Mastering transcutaneous pacing

[@codasadig3088]

Great video

[@lowenarandan6865]

Very helpful video.tq

[@Ryan-mw4zv]

At 1:12, it was mentioned that if you don’t have capture, than you should decrease the output. Should it be the other way around, where if you do have capture initially, then you should start decreasing it until you lose it?

[@What-go8ng]

it means that if you don't have capture, then you will likely increase it by a lot (possibly overshoot it). To minimize cardiac dmg you should decrease (after you've re-established capture) until you lose capture, and then increase by 5 mA.

[@abdullahi3458]

Thought so too. I thought he meant "If you *do* have capture, you should decrease.

[@abdullahi3458]

@@What-go8ng You're not making sense

[@Rvns556]

I was told by a professor to never back down the milliamps that start to give electrical and mechanical capture due to it being very difficult to get the heart to respond to the amount of electricity it did once before. Thoughts on this? Also, shouldn't you confirm both electrical and mechanical capture before setting determining the correct amount of electricity has been used? I don't mean to be rude by any means, just don't want to be a medic who lets a patient go into cardiogenic shock from bradycardia on my first day lol. Thanks a lot for the video!

[@What-go8ng]

the safe answer is don't reduce it, because as a medic you only have your patient during that emergency. If you had to take care of the patient long term you'd probably be more cautious about over stimulating via pacing.

[@mich518xoxo]

0:42 you said electrical capture but the screen said mechanical capture. Which one is correct?

[@rogervanbommel1086]

Electrical is correct

[@ZantherStone]

He said "if you DON'T have capture initially, decrease milliamps until you lose capture". That doesn't make any sense...