Bradyarrhythmia scenario
15/1/26
- Washes hands, introduces self
- Confirms patient identity
- Identifies team competencies
- Takes handover and appropriate history
- Mentions need to treat reversible causes
- recognise need for transcutaneous pacing
- Applies appropriate monitoring
- Asks for 12 lead ECG!
- Considers sedation/offers appropriate analgesia
- Attaches pads
- Attaches 3 lead ECG
- warns patient if conscious
- Chooses demand pacing
- Chooses pace
- increases energy incrementally until electrical + mechanical capture achieved (i.e. ensure pulse matches complexes on monitor)
- Requests appropriate investigations - echo, bloods, CXR?
- Plans for PPM/transvenous pacing
- Hands over to specialty appropriately
- Leads team well
- Global mark from examiner