PALS: Bradycardia

Background

• Algorithm assumes pulse and poor perfusion (hypotension, altered mental status, and/or 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