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ACLS/BLS Preparation

Instructions

Graphics Drag

WHY?

The goal for the tutorial is to familiarize the user with the general layout of the Bradycardia Algorithm prior to memorizing content.

One session a day for 7 days

Session Completion!

Place this information in your long term memory with "Spaced Repetition" by reviewing once a day for 7 days

Click "Next" for next tutorial

Adult Bradycardia With Pulse

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Drag Graphics to their proper positions.

Assess appropriateness for clinical condition.

Heart rate typically < 50/min if bradyarrhythmia.

Persistent bradyarrhythmia causing:

  • Hypotension?
  • Acutely altered mental status?
  • Signs of shock?
  • Ischemic chest discomfort?
  • Acute heart failure?

Atropine

If atropine ineffective:

  • Transcutaneous Pacing
  • OR

  • Dopamine infusion
  • OR

  • Epinephrine infusion
Monitor and observe

Consider:

  • Expert consultation
  • Transvenous pacing

Identify and treat underlying cause

  • Maintain patent airway; assist breathing as necessary
  • Oxygen (if hypoxemic)
  • Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
  • IV Access
  • 12-Lead EGG id available don't delay therapy

Adult Bradycardia With Pulse

?
?
?
?
?
?

Drag Graphics to their proper positions.

Identify and treat underlying cause

  • Maintain patent airway; assist breathing as necessary
  • Oxygen (if hypoxemic)
  • Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
  • IV Access
  • 12-Lead EGG id available don't delay therapy

Atropine

If atropine ineffective:

  • Transcutaneous Pacing
  • OR

  • Dopamine infusion
  • OR

  • Epinephrine infusion

Persistent bradyarrhythmia causing:

  • Hypotension?
  • Acutely altered mental status?
  • Signs of shock?
  • Ischemic chest discomfort?
  • Acute heart failure?

Assess appropriateness for clinical condition.

Heart rate typically < 50/min if bradyarrhythmia.

Consider:

  • Expert consultation
  • Transvenous pacing
Monitor and observe

Adult Bradycardia With Pulse

?
?
?
?
?
?

Drag Graphics to their proper positions.

Persistent bradyarrhythmia causing:

  • Hypotension?
  • Acutely altered mental status?
  • Signs of shock?
  • Ischemic chest discomfort?
  • Acute heart failure?
Monitor and observe

Assess appropriateness for clinical condition.

Heart rate typically < 50/min if bradyarrhythmia.

Atropine

If atropine ineffective:

  • Transcutaneous Pacing
  • OR

  • Dopamine infusion
  • OR

  • Epinephrine infusion

Consider:

  • Expert consultation
  • Transvenous pacing

Identify and treat underlying cause

  • Maintain patent airway; assist breathing as necessary
  • Oxygen (if hypoxemic)
  • Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
  • IV Access
  • 12-Lead EGG id available don't delay therapy

Adult Bradycardia With Pulse

?
?
?
?
?
?

Drag Graphics to their proper positions.

Identify and treat underlying cause

  • Maintain patent airway; assist breathing as necessary
  • Oxygen (if hypoxemic)
  • Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
  • IV Access
  • 12-Lead EGG id available don't delay therapy

Assess appropriateness for clinical condition.

Heart rate typically < 50/min if bradyarrhythmia.

Consider:

  • Expert consultation
  • Transvenous pacing

Atropine

If atropine ineffective:

  • Transcutaneous Pacing
  • OR

  • Dopamine infusion
  • OR

  • Epinephrine infusion
Monitor and observe

Persistent bradyarrhythmia causing:

  • Hypotension?
  • Acutely altered mental status?
  • Signs of shock?
  • Ischemic chest discomfort?
  • Acute heart failure?

Adult Bradycardia With Pulse

?
?
?
?
?
?

Drag Graphics to their proper positions.

Assess appropriateness for clinical condition.

Heart rate typically < 50/min if bradyarrhythmia.

Persistent bradyarrhythmia causing:

  • Hypotension?
  • Acutely altered mental status?
  • Signs of shock?
  • Ischemic chest discomfort?
  • Acute heart failure?
Monitor and observe

Identify and treat underlying cause

  • Maintain patent airway; assist breathing as necessary
  • Oxygen (if hypoxemic)
  • Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
  • IV Access
  • 12-Lead EGG id available don't delay therapy

Consider:

  • Expert consultation
  • Transvenous pacing

Atropine

If atropine ineffective:

  • Transcutaneous Pacing
  • OR

  • Dopamine infusion
  • OR

  • Epinephrine infusion
Next
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