Out Of Settings Internal Defib

[crotchitymedic1986]

I was discussing a pacemaker alone, not an AICD

[ERDoc]

I was discussing a pacemaker alone, not an AICD

Nice try but your back tracking won't cover your incompetence this time. All ICDs in the last few years are also pacemakers and the OP said this one was 4 days old. In years past you could get separate devices. In that case, if you only had a pacemaker there was no option to shock. You would not see this presentation because the pt would not be getting shocked. So a magnet would be pretty irrelevant. Why would you want to stop pacing someone? Again, please read up on them before you kill someone.

[island emt]

We have a frequent flyer that is very often post shock when we arrive. He wants us to transport him to get the device fixed.

After several trips to the ER he was finally convinced that the AICD is doing the job it's designed to. It senses a lethal arrhythmia and gives a shock.

Some days it takes up to half a dozen shocks to convert him.

The other night it was resolved after only three shocks.

The days of defective units are pretty much past, they were subject to a recall and have been replaced.

Back to Ugly's question: There really isn't much more you could have done for your Pt. Very few Med control Docs will give permission to disable an implanted AICD unless they are very familiar with the Pt and the medic involved.