06.01.2022 - By Zack Olson, MD and Michael Estephan, MD
You are working at Clerkship General when you are called to see a 70 yo male who is presenting with shortness of breath.
Initial Vitals
* Temp 98.0* HR 36* RR 28* BP 80/35* O2 82%
Critical Actions
* Interpret ECG Correctly (3rd degree AV block)* Order a troponin* Perform and Describe transcutaneous pacing* Perform and Describe transvenous pacing* Treat NStemi (ASA, Heparin gtt, nitro if BP improved after pacing)
Further Reading
Complete Heart Block – EMDocs
Bradycardia – EMCrit