A patient experiencing repeated AICD (Automatic Implantable Cardioverter-Defibrillator) activations should receive Midazolam under the same Standing Order as if EMS was preparing to cardiovert. Analgesia with Fentanyl may also be appropriate. Be prepared to manually cardiovert or defibrillate in the event of AICD failure. Consult MCP.

  • Midazolam 2 mg slow IV.
  • Consider Fentanyl  50-100 mcg slow IV,  provided SBP > 100.

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