Adult Bradycardia Algorithm (With Pulse)
Note: This document provides a structured summary of the Adult Bradycardia Algorithm (With Pulse) for educational and reference purposes. It is not a substitute for certified ACLS training and adherence to the latest guidelines published by the American Heart Association (AHA) or other relevant governing bodies. Always consult the most current official guidelines.
Identify slow heart rate, perform brief assessment, look for causes.
Look for hypotension, altered mental status, shock, chest pain, heart failure.
Are symptoms severe, requiring urgent intervention?
Prepare TCP, Atropine 1mg IV (max 3mg). If ineffective/not indicated, TCP OR Dopamine/Epinephrine infusion. Consider expert consult.
Monitor, IV access, 12-lead ECG. Treat causes. Consider Atropine (if responsive rhythm). Consider expert consult.
Monitor, observe. Treat causes if identified. No immediate intervention needed unless symptoms develop or block type warrants.
Review H’s and T’s: Hypoxia, Hypovolemia, Hypothermia, Hypo-/Hyperkalemia, Hydrogen ion (acidosis), Tamponade, Toxins, Tension pneumothorax, Thrombosis (coronary/pulmonary).
Consult Cardiology, Critical Care, or other specialists as needed based on rhythm, cause, and patient condition.
