Ideal duration of 15 seconds
Auscultate to rule out bruits in carotid artery before performing
Perform ONE side at a time
Perform with caution in elderly patients and those with a history of cardiovascular or neurologic events, though the complication rate is low
Vagal maneuvers
Transcutaneous pacing
Transvenous pacing
Synchronized cardioversion
Defibrillation
Needle cricothyrotomy
Awake intubation
Noninvasive ventilation