EM Clerkship

Round 34 (Shortness of Breath / Bradycardia)

06.01.2022 - By Zack Olson, MD and Michael Estephan, MDPlay

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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

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