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 (A)</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 (B)</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. (A)</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 (D)</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 (D)</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 (A)</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 (D)</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 (D)</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 (C)</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 (C)</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 (C)</p> Signup and view all the answers

What should precede pacing in a child with bradycardia?

<p>Oxygenation and ventilation (A)</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 (D)</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 (C)</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 (B)</p> Signup and view all the answers

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