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Q J Med 2003; 96: 783-785
© 2003 Association of Physicians

Editorial

Temporary cardiac pacing in district general hospitals—sustainable resource or training liability?

The first 10% of the full text of this article appears below.

Temporary transvenous cardiac pacing is a potentially life-saving procedure for patients in whom there is an actual or a high risk of bradyarrhythmias or asystole in the emergency setting. In North America or Western Europe, provision of a temporary pacing service is normally within specialist cardiac centres, but in the UK, general physicians in District General Hospitals are typically on-call for such duties. Historically, this is the domain of the Medical Specialist Registrar. However, in the face of a fall in the number of temporary pacing procedures required, and less onerous rotas for junior doctors, critical problems with the current system now exist.

The complication rates of temporary cardiac pacing remain high. . . . [Full Text of this Article]

K. Rajappan and K.F. Fox

Dept of Cardiology Hammersmith Hospitals NHS Trust Charing Cross Hospital London e-mail: k.fox@imperial.ac.uk


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