[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-369994-105":59,"doc-detail-369994-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","adult-bradycardia-algorithm-2021-clinical-guideline","Adult Bradycardia Algorithm - 2021 Clinical Guideline","","This document outlines the clinical algorithm for managing adult bradycardia, providing a structured approach for emergency assessment and intervention. It emphasizes the importance of the ABCDE assessment method and immediate patient monitoring, including ECG, blood pressure, and oxygen saturation. The protocol details the identification of reversible causes such as electrolyte imbalances and outlines clear triage paths based on the presence of life-threatening signs like shock, syncope, or heart failure. Pharmacological interventions, including the administration of atropine, isoprenaline, and adrenaline, are systematically described, along with guidance on transcutaneous and transvenous pacing. Furthermore, the guideline lists alternative medications for specific scenarios, such as beta-blocker or calcium channel blocker toxicity, ensuring medical professionals have comprehensive decision-support tools for stabilization and expert consultation.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/adult-bradycardia-algorithm-2021-clinical-guideline/369994/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/adult-bradycardia-algorithm-2021-clinical-guideline/369994.png","ImageObject",300,407,{"name":92,"@type":93},"Lucas Martin","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-02","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the first step in the assessment of a patient with adult bradycardia?","Question",{"text":112,"@type":113},"The initial step is to give oxygen if appropriate, establish IV access, and perform a systematic assessment using the ABCDE approach, while monitoring ECG, blood pressure, and SpO2.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What conditions are considered life-threatening signs in the context of bradycardia?",{"text":117,"@type":113},"Life-threatening signs include shock, syncope, symptoms of myocardial ischaemia, and signs of heart failure.",{"name":119,"@type":110,"acceptedAnswer":120},"What are the recommended pharmacological treatments if atropine is ineffective?",{"text":121,"@type":113},"If there is no satisfactory response to atropine, options include isoprenaline, adrenaline, or alternative drugs like aminophylline, dopamine, or glucagon, depending on the underlying cause, alongside consideration for transcutaneous or transvenous pacing.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},369994,1790186191,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":81},8796095360427,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Adult bradycardia  \nGive oxygen if appropriate and obtain IV access  \nAssess with ABCDE approach  \nMonitor ECG, BP, SpO2, record 12-lead ECG  \nIdentify and treat reversible causes e.g. electrolyte abnormalities  \nEvidence of life threatening signs?  \n• Shock  \n• Syncope  \n• Myocardial ischaemia  \n• Heart failure  \nNO  \nAtropine 500 mcg IV  \nSatisfactory response?  \nInterim measures:  \n• Atropine 500 mcg IV repeat to maximum of 3 mg  \n• Isoprenaline 5 mcg min-1 IV  \n• Adrenaline 2–10 mcg min-1 IV  \n• Alternative drugs* or  \nTranscutaneous pacing  \nSeek expert help  \nArrange transvenous pacing  \n* Alternatives include:  \n• Aminophylline  \n• Dopamine  \n• Glucagon (if beta-blocker or calcium channel blocker overdose)  \n• Glycopyrrolate can be used instead of atropine","cbCaiimio6F7CJCO","https://ap.wps.com/l/cbCaiimio6F7CJCO","pdf",36831,"English","# Initial Assessment and Stabilization\n## Identification of Life-Threatening Signs\n# Management of Bradycardia\n## Pharmacological Interventions\n## Pacing and Expert Consultation","[{\"question\":\"What is the first step in the assessment of a patient with adult bradycardia?\",\"answer\":\"The initial step is to give oxygen if appropriate, establish IV access, and perform a systematic assessment using the ABCDE approach, while monitoring ECG, blood pressure, and SpO2.\"},{\"question\":\"What conditions are considered life-threatening signs in the context of bradycardia?\",\"answer\":\"Life-threatening signs include shock, syncope, symptoms of myocardial ischaemia, and signs of heart failure.\"},{\"question\":\"What are the recommended pharmacological treatments if atropine is ineffective?\",\"answer\":\"If there is no satisfactory response to atropine, options include isoprenaline, adrenaline, or alternative drugs like aminophylline, dopamine, or glucagon, depending on the underlying cause, alongside consideration for transcutaneous or transvenous pacing.\"}]","Adult Bradycardia Algorithm - 2021 Clinical Guideline | PDF"]