A patient presents with no pulse, and the ECG shows the following rhythm. What is the next appropriate step?
If \( L, M, N \) are the midpoints of the sides PQ, QR, and RP of triangle \( \Delta PQR \), then \( \overline{QM} + \overline{LN} + \overline{ML} + \overline{RN} - \overline{MN} - \overline{QL} = \):