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Implanted pacemaker and defibrillator technology continues to evolve rapidly. Traditional pacemakers have been replaced by dual chamber pacers capable of breaking tachycardias, adjusting rate using respirations, movement and body temperature as well as resynchronizing conduction in patients with heart failure. Implanted Cardioverter Defibrillator (ICD) technology is also increasingly sophisticated. Mike McEvoy will show you how to recognize patients with implanted pacers, ICDs or recorder devices; present common problems you might encounter and how to treat pacer and defibrillator complications and pearls for the transport of patients with temporary transvenous or epicardial pacemakers and wearable cardio defibrillator vests.
Dual Sequential Defibrillation is also a “hot topic,” but the science behind ventricular fibrillation and its reversal is often left out of the discussion. Dr. Jason T. McMullan will take you through available research, discuss EMS system experiences with dual sequential defibrillation and explain when it may and may not benefit patients in refractory vfib.