Bradycardia (Deep Dive R34)

Asymptomatic Bradycardia – usually don’t treat











Symptomatic Stable Bradycardia – atropine, further workup











Symptomatic Unstable Bradycardia – SIMULTANEOUS treatment with medications and electricity











* Meds: Trial of atropine, then either epinephrine, dopeamine, or isoproterenol* Electricity: Transcutaneous Pace –> TVP











DDX of Bradycardia – BRADIE











Blocks (av blocks)











Reduced vital signs (hypoxemia, hypothermia, hypoglycemia)











Acs (acute coronary syndrome/ischemia)











Drugs (beta blocker, calcium channel blocker, digoxin, organophosphate)











Infection/Inc ICP (Lyme, myocarditis // cushings reflex)











Electrolyte/Endocrine (hyperkalemia, hypermagnesemia, hypocalcemia // myxedema coma)