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Pediatric Defibrillation, Cardioversion and Transcutaneous Pacing

This is a self-paced, open-enrollment course that may be started and completed at any time. Please note: This course requires an updated browser to function properly. Requires Safari (v6 or higher), Chrome (v38 or higher), Internet Explorer (v11 or higher), or Firefox (v23 or higher). To check your current browser version, click here.

About This Course

This course addresses the physiology, indications, equipment, voltage selection, and clinical considerations when performing cardiac defibrillation and cardioversion. The course also covers the indications and necessary equipment for transcutaneous pacing, and presents a case demonstration of the procedure.

This course was developed by the OPENPediatrics program at Boston Children's Hospital, and provides Continuing Medical Education credit. To access the videos from this course for free, as well as hundreds of other resources on pediatric care, sign up for a free account on the OPENPediatrics site.


USD $25.00


Mjaye Mazwi, MD

Instructional Time

1 hour, 30 minutes

Course Format, Media and Technical Requirements

Self-paced, using text and video, with post-test assessments. Requires 80% or higher score to earn CME credit. Online course assessment. Requires Safari (v6 or higher), Chrome (v38 or higher), Internet Explorer (v11 or higher), or Firefox (v23 or higher).

Release/Review/Expiration Dates

  • Released: 6/15/2017
  • Reviewed: 6/15/2017
  • Expires: 6/15/2019

Learning Objectives

  • List the indications for cardiac defibrillation
  • Describe the basic physiologic process underlying cardiac defibrillation
  • Identify the equipment used in performing cardiac defibrillation, and the differences in equipment between adults and children
  • Describe the differences in using pads versus paddles in cardiac defibrillation
  • Identify the appropriate voltages utilized in cardiac defibrillation
  • List the steps in performing a cardiac defibrillation
  • Understand the role of defibrillation in cardiopulmonary resuscitation, and the additional steps that should be taken when resuscitating a patient
  • List the indications and contraindications of cardioversion
  • Demonstrate proper defibrillator pad placement for both infants and older children
  • Describe the steps involved in performing safe cardioversion on patients
  • Identify the initial electricity dosage indicated for patients requiring cardioversion
  • Develop a systematic approach to patient assessment, monitoring, and documentation during resuscitations requiring cardioversion
  • Describe how to operate the equipment involved in transcutaneous pacing
  • Discuss the indications, and their underlying pathophysiology, for transcutaneous pacing
  • List and perform the steps involved in transcutaneous pacing

Statement of Need/Target Audience

Pediatric cardiac arrests from life-threatening arrhythmias are a rare event, however it is imperative pediatric healthcare providers remain knowledgeable and skilled with the procedures and equipment used for the management of a cardiac arrest to facilitate timely, lifesaving resuscitations. This management includes the competent use of electrical interventions comprising of defibrillation, cardioversion, or transcutaneous pacing.

  • Primary Care Physicians
  • Specialty Physicians
  • Physician Assistants
  • Advanced Practice Nurses
  • Registered Nurses
  • Registered Nurses in Specialty Areas
  • Licensed Practical Nurses

Accreditation/Designation Statements

Joint Accreditation

In support of patient care, Boston Children's Hospital is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for the healthcare team.


Boston Children’s Hospital designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.


Boston Children’s Hospital designates this activity for 1.5 contact hours for nurses. Nurse should only claim credit commensurate with the extent of their participation in the activity.


Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 1.5 ABP MOC Part 2 points in the American Board of Pediatrics'(ABP), American Board of Internal Medicine (ABIM) and the American Board of Anesthesiology (ABA) Maintenance of Certification program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABP, ABIM and ABA MOC credit.

Risk Management

The following Enduring Material: Pediatric Pain and Opioid Education Program meets the requirement for 1.5 Risk Management Credits proscribed by the Massachusetts Board of Registration in Medicine and defined in 243 CMR 2.06(5)(d) I. The Massachusetts Board of Registration in Medicine has reviewed and approved the course to fulfill the state opioid training requirement.


Mjaye Mazwi, MD

Fellow, Pediatric Critical Care Medicine
Boston Children's Hospital


In accordance with the disclosure policy of Boston Children's Hospital and the standards set forth by the Accreditation Council for Continuing Medical Education, course planners, speakers and content reviewers list below any relevant relationships they or their spouse/partner have to companies producing, marketing, re-selling or distributing health care goods or services consumed by or used on patients.

Instructor Disclosures

No disclosures to report:

Mjaye Mazwi, MD

Content Reviewers

No disclosures to report:

Traci Wolbrink, MD, MPH, Douglas Mah, MD, Michele DeGrazia, PhD, RN, NNP, Lesley Niccolini

The following planners, speakers, and content reviewers, on behalf of themselves and their spouse or partner, have reported relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients:

Jeffrey Burns, MD, MPH, Monica Kleinman, MD

Commercial and Financial Support Disclosure

This program receives no commercial support.

Privacy Policy

Access the Boston Children's Hospital CME Privacy Policy here.

  1. Course Number

  2. Classes Start

    Jun 15, 2017
  3. Classes End

    Jun 15, 2019