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Transcutaneous Pacing Video

ACLS Certification Association videos have been peer-reviewed for medical accuracy by the ACA medical review board.

Video at a Glance

  • Transcutaneous pacing is used during bradycardia when atropine is not effective, particularly in 2nd degree Type II and 3rd degree AV blocks.
  • The placement of pads is the same as for defibrillation.
  • The provider must know how to use the equipment at their facility.
  • To use: change monitor to pacing mode, set the rate, and adjust the electrical current until there is a pacer spike on the monitor.
  • Always check for a central pulse during pacing.
  • The provider should consider sedation before pacing.

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