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Medical Directives
Bradycardia
Bradycardia
Question# 801
Bradycardia Definition
In medical literature (AHA , National Institutes of health), bradycardia is most often defined as a rate < 60. In our ALS PCS under "Age and Vital Signs" it is defined as a rate of <50. Which rate should medics more closely follow for monit...
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Question# 802
Difference Between Demand vs. Non-Demand Pacing?
If paramedics are transporting a patient who is being successfully paced and are encountering the pacer dropping off due to the ambulance motion and associated artifact do you have any suggestions for ensuring that the pacer remains functional wit...
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Question# 720
TCP for bradycardic ROSC patients
If you have a ROSC with bradycardia and hypotension that's not responding to Dopamine, at what point may TCP be considered...after Dopamine is maxed out at 20mcg/kg/min? Dopamine is increased q5 minutes.
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Question# 604
Recommended Management Approach for patient who is Symptomatically Bradycardic from Suspected Hyperkalemia?
What would be the recommended management approach for a patient who is symptomatically bradycardic from suspected hyperkalemia? I see a large number of potential interventions: Calcium Salbutamol Fluid Bolus Atropine Pacing Dopamine My ...
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Question# 605
Do the medical directives for bradycardia require always trying TCP first before proceeding to dopamine, or is trying dopamine first reasonable?
The ECC guidelines for bradycardia show that both IV adrenergics with beta accelerating effects and TCP have equal levels of recommendation and thus, based on that, one probably isn't better than the other. Based on my limited experience with paci...
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Atropine dose change ALS PCS 5.3
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