Bradycardia
General Adult Assessment
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Vascular Access
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Cardiac monitor/12-lead ECG
ECG shows STEMI
No
Acute Coronary Syndrome
(suspected)
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HR <50 bpm & ANY of the following:
1. hypoperfusion
2. Altered mental status
3. Signs of shock
Signs of
hypoperfusion,
AMS, shock
Observe
Transport
Yes
Consider Transcutaneous
Pacing
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ATROPINE
0.5 mg IVP; may repeat q 3-5 min;
max dose 3.0 mg
Refractory
Consider
ATROPINE
.05 mg IVP;
may repeat q 3-5 min;
max dose 3.0 mg
Transcutaneous Pacing
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Failure to capture
Consider
DOPAMINE
5-10 mcg/kg/min IV;titrate to SBP
100mmHg; max dose 20 mcg/kg/min
Consider
GLUCAGON
1mg IV for patients on beta blockers
CALCIUM CLORIDE
1.0 IV for patients on calcium
channel blockers
Responsive to
ATROPINE
Repeat 12-Lead ECG
☎
Notify Receiving Hospital