Bradycardia (Deep Dive R34)

EM Clerkship - A podcast by Zack Olson, MD and Michael Estephan, MD

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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)