Welcome to The Pearl Log — where post-shift wisdom surfaces, one shiny clinical take at a time. Some pearls are fresh, some are rough, all are found under pressure.
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A case of palpitations
A 37-year-old with a heart rate just over 200, narrow complexes, and a rhythm so regular it could keep time—no flutter waves in sight. He’s talking, perfusing, and looking at you expectantly. The next move? Something simple, safe, and maybe a little gravity-assisted.