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PALS: Bradycardia
From WikEM
Contents
Background
- Algorithm assumes pulse and poor perfusion (low BP, altered mental status, shock)
Management
- Start CPR if HR <60/min with poor perfusion
- Recheck after 2min; if poor perfusion persists:
- Give epinephrine 0.01mg/kg (0.1 mL/kg 1:10,000)
- Give atropine 0.02mg/kg (only if due to increased vagal tone or AV block)
- Transcutaneous pacing
- Consider if bradycardia is due to complete heart block
- Recheck after 2min; if poor perfusion persists:
See Also
References
AHA 2010 Guidelines for PALS
Authors
Ross Donaldson, Neil Young, Daniel Ostermayer, Jordan Swartz
