Clinical Simulation · Labor & Delivery

Labor Floor Drills

You are the attending covering a busy L&D unit. Twenty cases will land on your board. Each one evolves while you decide. There is rarely one right answer — there are tradeoffs, and the outcomes are probabilistic, just like the real thing.

Cases that evolve

Tracings drift, pressures climb, the second stage stalls. Your decisions advance the clock and change what happens next.

Competing metrics

Section everyone and your safety looks great — until maternal morbidity and your cesarean rate tell the real story.

Honest uncertainty

When the evidence is genuinely split, the game rolls the dice. A defensible call can still end badly — and the debrief says so.

Evidence debriefs

Every case ends with what the literature actually says and whether your call was guideline-concordant — independent of the outcome.

You are scored on four things at once
Maternal morbidity Neonatal harm Cesarean rate Medicolegal exposure
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Reference list

Evidence base

The case debriefs draw on the landmark trials and guidelines below. This is an educational simulation — verify against current guidance before applying to patient care.

    Charge board

    Your shift

    00:00
    Time on case
    FHR (upper) · Toco (lower) · 3 cm/min
    Situation
    Your call?

    Debrief

    What the evidence says
    End of shift

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