PALS: Bradycardia: Difference between revisions
(Created page with "*Algorithm assumes pulse and poor perfusion (low BP, AMS, shock) **Start CPR if HR <60/min w/ poor perfusion ***Recheck after 2min; if poor perfusion persists: ****Give Epi 0.01 ...") |
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*Algorithm assumes pulse and poor perfusion ( | ==Background== | ||
*Algorithm assumes pulse and poor perfusion (hypotension, [[altered Mental Status (Peds)|altered mental status]], and/or [[pediatric shock|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== | ==See Also== | ||
[[PALS (Main)]] | *[[PALS (Main)]] | ||
*[[Bradycardia]] | |||
==References== | |||
<references/> | |||
AHA 2010 Guidelines for PALS | |||
[[Category:Critical Care]] | |||
[[Category:Cardiology]] | |||
[[Category:Pediatrics]] | |||
[[Category:EMS]] | |||
Latest revision as of 19:26, 6 October 2019
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
- Recheck after 2min; if poor perfusion persists:
See Also
References
AHA 2010 Guidelines for PALS