3.3P Bradycardia-Pediatric

EMT/ADVANCED EMT STANDING ORDERS

• 1.0 Routine Patient Care

• If pulse is less than 60 in a child, AND the patient is severely symptomatic, consider starting Cardiopulmonary Resuscitation (CPR).

PARAMEDIC STANDING ORDERS

• If patient is severely symptomatic:

• Epinephrine 1:10,000, 0.01 mg/kg IV/IO (max. dose 0.5 mg) OR,

• Atropine 0.02 mg/kg IV/IO (max. single dose 0.5 mg). If increased vagal tone or AV block suspected.

• Transcutaneous pacing, if available.

MEDICAL CONTROL MAY ORDER

• Additional doses of above medications.

• Additional fluid boluses (10-20mL/kg)

• Epinephrine 1:10,000 – 0.01-0.03 mg/kg IV/IO (max. single dose of 0.5 mg)

• Epinephrine Infusion 1:1,000, 0.1-1 mcg/kg/min IV/IO