Sim Blog: Please, Just Go Faster!!
A: Spontaneous and self-ventilation
B: RR 18, Sats 99% Air
C: HR 34 BP 103/95
D: GCS 15/15
E: Temp 36.7°C
Why We Simulated?
Bradycardias can scare people – especially at the thought of having to do transcutaneous pacing (TCP). As this is a sim we haven’t done before, it was a good way for trainees to get to know the defibrillator and how it works.
Always ask for help
How to use the defibrillator to pace
Atropine doesn’t work in Complete Heart Block
Recognition of bradycardia and consideration for atropine
Don’t be afraid to do TCP
TCP does hurt! Remember to consider light sedation and analgesia