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Sim props 18 april 2017
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Gomer, Marc
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Gomer, Marc Gomer, Marc
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Gomer, Marc
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Cardiac pacing Temporary transcutaneous pacing for any unstable bradyarrythmia Anterolateral or AP pads Need cardiac leads if demand mode used Don’t forget sedation and analgesia if patient has awareness!
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Check DEFIBRILLATOR has pacing mode!
Activate pacing mode Select demand or fixed mode Set rate 70bpm + output 1mA/kg (70mA) Press “Start pacing” Check your defib has a pacing function Must have cardiac leads for “sensing” in demand mode.
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Check for electrical capture. by 10mA until electrical capture
Confirm mechanical capture: Add 10-15mA safety margin Signs of perfusion
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CHANGE TO OTHER POSITION
No capture by 130mA? CHANGE TO OTHER POSITION
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