Hypotension. Third-degree heart block. Syncope.
Elderly patient with syncope. Found to be in third-degree heart block. Unstable requiring pacing. Initial management includes ACLS approach with transcutaneous pacing. Upon stabilization, the objective is placement of a transvenous pacemaker for transport to a higher level of care for permanent pacemaker insertion.
Goals and Objectives
- Approach to unstable bradycardia.
Objectives (Medical and CRM):
- ACLS bradycardia management.
- Technical aspects to starting transcutaneous and transvenous pacing.
- ACLS approach to bradycardia, recognizing the need for pacing and description of technical aspects (transcutaneous & transvenous), coordinating transfer for permanent pacemaker insertion.
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