It happened in recent on-call.

80 yr old man brought in by ambulance with feeling unwell, confusion and collapes. Seen by A&E doctors in resus. ECG showed 5-6 p wave with 1 QRS.

I was referred. in 10 min, rapidly deteriotaed. BP went down to 80/50. GCS also going down. He needed emergency pacing, which is external pacing first, beofore sending to cath lab.

We did fast bleep to anaesthetist to come down. We did fast bleep to cardio reg to come down. 5 min wait while we started praparing to anaesthetise patient for external pacing . For some reason, nobody arrived apart from cardiology nurse who made ready for external pacing.

So we had to make arrest call. 2222. All crash team arrived in 2-3 mins, anaesthetist registrar, cardiology registrar and other on-call people.

BP picking up after a few minutes after external pacing.

Later, he was moved to cath lab. Pacing already done in next 1 hour. In the evening, I reviewed patient. Stable.