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Pacing Each of the following rules must be observed: Due to their functional requirements pacemak- Caution ers operate with high voltages and are thus * Check the performance of the defibrillator at hand. equipped with special non-accessible outputs. Nevertheless, it is important not to come into * When positioning the patient ensure that no electrically contact with the voltage-conducting contacts conductive connections are created between the patient via conductive metal objects, such as tweezers, and earthed metal parts (also beware of puddles, etc.). as long as the pacemaker is operating. Currents Although the pacemaker pulse current output is re- passing through the heart which exceed 10 µA quired to be electrically isolated (floating), this is an may induce ventricular fibrillation. additional safety precaution to ensure that the pacemaker current pulse only flows between the pacemaker elec- Switch the pacemaker on and off as follows: trodes. Caution S