5th May 2025

A 35-year-old male is brought to the emergency department by paramedics after being found on the floor of a dance floor in a discotheque.

A 35-year-old male is brought to the emergency department by paramedics after being found on the floor of a dance floor in a discotheque. His heart rate is 40 beats per minute with a blood pressure of 96/50mmHg. He is placed on 15L oxygen via a reservoir mask and IV access is established. A dose of Atropine 500mcg IV is given with poor clinical response. Bloods are taken and a venous blood gas shows pH 7.35, Lactate 2.4, Bicarbonate 22 and normal electrolytes. A 12-lead ECG shows sinus rhythm with a rate of 38 beats per minute. His body temperature is 36 °Celsius. What is the next most appropriate step in managing this patient? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.