PALS: Bradycardia

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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 0.01mg/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

See Also

PALS (Main)

References

AHA 2010 Guidelines for PALS