Pacing


So following on from our Bradycardia episode, we’re going to look in detail at cardiac pacing.

Setting up emergency pacing in those compromised bradycardia patients can make a significant difference to patient outcomes, and doing so in a timely and slick fashion can be a real challenge.

In this episode we’ll be discussing all forms of pacing, strategies for ensuring the greatest likelihood of success and the details of setup and analgesia/sedation strategies for external pacing.

Once again we’d love to hear any comments or questions either via the website or social media.

Enjoy!

Simon, Rob & James

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References

The Resus Room; Roadside to Resus, Bradycardia

IBCC; Bradycardia

LITFL; Transcutaneous pacing

RCUK guidelines

ESC 2021; bradycardia-pacing

Percussion pacing of symptomatic bradycardia. Oleson. Ugerskrirt for Laeger. 2008

Percussion pacing—an almost forgotten procedure for haemodynamically unstable bradycardias? A report of three case studies and review of the literature. Eich. BJA. 2007

Ideal pacer pad study.  Moayedi. Resuscitation. 2022

RCEMLearning; Pacing in the ED

Overdrive pacing. Self. StatPearl. 2022

Safety and efficacy of noninvasive cardiac pacing. A preliminary report. Falk. 1983

External noninvasive temporary cardiac pacing: clinical trials. Zoll. Circulation. 1985

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