Temporary emergency pacing--an orphan in district hospitals.

This editorial discusses a report on the 1 year experience with temporary pacing, especially in the emergency setting, in several Norwegian district hospitals. The vast majority of the patients received transvenous temporary pacing, and the majority of leads were placed by noncardiologists. The procedure times were long and complications were frequent. The organization of emergency pacing is discussed, and we suggest that unless qualified physicians can establish transvenous pacing, the patients who need that should be transferred with transcutaneous pacing as back-up during transport to a hospital with more available competence. Ideally, those who need pacing immediately, including those who need permanent pacing, should be offered permanent implantation on a 24 hours/7 days per week base.