The directive now states that we are to initiate transcutaneous pacing immediately if the pt is severely symptomatic/pre-arrest and not delay for IV access or atropine, etc. If they are in a spot that requires a lifting chair to extricate, should we wait until they are on the stretcher to initiate it or initiate then discontinue for extrication, reinitiate, etc. Then how would you like us to move the pt to the stretcher? 

SWORBHP Medical Council appreciates that paramedic practice is often in suboptimal conditions and that treatment may not be possible until the patient has been extricated. Therefore, we defer to your clinical judgment to provide the best possible treatment that the patient clinical setting provides. 

Cardiac/Circulation,Symptomatic Bradycardia

Extrication, Symptomatic bradycardia

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