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EMR
EMT
AEMT
Paramedic
Extended
Bradycardia
Bradycardia
Universal Patient Assessment
Cardiac Monitor
12-Lead ECG
If
EMT
or STEMI, transmit
Suspect Inferior MI with
bradycardia and low BP.
Perform right sided 12 Lead
ECG.
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.
Only base treatment on the
palpable pulse rate, not the
monitor’s rate!
Adult IV/IO
Symptomatic?
Blood Pressure <90 Systolic
Chest Pain, Altered Mental Status
Monitor
Atropine
0.5mg IV/IO
May repeat in 5 minutes
Maximum 3mg
Epinephrine Push-Dose Pressor
0.5-2 mL every 2-5 min
Consider
Sedation
Ketamine
0.4mg/kg IV/IO/IM
Transcutaneous Pacing
If pacing, activate the cardiac cath
lab
Yes
No
Second Degree Type
II or Third Degree
Heart Block