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okay we now have a patient who is in a second-degree heart block this patient as you can see has a heart rate of 30 they still have a pulse but theyre symptomatic and so we want to treat them weve tried some atropine on this patient however it doesnt seem the patient doesnt seem to be responding to the medication so we want to think about doing some cardiac pacing on this patient and always with pacing you always want to remember its a very painful process for your patient so if you have time to get an IV inserted and give them some medication like some versed or valium something like that to kind of sedate them thats a really great idea okay so here again we have placed the pads on our patient so that we can pace and you also will need your ECG leads on the chest as well okay so to run the pacer very easy you see that the bottom section of the defibrillator says pacer and theres a series of a couple buttons underneath that that were going to use to turn the pacer on so go ahea