What are the indications for a pacemaker?
The use of transcutaneous or transvenous
pacemakers in ACLS is indicated in patients with symptomatic brady dysrhythmias
(i.e., myocardial ischemia, hypotension, mental status changes, pulmonary
edema), and for over-drive pacing in patients with refractory
tachydysrhythmias. They are rarely indicated in asystolic patients who have had
prolonged attempts at resuscitation.
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