In this episode, Dr. Colin McCloskey, an EM Intensivist from University of Hospitals Cleveland, talks about transvenous and epicardial pacers, and explains how to place a transvenous pacer. He emphasizes that transvenous pacing is a high acuity low opportunity event that requires deliberate practice to achieve competence.

McCloskey outlines the common indications and contraindications for transvenous pacing and stresses the importance of knowing the location of the kit and the contents of the kit before attempting to place a transvenous pacer. He also provides step-by-step instructions on how to place a transvenous pacer, including the use of a sterile sheath, the connection to the pacer box, and how to achieve mechanical capture.

McCloskey discusses potential pitfalls and offers solutions to overcome them. Overall, he emphasizes that transvenous pacing is a simple procedure that is within the skill set of healthcare providers.