PALS: bradycardia: Difference between revisions
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==Background== | ==Background== | ||
*Algorithm assumes pulse and poor perfusion ( | *Algorithm assumes pulse and poor perfusion (hypotension, [[altered Mental Status (Peds)|altered mental status]], and/or [[pediatric shock|shock]]) | ||
==Management== | ==Management== | ||
*Start CPR if HR <60/min with poor perfusion | *Start [[CPR]] if HR <60/min with poor perfusion | ||
**Recheck after 2min; if poor perfusion persists: | **Recheck after 2min; if poor perfusion persists: | ||
***Give epinephrine 0. | ***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) | ***Give [[atropine]] 0.02mg/kg (only if due to increased vagal tone or [[AV block]]) | ||
***Transcutaneous pacing | ***[[Transcutaneous pacing]] | ||
****Consider if bradycardia is due to complete heart block | ****Consider if bradycardia is due to [[complete heart block]] | ||
==Medication Dosing== | |||
{{MedicationDose | |||
| drug = Epinephrine | |||
| dose = 0.01mg/kg (0.1mL/kg of 1:10,000) IV/IO | |||
| route = IV/IO | |||
| context = Bradycardia with poor perfusion despite CPR | |||
| indication = PALS: Bradycardia | |||
| population = Pediatric | |||
}} | |||
{{MedicationDose | |||
| drug = Atropine | |||
| dose = 0.02mg/kg IV (min 0.1mg, max 0.5mg) | |||
| route = IV | |||
| context = Increased vagal tone or AV block | |||
| indication = PALS: Bradycardia | |||
| population = Pediatric | |||
}} | |||
==See Also== | ==See Also== | ||
[[PALS (Main)]] | *[[PALS (Main)]] | ||
*[[Bradycardia]] | |||
==References== | ==References== | ||
Latest revision as of 05:33, 22 March 2026
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