage after vaginal delivery. This module is designed for asynchronous nursing/resident practice, facilitated team review, or annual competency work.

Features
Focus on early recognition, quantified blood loss, uterotonic selection, Four Ts reassessment, and staged escalation.
Adaptive trajectory based on choices
Contraindication-aware uterotonic logic
End-of-case teaching synthesis

Comorbidity branch

Choose a fixed training variant or let the case randomize.




Training focus

  • Recognition, QBL, and rapid team activation
  • Correct uterotonic selection by contraindication
  • Four Ts reassessment and staged escalation
  • TXA, transfusion readiness, tamponade, and next-step planning
Medication dosing, blood products, and procedural sequencing should still be reconciled with local policy, formulary, and unit hemorrhage protocol.

Clinical training platform controls

Live performance dashboard

Overall score: 0%
Recognition
0
Response
0
Escalation
0
Communication
0
Reassessment
0
Medication safety
0
Waiting to start

Dynamic medication safety panel

Selected branch

Not started.

Contraindication watch

Medication safety reminders appear here when the case starts.

Escalation triggers

  • Persistent heavy bleeding or worsening vitals
  • Escalating QBL and signs of shock
  • Need for TXA, blood bank readiness, tamponade, or OR planning

Complication monitor

No medication-related complication triggered.

Case goals

  • Recognize postpartum hemorrhage early and call it aloud.
  • Use structured handoff, defined roles, and closed-loop communication.
  • Choose uterotonics safely when asthma and/or hypertension are present.
  • Reassess source with the Four Ts rather than assuming atony alone.
  • Escalate to TXA, transfusion pathway, balloon tamponade, and operative planning when appropriate.

Reference anchors

Scenario logic is broadly aligned with stage-based hemorrhage response, quantitative blood loss, early team activation, contraindication-aware uterotonic use, timely TXA, transfusion readiness, tamponade, and debrief-driven systems learning.
References
  1. AIM Obstetric Hemorrhage Patient Safety Bundle.AVAILABE AT U2-FINAL_AIM_Bundle_ObstetricHemorrhage.pdf ACCESSED 4/20/2026
  2. CMQCC hemorrhage toolkit and implementation materials.
  3. Escobar MF, Nassar AH, Theron G, et al. FIGO recommendations on the management of postpartum hemorrhage 2022. Int J Gynecol Obstet. 2022;157(Suppl. 1):3�50. doi:10.1002/ijgo.14116