Abstract

Transcutaneous cardiac pacing is a lifesaving procedure for patients with certain types of unstable bradycardia. The American Heart Association (AHA) guidelines for the management of unstable bradycardia recommend initiating transcutaneous pacing in patients unresponsive to atropine while addressing the primary cause of the bradycardia. Current major resuscitation guidelines do not address which pacer pad position to use. The aim of this study was to assess the difference in the pacing thresholds between the anteroposterior (AP) and anterolateral (AL) pacer pad positions.

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