In this podcast episode, Dr. Shaila Quazi, a seasoned medical professional, shares insights on pacemakers, aiming to simplify the assessment and treatment of patients with these devices. Drawing on her experience as a resident, she emphasizes the importance of reading EKGs or monitors to identify signs of pacemaker failure or the need for a pacemaker. Dr. Quazi breaks down key indicators, such as pauses, lack of response, and abnormal ventricular rates, offering a practical approach for healthcare providers. She delves into scenarios where external pacing might be necessary and discusses the steps involved in transvenous pacing, providing valuable guidance for emergencies. The episode highlights the significance of correlating symptoms, such as chest pain or shortness of breath, with EKG findings and outlines the steps for initiating appropriate interventions, including medications, external pacing, or transvenous pacing when needed.