Reflex Bradycardia with Atropine | EMTLIFE
2014年6月10日 · Your patient is in sinus bradycardia at a rate of 36 beats per minute when you arrive. She relates that she has been feeling weak and dizzy but otherwise seems fine. You determine to start an IV and administer 0.5 mg of atropine. Immediately after administration, your patient’s heart rate drops to 16 beats per minute and she loses ...
use of atropine and RSI - EMTLIFE
2011年10月5日 · Pediatric rapid sequence intubation: incidence of reflex bradycardia and effects of pretreatment with atropine. Pediatr Emerg Care. 2004 Oct;20(10):651-5. [5] Zelicof-Paul A, Smith-Lockridge A, Schnadower D, Tyler S, Levin S, Roskind C, Dayan P.Controversies in rapid sequence intubation in children.
Pediatric Bradycardia - Why Epi First? - EMTLIFE
2013年1月5日 · Remember, the current evidence recommends atropine first line for bradycardia in peds if there is known or highly suspected direct vagal stimulation as the source of the bradycardia. For example, if a pediatric patient bradys down after deep suctioning, and fails to recover despite oxygenation, it is perfectly ok to use atropine first, as this ...
Vomiting, abdominal pain, significant bradycardia | EMTLIFE
2016年9月15日 · (The presence of bile being the tale-tale sign, given that it does not appear to be an OD) I would go with a light dose of zofran (at say around 2.5 mg IV ) to deal with the vomiting temporarily, which is most likely causing the Sinus Bradycadia (assuming it actually IS sinus bradycardia and not 1st degree AVB- given rates as low as the 30's!!!)
ACLS and their love affair for Atropine in bradycardia.
2011年10月9日 · WTF? I'm getting ready to recert my ACLS and in the pre-test there are several scenarios involving patients with symptomatic bradycardia and 3rd degree blocks. ACLS insists that giving 0.5mg atropine is the first line of treatment. I was under the impression that if someone was significantly...
Atropine in the presence of an MI. - EMTLIFE
2012年5月31日 · In school we are taught atropine = faster heart-rate = more oxygen demand = bad for infarcting heart. But at the same time, symptomatic bradycardia can commonly present in conjunction with an MI especially in a more diseased heart. (I have met people who weren't bright enough to perform a 12 lead prior to initiating their treatment, with atropine.)
Atropine & Bradycardia | EMTLIFE
2010年3月23日 · What is the opinion of my fellow paramedics on this situation. So, 45 year old patient. No medical history. No meds. No allergies. Chest pain started 45 minutes earlier while exercising at gym. Continued exercising. Went home and his …
Atropine & Bradycardia | Page 2 | EMTLIFE
2010年5月23日 · Hey - A couple of questions - what is the "over the counter nitro-type medication" - not familar with it, and would like to be, for future reference. OK - 12 lead's normal... how about a 15 lead? Yeah, I know, no one does them... just asking. My gut feeling would be to try the ACS algorythym -...
Bradycardia after nitro administration - EMTLIFE
2013年3月17日 · 2) In a patient with an inferior + RV MI, a dose of NTG can trigger hypovolemia due to a poorly contractile RV, and reduced ability to deal with decreased preload. These patients may be hypotensive to start with, and IV fluids are helpful. Bradycardia is not typically seen with the hypotension induced by NTG administration.
Asymptomatic Bradycardia - EMTLIFE
2016年5月24日 · Atropine will cause a tachycardia against that high afterload, in a failing heart. Yuck. In this scenario, the bradycardia is actually protective by minimizing the heart's oxygen needs. But a dose of atropine will put a swift end to that. These patients need inotropes, hence the dopamine. He wasn't using it to increase the heart rate.