View source for PALS: bradycardia

==Background==
*Algorithm assumes pulse and poor perfusion (hypotension, [[altered Mental Status (Peds)|altered mental status]], and/or [[pediatric shock|shock]])

==Management==
*Start [[CPR]] if HR <60/min with poor perfusion
**Recheck after 2min; if poor perfusion persists:
***Give [[epinephrine]] 0.01mg/kg (0.1 mL/kg 1:10,000)
***Give [[atropine]] 0.02mg/kg (only if due to increased vagal tone or [[AV block]])
***[[Transcutaneous pacing]]
****Consider if bradycardia is due to [[complete heart block]]

==Medication Dosing==
{{MedicationDose
| drug = Epinephrine
| dose = 0.01mg/kg (0.1mL/kg of 1:10,000) IV/IO
| route = IV/IO
| context = Bradycardia with poor perfusion despite CPR
| indication = PALS: Bradycardia
| population = Pediatric
}}
{{MedicationDose
| drug = Atropine
| dose = 0.02mg/kg IV (min 0.1mg, max 0.5mg)
| route = IV
| context = Increased vagal tone or AV block
| indication = PALS: Bradycardia
| population = Pediatric
}}

==See Also==
*[[PALS (Main)]]
*[[Bradycardia]]

==References==
<references/>
AHA 2010 Guidelines for PALS

[[Category:Critical Care]]
[[Category:Cardiology]]
[[Category:Pediatrics]]
[[Category:EMS]]