Bradycardia: management
| Grade | Description | Presentation group (n) | Total | ||||
|---|---|---|---|---|---|---|---|
| CA | CAP | H | N | HY | |||
| CA, all cases of cardiac arrest associated with bradycardia; CAP, hypotension progressing into cardiac arrest; H, bradycardia in association with hypotension; N, bradycardia without associated hypotension; HY, bradycardia in association with hypertension. | |||||||
| *Conservative: no treatment, stop or reverse precipitant (includes stopping agent, administering antidote e.g. naloxone, ceasing reflex stimulation, deepening anaesthesia or definitive treatment for event e.g. gas embolism), posture control, fluid bolus. | |||||||
| 1 | Conservative* | 3 | 0 | 17 | 19 | 0 | 39 |
| 2 | Atropine ±1 | 15 | 5 | 46 | 34 | 0 | 100 |
| 3 | Vasopressors ±2 | 2 | 1 | 33 | 0 | 0 | 36 |
| 4 | Adrenaline ±3 | 17 | 6 | 11 | 0 | 0 | 34 |
| 5 | Antidysrhythmic/pacing agents, cardiac pacing ±4 | 1 | 1 | 2 | 0 | 0 | 4 |
| E | External cardiac compression | 22 | 7 | 2 | 0 | 0 | 31 |
| M | Increase monitoring | 0 | 0 | 3 | 0 | 0 | 3 |
| NC | Non-conventional | 0 | 5 | 5 | 1 | 0 | 11 |
| NS | Not specified | 40 | |||||