Pediatric Defibrillation, Cardioversion and Transcutaneous Pacing
This course addresses the physiology, indications, equipment, voltage selection, and clinical considerations when performing cardiac defibrillation and cardioversion. The course also covers the indications and necessary equipment for transcutaneous pacing, and presents a case demonstration of the procedure.

Learning Objectives
List the indications for cardiac defibrillation
Describe the basic physiologic process underlying cardiac defibrillation
Identify the equipment used in performing cardiac defibrillation and the differences in equipment between adults and children
Describe the differences in using pads versus paddles in cardiac defibrillation
Identify the appropriate voltages utilized in cardiac defibrillation
List the steps in performing a cardiac defibrillation
Understand the role of defibrillation in cardiopulmonary resuscitation, and the additional steps that should be taken when resuscitating a patient
List the indications and contraindications of cardioversion
Demonstrate proper defibrillator pad placement for both infants and older children
Describe the steps involved in performing safe cardioversion on patients
Identify the initial electricity dosage indicated for patients requiring cardioversion
Develop a systematic approach to patient assessment, monitoring, and documentation during resuscitations requiring cardioversion
Describe how to operate the equipment involved in transcutaneous pacing
Discuss the indications, and their underlying pathophysiology, for transcutaneous pacing
List and perform the steps involved in transcutaneous pacing
Author(s)
Mjaye Leslie Mazwi, MD, MBChB
Fellow, Critical Care Medicine | Boston Children's Hospital
Division Head, Cardiac Critical Care Medicine;
Co-Director, Heart Center | Seattle Children's Hospital
Course Director(s)
Traci Wolbrink, MD, MPH
Co-Director, OPENPediatrics; Co-Director, Center for Educational Excellence and Innovation; Program Director, Pediatric Critical Care Medicine Fellowship; Senior Associate in Critical Care Medicine | Boston Children’s Hospital
Associate Professor of Anaesthesia | Harvard Medical School
Citation
Wolbrink TA. Pediatric Defibrillation, Cardioversion and Transcutaneous Pacing. 06/2019. OPENPediatrics. Online Course: https://learn.openpediatrics.org/learn/courses/1990/pediatric-defibrillation-cardioversion-and-transcutaneous-pacing.
