A 53-Year-Old Man with Alcohol Use Disorder Is Brought to the Emergency

A 53-year-old man with alcohol use disorder is brought to the emergency department after being found in a park on a cold day in winter.  He was unresponsive when found and was intubated in the field by paramedics.  On arrival, his body temperature is 31 C (88 F) , blood pressure is 77/48 mm Hg, and pulse is 31/min.  ECG shows sinus bradycardia and QT interval of 560 msec.  Which of the following is the best next step in managing this patient's hemodynamic status?

A) Active rewarming
B) Atropine
C) Levothyroxine
D) Magnesium
E) Transvenous pacing

Correct Answer:

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