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#123 Pacemakers & ICDs: 5 Pearls Segment

Core IM | Internal Medicine Podcast

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End of Life Care for Patients With a Pacemaker and ICD

If bacteremia clears quickly, the decision of whether or not to remove the device is really based on what's causing the infection with things like staff-orrias or fungi being more virulent and then pushing our team to consider device extraction. With persistent factoremia, where blood cultures are positive for two or more days, yes, definitely device should be taken out. But wait, one of my questions that came up when we were talking to Dr. Locke was what happens when the device needs to get removed, but the patients dependant on that device. Yeah, I was wondering that too, like there's some patients who are like 100% pace or dependent. And we

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