Date Published

May 12, 2021

Updated For

ALS PCS Version 5.2


Please remember when treating a patient with Symptomatic Bradycardia:

The patient is required to be: 1.BRADYCARDIC (HR < 50) 2. HEMODYNAMICALLY Unstable (refers specifically to SBP <90) 3. ≥18 years

Please remember the 12 LEAD (as early as possible)!

Treatment Pearls: Dopamine = Starts at 5 mcg/kg/min titrate SBP to ≥ 90 to < 110 Pacing = start at 80 beats/min and then increase mA until capture (mechanical/electrical) then go 10 mA above to lock it in.

* See the most recent version of the OBHG Companion Document for further pearls and considerations regarding this Medical Directive


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