Bradycardia — EMS

The quiz
You are called to the home of a 81-year-old male who is complaining of dizziness and weakness of the past several hours. He appears ill, with pale diaphoretic skin. He attempts to stand when you arrive and experiences a near syncopal episode. You cannot feel a radial pulse, but his carotid is strong and slow at a rate of approximately 30/min. You are having trouble hearing a blood pressure. You place him on the monitor and see the following rhythm.

about 3–5 minutes