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Pacing in ED is not technically difficult. Below is a presentation from today’s teaching.
The decision to commence pacing is challenging and can be a cause for hesitation.
Failure of chronotropic therapy and an inadequately perfusing rhythm e.g.bradycardia, complete heart block should prompt initiation of treatment.
Transvenous pacing is the gold-standard but requires a skill set not always available.
Follow the link to a power point presentation from today’s teaching with an overview of pacemakers and pacing in the ED. At the end are links which I have included below for convenience – or if you want more detail. Send in your comments as usual.
Choosing when to start, add or stop inotropes can be challenging.
On Tuesday we talked a bit more about the difference in actions and the uses of some of the inotropes we have in ED to use on our patients using a case presentation.
Open the presentation which I’ve added a bit more content to so it’s easier to follow if you weren’t there.
Please post any comments or questions.
For someone else’s views try Chris Nickson’s summary in life in the fast lane. http://lifeinthefastlane.com/education/ccc/inotropes-vasopressors-and-other-vasoactive-agents/