Transcutaneous pacing in ER

Specialties Emergency


Hi all,

We just received a new toy (transcutaneous Pacer and Defib) and I would like to know more about this transcutaneous pacing business, and more specific, what the protocols in other ER's are.

Sorry for my crappy English, I'm a better nurse than you'd think...


I've used Zoll monitors for years. There has never been a "pacing protocol" per se. Usually, it's in a code situation, when you've given every drug in the box and there's still something pacable on the monitor. The doc turns up the MA until there's capture..usually there's not, but it's the last ditch effort. (Zoll has a smaller portable unit now that is really excellent)

Specializes in Nephrology, Cardiology, ER, ICU.

Our ER uses an old Hewlett Packard monitor that paces. I have used it successfully for profound bradycardia associated with AMI and with Pediatric heart patients. We only use this as a bridge to internal pacing. Good luck.

Thanks for the replies.

We use a Zoll portable monitor/defib/pacer.

The ER I work in does not always have a doctor on the floor (yeah, I know, and it's a busy ER) so I was looking for some info and algorythms.

The pacer will indeed be used as a bridge to a transvenous pacer.

Anyway , I found some usefull EMT algorithms.

Thanks again

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