Pediatric Bradycardia
General Adult Assessment
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Ventialtion Management
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Go to Ventialtion Management
No
Bradycardia:
causing
hypotension
altered mental
status, poor
perfusion or
shock?
Yes
Identify underlying cause
Blood glucose testing
Consider Vascular Access
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Go to Vascular Access
Cardiac monitor
Consider
Overdose/Poisoning
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Go to OD/Poisoning
Identify underlying cause
Blood glucose testing
Consider Vascular Access
Continue Assessment
Go to Vascular Access
Cardiac monitor
Moitor, Reassess, Transport to
Pediatric Facility
Yes
HR <60
bpm?
No
CPR
EPINEPHRINE
1:10,000 0.01 mg/kg IV/IO
1:1000 0.1 mg via ETT
(max 1.0 mg);
repeat q 3-5 min
ATROPINE
0.02 mg/kg IV/IO
(min dose 0.1 mg;
max 0.5 mg)
may repeat once
after 5 min
NS bolus
20 ml/kg;
may repeat up to 60 ml/kg
EPINEPHRINE
1:10,000 0.01 mg/kg IV/IO
1:1000 0.1 mg via ETT
(max 1.0 mg);
repeat q 3-5 min
ATROPINE
0.02 mg/kg IV/IO
(min dose 0.1 mg;
max 0.5 mg)
may repeat once
after 5 min
☎
Consider Transcutaneous
Pacing
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Go to Transcutaneous Pacing
Cardiac Arrest
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Pulseless
Reassess
☎
Notify Receiving Hospital