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Bradycardia With a Pulse Algorithm

Version control: This document follows 2020 American Heart Association guidelines for CPR and ECC. American Heart Association guidelines are updated every ve years. If you are reading this page after December 2025, please contact for an update. Version your ACLS recerti cation online with the highest quality course at ACLS Training Center+1 Dorges V, Wenzel V, Knacke P, Gerlach K, Comparison of different airway management strategies to ventilate apneic, nonpreoxygenated patients. Crit Care Med. 2003;31:800-804** Link MS, Atkins DL, Passman RS, Halperin HR, Samson RA, White RD, Cudnik MT, Berg MD, Kudenchuk PJ, Kerber RE. Part 6: electrical therapies: automated external defibrillators, defillation, cardioversion, and pacing: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care . Circulation. 2010; 122(suppl 3):S706-S719. and treat underlying causeMaintain patent airway; assist breathing as necessary* If the patient is short of breath, administer oxygenOxygen if <94%, 90% if ischemia present, or if short of breathCardiac monitor to identify rhythm; monitor blood pressure and oximetryIV access12-lead ECG if available; don t delay therapyPersistent bradyarrhythmia causing:Hypotension?

Version control: This document is current with respect to 2015 American Heart Association Guidelines for CPR and ECC. These guidelines are current until they are replaced on October 2020.

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Transcription of Bradycardia With a Pulse Algorithm

1 Version control: This document follows 2020 American Heart Association guidelines for CPR and ECC. American Heart Association guidelines are updated every ve years. If you are reading this page after December 2025, please contact for an update. Version your ACLS recerti cation online with the highest quality course at ACLS Training Center+1 Dorges V, Wenzel V, Knacke P, Gerlach K, Comparison of different airway management strategies to ventilate apneic, nonpreoxygenated patients. Crit Care Med. 2003;31:800-804** Link MS, Atkins DL, Passman RS, Halperin HR, Samson RA, White RD, Cudnik MT, Berg MD, Kudenchuk PJ, Kerber RE. Part 6: electrical therapies: automated external defibrillators, defillation, cardioversion, and pacing: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care . Circulation. 2010; 122(suppl 3):S706-S719. and treat underlying causeMaintain patent airway; assist breathing as necessary* If the patient is short of breath, administer oxygenOxygen if <94%, 90% if ischemia present, or if short of breathCardiac monitor to identify rhythm; monitor blood pressure and oximetryIV access12-lead ECG if available; don t delay therapyPersistent bradyarrhythmia causing:Hypotension?

2 Acutely altered mental status?Signs of shock?Ischemic chest discomfort?Acute heart failure?Monitor and observeAtropine IV Dose:First dose: Atropine mgRepeat every 3 5 minutesMaximum: 3 mgIf atropine ine ective:Transcutaneous pacing**ORDopamine IV infusion:2 20 mcg/kg per minuteEpinephrine IV infusion:2 10 mcg per minuteConsider:Expert consultationTransvenous pacing Assess appropriateness for clinical rate typically < 50/min if Witha Pulse Algorithm


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