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The '''precordial thump''' is a medical technique used in the treatment of ventricular arrhythmias. The technique is best described as "punch the patient in the chest as hard as you f**king can!" [[The People's Elbow]] is a variation of the '''precordial thump''' that is considered to be the most electrifying move in all of ACLS.<ref>[http://gomerblog.com/2015/11/acls-rock/ Study: The People’s Elbow is the Most Electrifying Move in All of ACLS]</ref> This maneuver should only really be reserved for those scenarios where a defibrillator isn't available. That being said, try to sneak in a '''precordial thump''' any chance you get!