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Table 4 Critical tasks and clinical significance

From: Transcutaneous cardiac pacing competency among junior residents undergoing an ACLS course: impact of a modified high fidelity manikin

Criteria Clinical significance
1. Turning on pacer function The participant recognizes that TCP is indicated and is able to turn on the pacemaker.
2. Applying multifunction pads The participant is able to properly apply the multifunction pads (anterolateral or anteroposterior position).
3. Recognizing that the TCP is ineffective The participant is able to recognize that the TCP is ineffective, either because the initial intensity of the TCP is inadequate, the connection of the multifunction pads is incorrect, or because the pacing mode has not been properly activated.
4. Achieving capture The participant obtains ventricular capture by pacing above the threshold (150 mA) and then maintains capture through time.
5. Verifying mechanical capture The participant manually verifies the pulse rate of the mannequin and confirms that it corresponds to the pacing rate.
6. Prescribing sedation and/or analgesia The participant prescribes medication to decrease the discomfort associated with TCP.
  1. TCP transcutaneous pacing