[Verse 1] Junction's firing fast, narrow beats racing blind, Ectopic focus stole the sinus throne it left behind, Overdrive the atria, pace above that rogue rate, Steal back the rhythm before the pressure starts to deflate, Cut the catecholamine drip, the epinephrine tide, Cool the core to thirty-four, thirty-five, let fever slide, Mag sulfate twenty-five to fifty milligrams a kilo, Cap it at two grams, steady drip not a solo, Dexmedetomidine creeps in, sympathetic hush, Alpha-two agonist quiets down the catecholamine rush. [Chorus] Cool it, pace it, mag it, calm it — JET don't stand a chance, Above the junction, steal the tempo, slow the frantic dance, Amio for the chaos, esmolol to rein the beat, Wires in the atrium and ventricle complete, Potassium four to four-point-five, keep the muscle true, Conduit's healing, rhythm's reeling, bring the heart back through. [Verse 2] Amiodarone's the heavyweight when QRS runs amok, Five milligrams per kilo, twenty minutes, maybe luck, Push again if needed, climb to fifteen as the ceiling, Then five to fifteen micrograms a kilo-minute feeling, Grown-up dosing's different, hundred-fifty over ten, One milligram each minute for six hours, count again, Half a milligram thereafter, keep the infusion slow, Watch the pressure, watch the QT, watch the heart rate go, Hypotension's lurking, bradycardia's the catch, Long QT can spiral into torsades on the watch. [Chorus] Cool it, pace it, mag it, calm it — JET don't stand a chance, Above the junction, steal the tempo, slow the frantic dance, Amio for the chaos, esmolol to rein the beat, Wires in the atrium and ventricle complete, Potassium four to four-point-five, keep the muscle true, Conduit's healing, rhythm's reeling, bring the heart back through. [Verse 3] Esmolol's the sprinter, beta-blocker quick to fade, Five hundred micrograms a kilo, loading dose first laid, Fifty up to three hundred, micrograms each kilo-minute flows, Only when the right side's strong enough to take the blows, Ultrafiltration pulls the fluid, shifts the lytes around, Chase the ionized calcium, magnesium gone to ground, Potassium's the tightrope, four to four-point-five the line, Too low it sparks the ectopy, too high it stops the time. [Bridge] Temporary wires laid down before the chest is closed, Atrium and ventricle, both leads are predisposed, AV sequential pacing gives the kick back to the beat, Stiff RV needs that atrial push to stay complete, Block comes after VSD patch or LVOT resection's near, Seven to ten days watching, if it lingers do not fear, Permanent pacemaker's the answer when the node won't wake, Don't wait longer, conduction's not a chance you want to take. [Outro] Cool the fire, pace the chamber, mag it to the max, Dex to quiet sympathetic, hold the lytes on track, Amio and esmolol, wires keeping time, Rhythm after conduit repair — now you know the rhyme.
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