Noninvasive Transcutaneous Cardiac Pacing

Demonstration of providing transcutaneous pacing.

[Renzuo]

nicely done, clear step by step walkthrough. I work in the ED in Malaysia and I found this video really useful, Thanks.. :)

[Rehanabmw]

Lovely dear great teaching style in very easy manner and through knowledge of pacing

[brownricegirl]

Thanks for posting. Yes, 30 mA is a very low voltage to capture, but the basic idea is clear. Thanks again!

[rkurup]

Are'nt you meant to get QRS complexes after each pacing spike to ascertain capture?

Great video btw

[davidwilson]

Apart form she didn't get capture. The pacing spike and a complex almost lined up once, there was not capture. Like others have said could be due to the manikin though.

[nokkhotro]

thx, helped me with preparing for USMLE step 3. Appreciate it.

[peterb]

Overall not a bad presentation but two important things. 1) She did not have electrical capture as displayed on the video. With external pacing electrical capture produces a wide QRS with a T wave that swings in the opposite direction. 2) A starting rate of 60 beats per minute is usually better to allow for better assessment of the hearts response the the stimulus. Once capture is confirmed on the screen and a palpable more rapid pulse verifies this, you can later increase the rate as needed.

[Stagbeetle]

Thank you. You were awesome! Your pretty face and nice manners put an icing on the cake!

[chrisguapo]

Don't forget to choose your EKG source since it is defaulted to the pads.

[visamedic]

LIVE PACK 20. I felt spoiled with the 15...

[eshadesu]

she hasn't quite got capture. Nice clear presentation, just needs to increase the Jules until there is a QRS after each spike. (I suspect in this case the manaquin she is using doesn't have an option to set a threshold to capture - so no matter how high she goes with Jules she wont get capture).

[surfrescuenz]

As per other comments, nice clear demonstration but a shame the current was not increased to the point where capture was actuallyachieved - in this video it isn't. Each pacing spike should be followed by a QRS, and normally the output is increased by 10mA once capture has been achieved just to ensure a safety buffer. Also, don't forget that this procedure is painful, so pain relief/sedation for the patient may be appropriate.

[Offside-again]

Good job. That's very useful. Thank you

[naspinwall]

Good explanation. Very helpful to this paramedic student. Thank you,

[eshadesu]

@eshadesu Sorry, clearly I mean mA not Jules...

[bnak]

This video did show 100% capture of the QRS.

Increase your milliamps until you get 100% "capture" and then add another 10% of the value. Ie 100% capture at 50mAs then your settings should be at 55mAs.

[MsArtvark]

this is indeed the essence. Therefore I would not recommend this video.

[TheBundleofkent]

None of our Cardiologists are this hot