Date Published

June 19, 2026

Updated For

ALS PCS Version ALS PCS Version 5.2

Question:

If a ROSC patient is bradycardic and hypotensive, can we proceed with TCP under the Symptomatic Bradycardia MD or must we stick with Dopamine under the ROSC MD? 

Answer:

If a patient is bradycardic and symptomatic and you believe the heart rate to be the reason that the patient is hypotensive and feel that Trans Cutaneous Pacing (TCP) would better suit this clinical situation, then it may be used instead of Dopamine in this situation. Please document your rationale on your ACR.   

Categories

Keywords

Bradycardia, Dopamine, Hypotension, Return of Spontaneous Circulation (ROSC), Transcutaneous Pacing (TCP)

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