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	<title>Comments on: Too Much Information About AICD Function</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2010/12/too-much-information-about-aicd-function/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2010/12/too-much-information-about-aicd-function/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: leeM</title>
		<link>http://www.epmonthly.com/whitecoat/2010/12/too-much-information-about-aicd-function/#comment-40421</link>
		<dc:creator>leeM</dc:creator>
		<pubDate>Mon, 20 Dec 2010 19:58:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5837#comment-40421</guid>
		<description><![CDATA[If two magnets dont work just wheel the patient into the nearest MRI - but dont get too near too avoid patient sticking to MRI... :-}]]></description>
		<content:encoded><![CDATA[<p>If two magnets dont work just wheel the patient into the nearest MRI &#8211; but dont get too near too avoid patient sticking to MRI&#8230; :-}</p>
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		<title>By: ERP</title>
		<link>http://www.epmonthly.com/whitecoat/2010/12/too-much-information-about-aicd-function/#comment-36063</link>
		<dc:creator>ERP</dc:creator>
		<pubDate>Thu, 16 Dec 2010 04:58:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5837#comment-36063</guid>
		<description><![CDATA[I bet the AICD saved his old lady who he surely would have crushed.]]></description>
		<content:encoded><![CDATA[<p>I bet the AICD saved his old lady who he surely would have crushed.</p>
]]></content:encoded>
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		<title>By: girlvet</title>
		<link>http://www.epmonthly.com/whitecoat/2010/12/too-much-information-about-aicd-function/#comment-34292</link>
		<dc:creator>girlvet</dc:creator>
		<pubDate>Mon, 13 Dec 2010 20:16:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5837#comment-34292</guid>
		<description><![CDATA[&quot;mounted&quot;? That is not a pretty picture.]]></description>
		<content:encoded><![CDATA[<p>&#8220;mounted&#8221;? That is not a pretty picture.</p>
]]></content:encoded>
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		<title>By: MikeMD</title>
		<link>http://www.epmonthly.com/whitecoat/2010/12/too-much-information-about-aicd-function/#comment-34217</link>
		<dc:creator>MikeMD</dc:creator>
		<pubDate>Mon, 13 Dec 2010 17:53:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5837#comment-34217</guid>
		<description><![CDATA[I was thinking just build an arc reactor.  Duh.]]></description>
		<content:encoded><![CDATA[<p>I was thinking just build an arc reactor.  Duh.</p>
]]></content:encoded>
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		<title>By: Anonymous</title>
		<link>http://www.epmonthly.com/whitecoat/2010/12/too-much-information-about-aicd-function/#comment-33721</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 13 Dec 2010 06:12:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5837#comment-33721</guid>
		<description><![CDATA[So no electromagnet hooked up to a car battery then?]]></description>
		<content:encoded><![CDATA[<p>So no electromagnet hooked up to a car battery then?</p>
]]></content:encoded>
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		<title>By: cardioNP</title>
		<link>http://www.epmonthly.com/whitecoat/2010/12/too-much-information-about-aicd-function/#comment-33529</link>
		<dc:creator>cardioNP</dc:creator>
		<pubDate>Mon, 13 Dec 2010 01:05:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5837#comment-33529</guid>
		<description><![CDATA[I suspect that he may have met his rate threshold for shock delivery and that he may not have had an actual VT/VF event given the scenario.  Hope he follows up with his EP doc for interrogation before he re-enters the rodeo.
Most ICDs (even single chamber ICDs) have the ability to do VVI pacing.  General default setting is at 40 bpm.]]></description>
		<content:encoded><![CDATA[<p>I suspect that he may have met his rate threshold for shock delivery and that he may not have had an actual VT/VF event given the scenario.  Hope he follows up with his EP doc for interrogation before he re-enters the rodeo.<br />
Most ICDs (even single chamber ICDs) have the ability to do VVI pacing.  General default setting is at 40 bpm.</p>
]]></content:encoded>
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	<item>
		<title>By: WhiteCoat</title>
		<link>http://www.epmonthly.com/whitecoat/2010/12/too-much-information-about-aicd-function/#comment-33381</link>
		<dc:creator>WhiteCoat</dc:creator>
		<pubDate>Sun, 12 Dec 2010 21:46:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5837#comment-33381</guid>
		<description><![CDATA[If your magnet doesn&#039;t work on an obese patient, get a second magnet, stick them together and then put them on the patient&#039;s chest. The combined magnetic field is usually sufficient to deactivate the AICD in even morbidly obese patients. 
If the defibrillator has a pacing function (not all of them do), deactivating the AICD with a magnet has no effect on the pacing function, so you don&#039;t need to do anything to keep the pacer working.]]></description>
		<content:encoded><![CDATA[<p>If your magnet doesn&#8217;t work on an obese patient, get a second magnet, stick them together and then put them on the patient&#8217;s chest. The combined magnetic field is usually sufficient to deactivate the AICD in even morbidly obese patients.<br />
If the defibrillator has a pacing function (not all of them do), deactivating the AICD with a magnet has no effect on the pacing function, so you don&#8217;t need to do anything to keep the pacer working.</p>
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