What are the treatments used if bradycardia persists in a child after 2 minutes of chest compressions?

Updated: Sep 15, 2020
  • Author: Catharine A Bon, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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Answer

Answer

While the algorithm is being applied, attempt to identify and treat any underlying causes. If bradycardia persists after 2 minutes of chest compressions, consider the following:

  • Epinephrine: 0.01 mg/kg IV or IO; repeat every 3-5 minutes
  • Atropine: 0.02 mg/kg, not to exceed 0.5 mg/dose (for increased vagal tone or primary heart block) may be repeated once
  • Transcutaneous or transvenous pacing
  • Continue to identify and treat any underlying causes

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