1. Scenario 3.2 Bradycardia – Third-degree Heart Block 1

2. Initial ECG 2

3. Chest X-ray Findings: The cardiac silhouette and mediastinal contour are normal in size. The lung fields are clear bilaterally with no consolidations or infiltrates. The visualized soft tissue and osseous structures are normal. Impression: No radiographic evidence of acute cardiopulmonary pathology. 3

4. Initial rhythm strip 4

5. Rhythm strip 5

6. ECG - paced 6

7. Fingerstick glucose ValueNormal range Fingerstick glucose 10370-185 mg/dL 7

8. Complete blood count ValueNormal range WBC11.04.8-11.8 bil/L HGB13.010.5-15.0 g/dL HCT3832-46% Plts245130-460 bil/L 8

9. Complete metabolic panel ValueNormal range Na139134-147 mmol/L K3.93.5-5.0 mmol/L Cl9998-109 mmol/L CO 2 2523-33 mmol/L BUN117-20 mg/dL Cr0.90.7-1.3 mg.dL Glu11270-185 mg/dL Ca2.32.2-2.7 mmol/L Total protein7.96.3-8.2 g/dL Albumin4.43.8-5.2 g/dL AST290-30 U/L ALT370-37 U/L AP10237-112 U/L T. Bili0.70-1.0 mg/dL 9

10. Cardiac markers ValueNormal range CK14041-266 U/L CK-MB4.20-7.5 ng/mL Trop-T0.02  0.03 ng/mL 10

11. Coagulation panel ValueNormal range PT10.09.2-11.7 s PTT2722-35 s INR1.10.8 – 1.2 11