PALS Bradycardia Algorithm | Learn & Master PALS

Comments

    • ACLS says

      Rather than a specific age the basic cut off is onset of puberty. This would be identifiable without having to know the specific age of a child in cardiac arrest or with symptomatic bradycardia.
      Kind regards, Jeff

  1. Joshua Jacobs says

    What rate would we pace the child at? Do we adjust it based on the childs age? I would think a rate of 100bpm would work, increasing the mA until we saw electrical and mechanical capture. Would that be correct?

    • ACLS says

      That is correct. You would adjust according to the minimum normal heart rate for the child’s age. You would start at the minimum obtain capture and then adjust the rate to improve clinical condition.

      Kind regards,
      Jeff

    • Jeff with admin. says

      The numbers listed on the page above are a general reference for bradycardia in children. The specific definition is listed above those general guidelines. This is the definition of pediatric bradycardia: “A heart rate that is below the normal heart rate range for the childs age, level of activity, and clinical condition.”

      Due to the variable nature of the heart rate in children, you must use the three indicators above to determine whether or not the patient has clinical bradycardia should be treated.

      Kind regards,
      Jeff

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