Troubleshooting Steps for Temporary Transcutaneous Pacing

Play an AI-generated podcast conversation about this lesson

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)?

Allergic reactions with severe bronchospasm (A) 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?

CPAP (B) 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?

Consider increasing the pacing rate until 100 bpm is reached. (A) Signup and view all the answers

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

To activate stroke teams or cardiac catheterization lab teams (D) Signup and view all the answers

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

A potential acute myocardial infarction (D) 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?

Redirecting to the emergency department unless advised otherwise (A) Signup and view all the answers

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

To inform about trauma patients requiring immediate attention (D) Signup and view all the answers

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

Suspected stroke or cardiac issues (D) Signup and view all the answers

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

If not explicitly directed by medical staff (C) Signup and view all the answers

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

80 beats per minute (C) Signup and view all the answers

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

After administering 1 mg of Atropine (C) Signup and view all the answers

What should precede pacing in a child with bradycardia?

Oxygenation and ventilation (A) 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?

In patients with electrocution as the cause of asystole (D) 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?

Administer IM injection (C) 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?

Output (B) Signup and view all the answers