Pad placement:
Pad on apex of heart and on right upper chest
Pad on lead V3 position and between left scapula and T-spine
Set: HR 80, pacing threshold usually between 40-80 mA
If hemodynamically unstable or with evidence of end organ poor perfusion start at 80 mA and titrate down as tolerated.
Look for clear QRS complex and T-wave following pacer spike
Check pulse to confirm mechanical capture
Final current set 5-10 mA above threshold level for patient
Pad on apex of heart and on right upper chest
Pad on lead V3 position and between left scapula and T-spine
If hemodynamically unstable or with evidence of end organ poor perfusion start at 80 mA and titrate down as tolerated.
Look for clear QRS complex and T-wave following pacer spike
Check pulse to confirm mechanical capture
Final current set 5-10 mA above threshold level for patient
Transcutaneous pacing
Transvenous pacing
Synchronized cardioversion
Vagal maneuvers
Defibrillation
Pericardiocentesis
Double simultaneous external defibrillation
Thrombolytics for STEMI