Troubleshooting Steps for Temporary Transcutaneous Pacing
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Questions and Answers

What is the recommended action if capture is maintained but the patient remains symptomatic of inadequate tissue perfusion during pacing?

  • Discontinue pacing immediately.
  • Increase the rate by 10 bpm until 120 bpm is reached.
  • Decrease the rate by 10 bpm.
  • Consider increasing the rate by 20 bpm until 100 bpm is reached. (correct)
  • What should be checked if a patient is not responding to pacing therapy?

  • Check the connection of the IV access.
  • Check the batteries of the oxygen-powered breathing device.
  • Use more sedation to minimize patient discomfort.
  • Ensure the pads are properly placed and have good contact with the skin. (correct)
  • When applying a 12-lead ECG, what indicates a contraindication for its use?

  • Shortness of breath with pulmonary edema
  • Coronary ischemic chest discomfort
  • Return of spontaneous circulation after any ACLS treatment for arrest
  • Approval from the Base Hospital (correct)
  • What is a possible indication for using Continuous Positive Airway Pressure (CPAP)?

    <p>Allergic reactions with severe bronchospasm</p> Signup and view all the answers

    If a patient presents with severe shortness of breath due to congestive heart failure, which assistance device would be most appropriate?

    <p>CPAP</p> Signup and view all the answers

    What should be done if a patient with inadequate tissue perfusion has a systolic blood pressure less than 90 mmHg during treatment?

    <p>Consider increasing the pacing rate until 100 bpm is reached.</p> Signup and view all the answers

    What is the primary purpose of a standard call-in for patients with suspected stroke or cardiac issues?

    <p>To activate stroke teams or cardiac catheterization lab teams</p> Signup and view all the answers

    What does the presence of 'ACUTE MI SUSPECTED' on a Physio-Control Monitor LifePak 12 indicate?

    <p>A potential acute myocardial infarction</p> Signup and view all the answers

    In the context of prehospital field information, what role do EMS personnel play in determining a pregnant patient's destination?

    <p>Redirecting to the emergency department unless advised otherwise</p> Signup and view all the answers

    What is the significance of 'Stat Trauma Call-in'?

    <p>To inform about trauma patients requiring immediate attention</p> Signup and view all the answers

    Which medical condition is specifically mentioned as a reason for a standard call-in?

    <p>Suspected stroke or cardiac issues</p> Signup and view all the answers

    In what circumstances should EMS personnel never assume that a pregnant patient goes directly to labor and delivery?

    <p>If not explicitly directed by medical staff</p> Signup and view all the answers

    What is the recommended initial rate for transcutaneous pacer (TCP) in the provided text?

    <p>80 beats per minute</p> Signup and view all the answers

    When should pacing be attempted in an adult with symptomatic bradycardia according to the text?

    <p>After administering 1 mg of Atropine</p> Signup and view all the answers

    What should precede pacing in a child with bradycardia?

    <p>Oxygenation and ventilation</p> Signup and view all the answers

    In what situation can a pacer be used on the order of a physician in an interfacility transfer according to the text?

    <p>In patients with electrocution as the cause of asystole</p> Signup and view all the answers

    When considering administering Fentanyl and/or Midazolam, what should be done if IV access is impossible according to the text?

    <p>Administer IM injection</p> Signup and view all the answers

    What should be increased by 10mA until capture/pulses are noted when using a transcutaneous pacer as per the provided information?

    <p>Output</p> Signup and view all the answers

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