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The Resus Room

Pacing; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8678 Ratings

🗓️ 16 December 2022

⏱️ 45 minutes

🧾️ Download transcript

Summary

So following on from our Bradycardia episode, we're going to look in detail at cardiac pacing.

Setting up emergency pacing in those compromised bradycardia patients can make a significant difference to patient outcomes, and doing so in a timely and slick fashion can be a real challenge.

In this episode we'll be discussing all forms of pacing, strategies for ensuring the greatest likelihood of success and the details of setup and analgesia/sedation strategies for external pacing.

Once again we'd love to hear any comments or questions either via the website or social media.

Enjoy!

Simon, Rob & James

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the Recess Room podcast.

0:03.5

Five, four, three, two, one, fire.

0:12.1

So hi, and welcome back to the Recess Room podcast. I'm Simon Lang.

0:17.2

I'm Rob Fenwick, and I'm James Yates.

0:19.4

And we're back with another episode of

0:21.3

Roadside to Recess and this time we're following on with pacing. Yep, that's all right

0:27.0

boys one of those topics that on the face of it seems really simple and yet again you

0:31.4

go scratching the surface and there's huge amounts of nuance in there and loads of

0:36.1

stuff that we can hopefully bring you to fine

0:38.2

tune your practice. So stay tuned. Should be a good one. Absolutely. And before we get into it,

0:43.2

a big thanks once again to SJTrem, the Scandinavian Journal of Trauma, Resuscitation and Emergency

0:48.9

Medicine for partnering with us on the podcast and making this all free and open access and

0:53.8

available to you.

0:55.0

So without further ado, let's crack into pacing.

1:01.1

Right, so as we mentioned, this episode follows on from our Roadside to Recess on Braddicardia.

1:05.9

And in that, we talked about the indications for pacing, but we left you on an absolute cliffhanger until this

1:13.1

episode where we're going to cover it in a bit more detail but you literally cannot wait

1:18.1

I've been waiting all month for this nobody was asking for it but we're giving it you anyway

1:25.3

so to recap which are the sorts of patients that we're talking about when we're thinking about

1:30.0

considering the need for emergency pacing? Well, the Recess Council UK gives the indications

1:36.2

for pacing as we talked about before as a life-threatening compromise of bradicaria which is not

1:41.7

responsive to atropine and non-compromised bradicardia, but with

...

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