2015 Trumbull Memorial Hospital Demo

Bradycardia Bradycardia

Suspect Inferior MI with bradycardia and low BP. Perform right sided 12 Lead ECG.

Universal Patient Assessment

Only base treatment on the palpable pulse rate, not the monitor’s rate!

Cardiac Monitor 12-Lead ECG If EMT or STEMI, transmit

Adult IV/IO

Symptomatic? Blood Pressure <90 Systolic Chest Pain, Altered Mental Status

No

Yes

Atropine 0.5mg IV/IO May repeat in 5 minutes Maximum 3mg

Monitor

Epinephrine Push-Dose Pressor 0.5-2 mL every 2-5 min

Bradycardia has many causes. Consider reversing the cause (hypoxia, MI). Slow heart rates may be normal in patients who are physically fit or on blood pressure medications.

Second Degree Type II or Third Degree Heart Block

Consider Sedation Ketamine 0.4mg/kg IV/IO/IM

Transcutaneous Pacing

If pacing, activate the cardiac cath lab

9

EMR

EMT

AEMT

Paramedic

Extended