Pediatric Bradycardia

P603

  • If symptomatic give oxygen, use BVM as needed, and recheck pulse rate
  • If HR <60, BVM and chest compressions
  • Epinephrine 1:10,000 IV/IO at 0.1 ml/kg or 1:1000 at 0.1 ml/kg via ETT (max dose 2 ml)
  • Contact medical control
  • Repeat epinephrine every 5 minutes
  • After epinephrine, consider 1 dose of atropine, 0.02 mg/kg (min 0.1 mg, max 1.0 mg) IV/
  • IO (ETT = 0.04 mg/kg)
  • If hypotensive, 0.9% NaCl 20 ml/kg IV
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