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  • What is this rhythm? - EMTLIFE
    If there are irregular P waves and the pacemaker is being triggered off them then you will have a resulting irregular paced rhythm Here is a chart showing the standard pacemaker code Your patients "should" have a card in their wallet saying what brand and the settings The first 3 letters are important \ Last edited by a moderator: May 29
  • Head Trauma + MI | EMTLIFE
    AED didn't pick up paced rhythm and called for shock Click to expand Pretty rare for an AED to shock a paced rhythm, usually what happens is the AED gets confused by both a shockable rhythm and pacemaker impulses and instead determines the rhythm to be non-shockable
  • Pacing PEA Asystole | EMTLIFE
    Sometimes they will regain a spontaneous rhythm with stimulation like a Sternal Rub but other times it progresses into a prolonged cardiac arrest This patient should have had the transcutanous pacemaker on demand mode with the rate set 5-10 bpm below what he was asymptomatic at and absolutely be paced if in Standstill or PEA
  • Rhythm Second Opinion | EMTLIFE
    Your rhythm strips look like a paced rhythm, rate response V-paced rhythm The LP12 and other monitors have a default filtering setting built in during Monitor Mode This filtering goes away in 12-Lead Diagnostic Mode This is the reason why you tend to get more artifact in 12-Leads than just your 4 -5 leads
  • Bigeminy or paced rhythm? - EMTLIFE
    Sometimes a paced rhythm doesn't look textbook with a little spike and a neat little complex Sometimes it looks all wide and crazy but generally uniform
  • V-Tach vs Paced rhythm - EMTLIFE
    Definitely a paced rhythm after seeing the rhythm strips Look on the third image at the fact that the pacer kicked in with a demand pacing beat after there was too long of a pause from the intrinsic rate, then immediately shut off again when the intrinsic beat came back before the pacer's programmed R-R interval
  • Wide Complex EKG - EMTLIFE
    I interpreted it as a paced rhythm She converts back into sinus tachycardia and into this rhythm multiple times during transport At one point the rhythm was sustained for a couple minutes I considered giving amiodarone as the rate would at a couple points climb to 140-150 for a couple seconds before slowing down to around 120
  • LifePak 12 and Pacemakers | EMTLIFE
    In this thread on Bigeminy or paced rhythm, EMTLife user Milla3P shared: Can you shed any light on the idea that LifePak 12's only recognize Physio Control pacemakers? Thanks, The LIFEPAK 12 and 15 are actually both good at detecting pacemaker stimuli if they are set up with internal pacemaker detection turned on The user can change this in setup
  • EKG interp | EMTLIFE
    I do not think this particular rhythm is paced but it would be on my differential to rule out Sometimes pacer spikes can be very hard to see With a 3rd degree AV block you have an atrial rhythm as well as an underlying escape rhythm which is usually junctional or ventricular And IVR is basically just a ventricular rhythm without atrial activity
  • Zoll M Series not reading rhythm - EMTLIFE
    We use Zoll M series monitors Twice in the last couple of weeks I have noticed monitors not showing the rate of the rhythm when I am using 4 lead placement But the monitor will show the heart rate using the pulse ox I have tried increasing the size without any changes Put the pulse ox





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