Learning Center: Part I: Watch what you shock: pearls and perils of synchronized cardioversion; Part II: Understanding the Principles and Indications of Transcutaneous Cardiac Pacing
Medical Director Anchorage Areawide EMS Eagle River, Alaska
Part I: • Understand the specific clinical scenarios where synchronized cardioversion is indicated • Understand which situations synchronized cardioversion should be avoided • Discuss the potential risks and complications that may arise during synchronized cardioversion
Part II: • Explain the underlying principles of transcutaneous cardiac pacing, including the electrical parameters and how they influence cardiac depolarization. • Outline the specific clinical indications for transcutaneous pacing, such as bradyarrhythmias, complete heart block, and symptomatic bradycardia, to help attendees identify when this intervention is appropriate. • Describe the step-by-step procedure of applying transcutaneous pacing, from electrode placement to device settings and synchronization with the patient's cardiac rhythm. • Introduce different types of transcutaneous pacing devices available in the market, their features, and potential advantages and limitations. • Discuss potential complications and risks associated with transcutaneous pacing, such as skin burns, muscle twitching, and patient discomfort, and strategies to mitigate these issues. • Highlight best practices for monitoring patients during transcutaneous pacing, including appropriate sedation, pain management, and continuous assessment of pacing effectiveness
Learning Objectives:
Part I:
Understand the indications and contraindications for synchronized cardioversion
Demonstrate the correct procedure and equipment for performing synchronized cardioversion.
Discuss potential risks and complications associated with synchronized cardioversion and how to manage them
Part II:
Understanding the Principles and Indications of Transcutaneous Cardiac Pacing
Familiarizing with Transcutaneous Pacing Procedure and Equipment
Managing Complications and Best Practices in Transcutaneous Pacing