PALS: bradycardia
Revision as of 05:33, 22 March 2026 by Danbot (talk | contribs) (Danbot moved page PALS: Bradycardia to PALS: bradycardia without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase)
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:
Medication Dosing
Epinephrine 0.01mg/kg (0.1mL/kg of 1:10,000) IV/IO IV/IO Atropine 0.02mg/kg IV (min 0.1mg, max 0.5mg) IV
See Also
References
AHA 2010 Guidelines for PALS