Acute management of ICD's

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The algorithm below is to provide guidance to community teams in the acute management of patients who are presenting acutely unwell with an arrhythmia and have an ICD in situ. 

The diagram below demonstrates the placement of the ring magnet on the patient’s chest to enable emergency deactivation of the defibrillator, if required.

 

Ring magnets can be found in all community hospitals and emergency care facilities within northern NHS Highland. If a magnet is required – please contact Cardio Respiratory Department on 01463 704249 for further assistance.

North and West Operational Unit

South and Mid Operational Unit

·      Caithness General Hospital, Wick

·      Town & County, Wick

·      Dunbar Community Hospital, Thurso

·      Lawson Memorial Hospital, Golspie

·      Migdale Hospital, Bonar Bridge

·      Portree Hospital

·      Mackinnon Memorial Hospital, Broadford

·      Belford Hospital, Fort William

·       Raigmore Hospital, Inverness

·       Royal Northern Infirmary, Inverness

·       Highland Hospice, Inverness

·       Town and County Hospital, Nairn

·       Aviemore Health Centre

·       Ian Charles Hospital, Grantown on Spey

·       County Community Hospital, Invergordon

·       Ross Memorial, Dingwall

ICDs - Home page

ICDs - Acute Management pathway Part 1

 

NB: It is safe to touch a patient when the ICD is delivery therapy

Additional Support available from:
Office hours: Cardio Respiratory Department, Raigmore Hospital, Inverness Tel: 01463 704249

Out of Hours: Coronary Care Unit, Raigmore Hospital, Inverness Tel: 01463 705849

If further support required, the telemed ECG service is available through the Coronary Care Unit, Raigmore Hospital, Inverness

 

ICDs - Acute management pathway Part 2

 

 

NB: It is safe to touch a patient when the ICD is delivery therapy

Additional Support available from:
Office hours: Cardio Respiratory Department, Raigmore Hospital, Inverness Tel: 01463 704249

Out of Hours: Coronary Care Unit, Raigmore Hospital, Inverness Tel: 01463 705849

If further support required, the telemed ECG service is available through the Coronary Care Unit, Raigmore Hospital, Inverness

ICD Printable Document

Glossary
Abbreviation Meaning
ECG Electrocardiogram
ICD Implantable cardioverter defibrillators
SVT Supraventricular tachycardia 
ALS Advanced life support
Editorial Information

Last reviewed: 21 December 2017

Next review: 31 December 2020

Author(s): Cardiovascular Improvement Group

Approved By: High-UHB.tam@nhs.net

Reviewer Name(s): Professor Leslie and Shona Fraser

Document Id: TAM125