What would you considered a reasonable field treatment for trigeminal PVCs with borderline sinus bradycardia (64 - 56 bpm, systolic BP mid-70s, patient is pale, diaphoretic, and experiencing epigastric discomfort. I am a paramedic and with the constant changes
in AHA recommendations, this area is very unclear. Currently our protocols do not mention symptomatic/unstable patients experiencing bigeminal or trigeminal PVCs.