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Shed: 23 MarchConclusions Simulation laboratories provide an important safe environment for researching emergency decision-making and response skills. These data revealed that student midwives' clinical skills in response to an emergency require regular updating in the following areas 1) Fundal massage technique; 2) the use of standing order drugs to address haemorrhage;Scholes et al. BMC Pregnancy and Childbirth 2012, 12:19 http://www.biomedcentral.com/1471-2393/12/Page 12 ofReferences 1. Cooper S, Kinsman L, Buykx P, McConnell-Henry T, Endacott R, Scholes J: Managing the deteriorating patient in a simulated environment: nursing students' knowledge, skill Boc-D-Lys-OH and situation awareness. Journal of Clinical Nursing 2010, 19(15-16):2309-2318. 2. Endacott R, Scholes J, Buykx P, Cooper S, Kinsman L, McConnell-Henry T: When do PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/21715270 patient signs become cues? Detecting clinical cues of deterioration in a simulated environment. Journal of Advanced Nursing 2010, 66(12):2722-2731. 3. World Health Organization (WHO 2010) Trends in Maternal Mortality: 1990 to 2008 Estimates developed by WHO, UNICEF, UNFPA and The World Bank.[http://whqlibdoc.who.int/publications/2010/9789241500265_eng.pdf], downloaded on 1st February 2011. 4. Widmer M, Blum J, Hofmeyr G, Carroli G, et al: Misoprostol as an adjunct to standard uterotonics for treatment of post-partum haemorrhage: a multicentre, double-blind randomised trial. The Lancet 2010, 375:1808-1813. 5. Consultative Council on Obstetric and Paediatric Mortality an Morbidity: Births in Victoria 2007 and 2008. Quality, Safety and Patient Experience Branch, Department of Health: Melbourne. 2010 [http://docs.health.vic. gov.au/docs/doc/A1D52F0C89124D42CA25789D00016CE5/ FILE/ HS1216_births_in_vic_07_08_WEB 20FINAL.pdf]. 6. The Confidential Enquiry into Maternal and Child Health (CEMACH): Saving Mothers' Lives: Reviewing maternal deaths to make motherhood safer -2003-2005. [http://www.oaa-anaes.ac.uk/assets/_managed/editor/File/ Reports/2006-2008 20CEMD.pdf]. 7. Norman J: Saving Mothers' Lives Reviewing maternal deaths to make motherhood safer: 2006-2008 BJOG, Volume 118, Supplement 1, March 2011 Chapter 4 p 71-76. 2011 [http://onlinelibrary.wiley.com/doi/10.1111/ j.1471-0528.2010.02847.x/pdf], downloaded 27/9/2011. 8. Draycott T, Lewis G, Stephens I, (CMACE, 2011): Saving Mothers' Lives Executive Summary. [http://www.centreformidwiferyeducation.ie/news/ cmace-2011-saving-mothers-lives], downloaded 27/10/2011. 9. Willacy H: Patient UK: Maternal Mortality. 2008 [http://www.patient.co.uk/ doctor/Maternal-Mortality.htm], downloaded on 1/2/11. 10. The Confidential Enquiry into Maternal and Child Health (CEMACH): Saving Mothers' Lives: Reviewing maternal deaths to make motherhood safer 2003-2005 Summary and Key Recommendations for Midwives., tert-Butyl (7-bromoheptyl)carbamate downloaded 1.2.11. 11. Ward P, Williams A, Hancock P: In Simulation for performance and training IN The Cambridge Handbook of Expertise and Expert Performance. PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/10811056 Edited by: Ericsson K, Charness N, Feltovich P, Hoffman R. Cambridge University Press: Cambridge New York; 2006:243-264. 12. Dow A: Clinical simulation: a new approach British Journal of Midwifery 2008, 16(2):94-98. 13. Kardong-Edgren S, Starkweather A, Ward L: The integration of simulation into a clinical foundations of nursing course: student and faculty perspectives. International Journal of Nursing Education Scholarship 2008, 5(1):1-16, article 26. 14. Trede F, Higgs J: In Clinical reasoning and models of practice IN Clinical reason.