Transcutaneous pacing mechanical capture reassessment
Educational use only. Not clinically reviewed68-year-old woman for Mechanical-capture rescue and reassessment in a monitored Cardiology unit. About 9 simulated minutes.
What you will practise
- Reconcile the fixed pacing artifacts, paced QRS and T-wave complexes, central pulse assessment, pleth, arterial waveform, pressure, and perfusion.
- Activate the nonshockable pulseless response immediately without waiting for complete pacing or cause review.
- Review open reversible causes and future pacing-bridge needs while pulseless care continues.
- After elapsed time, hand off active resuscitation, capture findings, open causes, and future pacing-bridge ownership.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Wigginton JG, Agarwal S, Bartos JA, et al. Part 9: Adult Advanced Life Support: 2025 American Heart Association Guidelines for CPR and ECC. Circulation. 2025;152(suppl 2):S538-S577. doi:10.1161/CIR.0000000000001376.
- Kusumoto FM, Schoenfeld MH, Barrett C, et al. 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay. Circulation. 2019;140:e382-e482. doi:10.1161/CIR.0000000000000628.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.