Bradycardia Quiz #3 - Learn & Master ACLS/PALS

Comments

    • Jeff with admin. says

      The main reason why TCP is contraindicated for hypothermia induced bradycardia is because the AHA wants to ensure, the primary focus needs to be on rewarming the patient. It is also thought that in a state of severe hypothermia the heart is unable to respond to the electrical stimulus.

      However, I think, in the future there could be some changes in the use of TCP in states of hypothermia. There is some evidence that suggests when TCP was used in states of symptomatic bradycardia caused by hypothermia, it improved circulation and thus lead to faster warming times and better patient outcomes. Here is a link to one such report.
      http://www.sciencedirect.com/science/article/pii/S0196064406006998

      Kind Regards,
      Jeff

      • margaret avallone says

        I’m really impressed with this site. I am recertifying on Monday. I sent for a book online and received a 2005 ACLS book. YIKES! I found your site and am so happy I am studying this way. It’s easier identifying the changes in the new guidelines the way your site is laid out. I also appreciate the links to the evidence-based science behind the decisions being made. Great job and well worth the money. I will spread the word to all my colleagues to check out your site.

    • jeff with admin. says

      AHA Provider Manual page 113 (Table at the top of page) states: Step 4—“Set the current milliamperes output 2mA above the dose at which consistent capture is observed (safety margin).

  1. David says

    Although Transcutaneous pacing MAY be used for all of the above rhythms, it is only indicated for symptomatic bradycardia.

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