Rural Emergency Medicine Podcast Episode 16: Complete Heart Block
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Dec 20, 2018 
Julie Vieth, an emergency medicine expert from Canton Potsdam Hospital, discusses the intricacies of managing complete heart block in rural settings. She shares a gripping story about bradycardia and the critical decisions required in emergency situations. The podcast outlines essential techniques for emergency cardiac pacing, highlighting both external and transvenous pacing methods. Vieth emphasizes the importance of teamwork and effective communication when facing challenges like pacemaker malfunctions, offering valuable insights for those in resource-limited environments.
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External Pacing Saves Patient
- Carl Richards shares a case where external pacing revived an unconscious patient with complete heart block.
- The patient suddenly became asystolic off pacing but quickly awoke after Carl reinitiated external pacing.
Master Your External Pacer
- Know how to set up your external pacer before disconnecting EMS equipment.
- Familiarize yourself with your pacer machine to operate it confidently without relying on nursing staff.
Placing Transvenous Pacers Safely
- Julie Vieth recounts placing a temporary transvenous pacemaker in a rural hospital without cardiology support.
- Reviewing the MRAP video enabled her to confidently perform the procedure under ultrasound guidance.