In this hands-on simulation video, we provide a comprehensive, step-by-step guide to placing a transvenous pacer (TVP) for emergency cardiac pacing. This tutorial covers the entire procedure, from selecting the correct equipment like the Cordis and pacing catheter to the specific roles for a two-person team. We demonstrate the proper setup of the pacer box in VVI mode, the technique for inserting the catheter using the balloon as a 'sail' to float into the right ventricle, and how to confirm placement with both ultrasound and EKG morphology. The guide concludes with the critical final step of determining the capture threshold to ensure effective and safe pacing. This video is perfect for emergency medicine and critical care providers looking to master or refresh their skills on this life-saving procedure.