Implantable Cardioverter Defibrillator Flashcards
Is it safe to touch a patient who has had an ICD fitted? Even if its firing?
Yes it is safe
Approach used when patient is known to have an ICD?
Primary survey ABCD
Administration and monitoring of ECG
A patient with an ICD is in cardiac arrest, what should you consider first?
Is the ICD firing?
A patient with an ICD is in cardiac arrest, their ICD is not firing, what should you do?
Treat as per clinical guidelines for cardiac arrest
Avoid ICD implantation site if external defibrillation is required
A patient with an ICD is in cardiac arrest, their ICD was effective at obtaining ROSC, what should you fo next?
Assess patient
Monitor 12-lead ECG
Monitor blood pressure
Treat as per clinical guidelines
A patient with an ICD is in cardiac arrest, their ICD administered a shock but It was not effective, what should you do next?
If the ICD is ineffective or inappropriate, disable the ICD with a ring magnet (if available) and treat as appropriate
A patient with an ICD is not in cardiac arrest but does have an arrhythmia, what should you do?
Consider if the ICD is firing
A patient with an ICD is not in cardiac arrest, but does have an arrhythmia, their ICD is not firing, what should you do?
If the ICD is ineffective or inappropriate, disable the ICD with a ring magnet (if available) and treat as appropriate
A patient with an ICD is not in cardiac arrest, but does have an arrhythmia, their ICD is firing, and has effectively returned the heart rate to normal sinus rhythm, what should you do next?
Assess patient
Monitor 12-lead ECG
Monitor blood pressure
Treat as per clinical guidelines
After treating an ICD patient as per clinical guidelines, what should you do lastly?
If blood pressure is low, treat underlying causes
Consider and teat any arrhythmias
Transfer to further care, provide a ATMIST pre-alert
