Shoulder Dystocia Simulation | Perinatology.com

To Start

Choose the simulation case and mode. The emergency scenario begins only after you press Start simulation.

How to use this simulator

What is a clinical cue? A clinical cue is the next event or observation in the same emergency. It tells the learner what has changed and prompts the next decision. Older simulation language may call this a "trigger."

1. Select setup Choose the case and mode. Optional learner details may be entered for documentation.
2. Start and read Tap Start simulation, read the clinical cue, and review the timer/status boxes.
3. Select actions Tap the actions the team should do now. Select only the allowed number shown on the screen.
4. Commit Tap Commit selected actions to score the step and see feedback.
5. Advance After feedback, tap Advance for the next cue. Use More clinical data or Teaching hint when appropriate.
6. Debrief Review scores, facilitator/observer checklist, safety issues, timeline, and exportable documentation.

Important: The simulator is not asking for a diagnosis at each cue. It is asking, "What should the team do next, right now?"

Selected case preview

Preview only: A fetal head has delivered and shoulder dystocia may be developing. This text describes the selected practice case; it is not the first simulation step.

SetupSelect case, mode, and optional facilitator settings.

SimulationRead the cue, select actions, commit, then advance.

DebriefReview checklist, timeline, gaps, and documentation.

Simulation case Mode

Advanced facilitator options

Hidden mechanical branch Session label

Training session and documentation

Optional learner identity, context, validation, and export metadata.

Participant: - Role: - Case: -

Name Role Employee / learner ID

Unit / department Facilitator / observer

Pre-simulation goals Supervisor comments / remediation plan

3. Debrief and evaluation

Performance by domain

Domain	Score	Interpretation

AHRQ-style observed behavior checklist

Behavior	Status	Comment

Safety review

Item	Status	Comment

Case timeline

Gap analysis and remediation priorities

Debrief guide

Was shoulder dystocia declared promptly?
Was help called early and was a leader identified?
Was a timer or recorder assigned?
Was the patient told to stop pushing and coached clearly?
Were McRoberts and suprapubic pressure performed early?
Was fundal pressure and excessive traction avoided?
Did the team escalate when first-line maneuvers failed?
Was the neonatal team given the head-to-body interval and maneuver sequence?
Were maternal laceration, hemorrhage, pain, and uterine tone assessed?
Were latent safety threats identified?

Teaching points

Documentation builder and export

Facilitator notes

Tamper-evident signature

Pending.

Participant attestation

Live score

Overall score: 0%

Recognition
0

Maneuvers
0

Safety
0

Communication
0

Timing
0

Documentation
0

Waiting to start

Facilitator / observer checklist

For the facilitator or observer to complete during or after the scenario. Learners do not need to fill this out while responding to the emergency. It documents whether expected team behaviors were observed.

Facilitator checklist: expected behaviors by simulation step

Team status

Team roles appear after the case starts.

Case goals

Declare shoulder dystocia promptly and call for help.
Identify a leader, start a timer, and assign a recorder.
Use closed-loop communication and keep the patient/support person informed.
Use McRoberts and suprapubic pressure early.
Avoid fundal pressure and excessive traction.
Escalate systematically to internal maneuvers, posterior arm, all-fours/Gaskin, or rescue planning.
Document times, sequence, personnel, neonatal status, maternal findings, and traction language.

Reference anchors

References and standards alignment

Agency for Healthcare Research and Quality. Sample Scenario for Shoulder Dystocia In Situ Simulation. AHRQ Safety Program for Perinatal Care. AHRQ shoulder dystocia simulation.
Agency for Healthcare Research and Quality. Labor and Delivery Unit Safety: Shoulder Dystocia. AHRQ shoulder dystocia safety tool.
Royal College of Obstetricians and Gynaecologists. Shoulder Dystocia. Green-top Guideline No. 42.
ACOG Practice Bulletin: Shoulder Dystocia. Use local institutional access for the current bulletin.
Local unit policy, neonatal resuscitation procedures, and credentialing requirements should supersede educational module defaults.

To Start

Clinical cue / simulation step

Choose up to 3 actions

3. Debrief and evaluation