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In this hands-on simulation video guided by Dr. Kevin Hon, we provide a step-by-step guide to placing a transvenous pacer (TVP) for emergency cardiac pacing. Follow along as we break down this critical procedure into clear, manageable steps, perfect for residents and attending physicians. In this video, you will learn: Essential Equipment: How to select the correct size Cordis and pacing catheter from the all-in-one kit to prevent complications. Team Roles & Setup: A clear breakdown of responsibilities for the sterile and non-sterile team members, including how to properly set up the pacer box in VVI mode. The Procedure Step-by-Step: From inserting the catheter and using the balloon as a "sail" to float into the right ventricle, to confirming placement with ultrasound and EKG morphology. Finding the Capture Threshold: The crucial final step of determining the minimum energy (milliamps) needed for consistent capture and setting a safe margin for the patient. This guide is ideal for emergency medicine and critical care providers looking to master or refresh their skills on this life-saving procedure. #TransvenousPacer #EmergencyMedicine #CriticalCare #MedicalSimulation #Residency #MedicalEducation #CardiacPacing