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This is demonstrated ( Figure 5 ) by the gap in arrows at the bottom of the strip, signifying that the demand pacemaker has recognized an underlying rhythm (in this case, artifact from a moving ambulance). The artifact fools the pacemaker into thinking the rhythm is native. They are unable to feel a pulse and resume CPR.
Bedside cardiac ultrasound showed moderately decreased LV function. CT of the chest showed no pulmonary embolism but bibasilar infiltrates. See this post: How a pause can cause cardiacarrest 2. Place temporary pacemaker 3. She was intubated. The plan: 1. Discontinue amiodarone, since it prolongs the QT 4.
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