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Q J Med 2004; 97: 180
QJM vol. 97 no. 3 (c) Association of Physicians 2004; all rights reserved.

Correspondence

Temporary cardiac pacing

Sir,

While it is undoubtedly true that some consultants in General (Internal) Medicine may not feel competent to perform emergency cardiac pacing by the transvenous route,1,2 there is, in my experience, a lingering expectation among some consultant cardiologists that their non-cardiologist colleagues will respond affirmatively to the suggestion ‘Why don’t you pace him yourself?’ The dilemma of the continuing demand for emergency pacing versus the shrinking pool of competent juniors can best be resolved by training specialist nurses to the required level of expertise. Already, in gastroenterology, suitably trained nurses perform endoscopies. By analogy, there is no reason why nurses in cardiology cannot be trained to fill the service gap.

O.M.P. Jolobe, Retired geriatrician

References

1. Rajappan K, Fox KF. Temporary cardiac pacing in district general hospitals – sustainable resource or training liability? Q J Med 2003; 96:783–5.

2. Murphy JJ, Carver HG, Kift HJ. Temporary cardiac pacing and the physicians of tomorrow. Clin Med 2001; 1:156.[Web of Science][Medline]


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This Article
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