@jmedic2jdoc.bsky.social
Medic to MS3
@DukeMedSchool pursuing my MHS in Clinical Research. Aspiring resuscitation scientist interested in cardiology, critical care, and prehospital systems.
@DukeMedSchool pursuing my MHS in Clinical Research. Aspiring resuscitation scientist interested in cardiology, critical care, and prehospital systems.
Unfortunately not what ACLS teaches....hence what's not in protocols....hence what providers don't do. Other issue is the simulations don't teach this stuff. You turn it up to 70 mA and voila you get capture.
December 5, 2024 at 2:37 AM
Unfortunately not what ACLS teaches....hence what's not in protocols....hence what providers don't do. Other issue is the simulations don't teach this stuff. You turn it up to 70 mA and voila you get capture.
Think it's huge to mention that this may also be simply due to lower starting currents in modern practice. This editorial can say it far better than a few hundred characters but TLDR: one of the few RCTs that included some bradycardic patients started at 200 mA!!! doi.org/10.1111/pace...
Historical discrepancies in transcutaneous pacing trials: A call to overcome false electrical capture
Click on the article title to read more.
doi.org
December 5, 2024 at 2:30 AM
Think it's huge to mention that this may also be simply due to lower starting currents in modern practice. This editorial can say it far better than a few hundred characters but TLDR: one of the few RCTs that included some bradycardic patients started at 200 mA!!! doi.org/10.1111/pace...