Case 5

Ethan Krauspe, Richa Sheth

Case 5

82F with bradycardia, confusion, SBP 80s.

RRT activated for bradycardia 

EKG:

Rhythm? Initial Management Steps?

EKG Analysis

Options: transcutaneous pacing (+sedation), transvenous pacing (requires line, expertise)

Teaching Points:

  • Complete heart block = AV dissociation.
  • Atropine ineffective in infranodal blocks.
  • Always have pacing pads in place during rapid responses.
    • Transcutaneous pacing will require sedation

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