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4th March 2024
An 84-year-old male is found collapsed on the street.
An 84-year-old male is found collapsed on the street. He is known to have a past medical history of hypercholesterolemia, heart failure and hypertension. On arrival at the emergency department, he is conscious and alert.
On examination:
| Airway | Patent, speaking in full sentences |
| Breathing | RR 14
Equal chest expansion Chest clear on auscultation |
| Circulation | HR 29
BP 100/67 mmHg Cold and clammy JVP not visible Central capillary refill time 3 seconds |
| Disability | GCS 15/15
No gross neurological abnormality BM 6.4 mmol/L |
| Everything else | Abdomen soft non-tender
Nill of note |
An ECG was done, which shows the following:
Image source: Wikimedia. Licensed under a creative commons licence. Available for free at: https://upload.wikimedia.org/wikipedia/commons/thumb/2/24/CompleteHeartBlock.jpg/640px-CompleteHeartBlock.jpg [Accessed on: Friday 9th June 2023]
Select the most appropriate option for managing this patient:
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