tag:blogger.com,1999:blog-549949223388475481.post2683241501230314788..comments2024-03-26T22:42:04.176-05:00Comments on Dr. Smith's ECG Blog: Extreme Bradycardia: a Case-Based Lesson in PacingUnknownnoreply@blogger.comBlogger5125tag:blogger.com,1999:blog-549949223388475481.post-69130355030148326262018-11-12T19:20:43.735-06:002018-11-12T19:20:43.735-06:00Hi Steve,
Great case as always, I just thought I&#...Hi Steve,<br />Great case as always, I just thought I'd share my very simple interpretation of some of the issues seen with PPMs. <br />Sensing is about how many spikes are there and how many should there be.<br />Capture is about what is the effect of the spike.<br />Regarding under vs over sensing I use a very simple aide memoire of:<br />Over-sensing = Under pacing (less pacing spike than you'd anticipate, due to excessive inhibition)<br />Under-sensing = Over pacing (more spike that you'd anticipate, reduced / lack of inhibition from native cardiac activity).<br />John L<br /><br /><br />Anonymoushttps://www.blogger.com/profile/09026589956407176781noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-68204889784709475942018-11-10T09:44:26.946-06:002018-11-10T09:44:26.946-06:00tom, this was actually my post.
Stevetom, this was actually my post.<br />SteveSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-65031876046308230032018-11-10T09:43:45.341-06:002018-11-10T09:43:45.341-06:00I think if you see no pacer spikes, the magnet is ...I think if you see no pacer spikes, the magnet is far easier than pacing and should be tried firstSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-35870238804255631542018-11-10T06:22:00.752-06:002018-11-10T06:22:00.752-06:00Is step 3. Magnet application with no pacer spikes...Is step 3. Magnet application with no pacer spikes something appropriate to do in the pre-hospital scope of practice (EMt-Intermediate or Paramedic level)? I'd think we would go to the eternal pacing without worrying about the magnet.Michael Clarkhttp://www.planetmike.comnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-20410474599204093372018-11-09T20:52:16.665-06:002018-11-09T20:52:16.665-06:00excellent. thank you, Pendellexcellent. thank you, Pendelltfierohttps://www.blogger.com/profile/15955268501222734373noreply@blogger.com