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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