- Transcutaneous pacing: painful, difficult, complicates things. Needs 10x the milliamps.
- Don’t get behind -- concerned about an MI? Mortality can be significant! -- fatal bradycardia
- Place the sheath (6 french, not 9 french cordis) and be prepared
- Use your drugs -- push dose epi / isoproterenol. Dopamine?--don’t bother.
- Location matters: R internal jugular or L subclavian. The wire has memory.
- Not so fast with the Cordis -- use 6 French, 9 French is too wide
- 3 dials: rate, output, sensitivity. 80 beats. --- Start at 20 mA, decrease until capture loss