RV wall perforation from pacer wire on POCUS Patient with severe chest pain since last night. SC window shown. History: Had pacer placed 36 hours ago at OSH. EHR-had TTE done last week--no pericardial effusion present. Diagnosis: RV wall perforation from pacer wire. Vitals stable. Transferred back to OSH where procedure done. No other follow up. #perforation #wall #PPM #Pacemaker #POCUS #echocardiogram #clinical #s4c #effusion #pericardial