SHHEPAPC Posted October 24, 2018 Share Posted October 24, 2018 are there any PA's out there performing cardioversions? our heart hospital looking into, just wondering how other hospital's have gone about setting up protocols, challenges you've faced, etc. Thanks! 1 Quote Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted October 25, 2018 Share Posted October 25, 2018 EM not cardiology, but I perform emergent cardioversions for unstable tachycardias that don't respond to medications. I didn't need special credentialing for it. 3 2 Quote Link to comment Share on other sites More sharing options...
ChrisPAinED Posted February 23, 2023 Share Posted February 23, 2023 Emergency medicine and critical care PA do emergent cardioversions lethal Arrhythmia and have a doc on the phone then they follow up. Also for stable electric cardioversions I can lead every now and then with a crew ready no credentials needed 1 1 Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted February 23, 2023 Moderator Share Posted February 23, 2023 On 10/24/2018 at 11:06 PM, ohiovolffemtp said: EM not cardiology, but I perform emergent cardioversions for unstable tachycardias that don't respond to medications. I didn't need special credentialing for it. Ditto 2 Quote Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted February 24, 2023 Moderator Share Posted February 24, 2023 I imagine your looking for cardiology PAs who have gone through this process in a facility with much more red tape, but I will fill in. I do symptomatic but stable a-fib/flutter and SVT cardioversions, who meet criteria, with me also performing the sedation all the time in the ED solo (single coverage ED). We do it the Canadian way at my shop , meaning we are not nearly as averse to using electricity compared to most US EDs. No phone call or anything required. Of course do unstable as well. When I started this job I wrote it on my list of requested credentials and they gave it to me as I performed them in residency. However I do it way more than in residency as they more often prefer rate control, even if cardioversion was an option. really it’s pretty safe and simple, especially if they have been anticoagulated for 3 weeks and have a negative echo, as cardiology likes to do. I don’t see any reason you shouldn’t do it. The conscious sedation is much more dangerous, but I imagine you would have anesthesia performing this? 2 Quote Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted February 25, 2023 Administrator Share Posted February 25, 2023 I got to push the button on one in my Cardiology elective rotation. Seemed like a heck of a lot more to it than doing it in ACLS training, which I'd probably done a dozen or more times before I got to zap a real human. It worked, BTW--she converted. 1 Quote Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted February 25, 2023 Moderator Share Posted February 25, 2023 lol we all got bamboozled by the necrothread. OP from nearly 4.5 years ago. 1 2 Quote Link to comment Share on other sites More sharing options...
SedRate Posted February 26, 2023 Share Posted February 26, 2023 On 2/24/2023 at 6:24 PM, rev ronin said: I got to push the button on one in my Cardiology elective rotation. Seemed like a heck of a lot more to it than doing it in ACLS training, which I'd probably done a dozen or more times before I got to zap a real human. It worked, BTW--she converted. Nice! I got to push the button as a CT PA standing next to the CT surgeon. Lol Quote Link to comment Share on other sites More sharing options...
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