PALS: Bradycardia: Difference between revisions
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*Start CPR if HR <60/min with poor perfusion | *Start CPR if HR <60/min with poor perfusion | ||
**Recheck after 2min; if poor perfusion persists: | **Recheck after 2min; if poor perfusion persists: | ||
***Give | ***Give epinephrine 0.01 mg/kg (0.1 mL/kg 1:10,000) | ||
***Give atropine 0.02mg/kg (only if due to increased vagal tone or AV block) | ***Give atropine 0.02mg/kg (only if due to increased vagal tone or AV block) | ||
***Transcutaneous pacing | ***Transcutaneous pacing | ||
Revision as of 07:58, 24 July 2016
Background
- Algorithm assumes pulse and poor perfusion (low BP, AMS, shock)
Management
- Start CPR if HR <60/min with poor perfusion
- Recheck after 2min; if poor perfusion persists:
- Give epinephrine 0.01 mg/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