2015 Trumbull Memorial Hospital Demo

Pediatric Bradycardia Pediatric Bradycardia

Universal Pediatric Assessment

Identify and treat underlying cause

 Maintain airway, assist breathing  Oxygen  Cardiac monitor , BP, oximetry

 IO/IV access . Consider Fluid Bolus 20mL/kg  12-Lead ECG if time permits, don’t delay therapy

Cardiopulmonary compromise continues

CPR if heart rate < 60 bpm Despite oxygenation and ventilation

Bradycardia persists

Epinephrine 1:10,000 IV/IO 0.01mg/kg (0.1mL/kg) Repeat every 3-5 minutes Atropine IV/IO for increased vagal tone or 1° AVB 0.02 mg/kg. May repeat once.

Consider Transcutaneous Pacing

If pulseless arrest develops: Pediatric Pulseless Arrest

71

EMR

EMT

AEMT

Paramedic

Extended