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EMR
EMT
AEMT
Paramedic
Extended
Pediatric Bradycardia
Pediatric Bradycardia
Universal Pediatric Assessment
Identify and treat underlying cause
Maintain airway, assist breathing
Oxygen
Cardiac monitor
, BP, oximetry
IO/IV access
. Consider
Fluid Bolus
20mL/kg
12-Lead ECG
if time permits, don’t delay therapy
CPR if heart rate < 60 bpm
Despite oxygenation and ventilation
Cardiopulmonary
compromise continues
Bradycardia persists
Epinephrine
1:10,000 IV/IO 0.01mg/kg (0.1mL/kg)
Repeat every 3-5 minutes
Atropine
IV/IO for increased vagal tone or 1° AVB
0.02 mg/kg. May repeat once.
Consider
Transcutaneous Pacing
If pulseless arrest develops:
Pediatric Pulseless Arrest